Best Evidence Medical and Health Professional Education

What features of educational interventions lead to competence in aseptic insertion and maintenance of CV catheters in acute care? BEME Guide 15


Many patients within hospitals have central venous catheters (CVCs) inserted and maintained to aid their recovery. Research suggests that poor hygiene behaviour from healthcare professionals is the most preventable cause of hospital infections. If staff were to follow infection control guidelines, hospital acquired infections would fall by about a third, saving the NHS approximately £1 billion a year. More importantly this would save millions of lives worldwide. Guidelines are available describing the best methods of inserting and maintaining CVCs, and hospitals regularly provide education to staff in regards to this. Despite this, aseptic procedures are not carried out consistently enough to significantly reduce infections. More needs to be known about what education works in order to increase compliance by healthcare professionals with regards to their infection control behaviour. We investigated this problem using a systematic review.The aim of the review was to focus on how staff may be educated to have better CVC insertion and maintenance behaviour using Best Evidence Medical Education (BEME) guidelines in order to find out what works, for whom and in what way.


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