A comprehensive objective analysis can help prevent facilities from defaulting to “ fixing ” problems with new products , when the root cause may involve practice or procedures . Defaulting to simply adding new products can be counterproductive and fail to address what caregivers actually do , or what their policies tell them to do .”
actually do , not what they say they do . This potential discrepancy should be handled with care , to prevent hostility or defensiveness , which are destructive to any value analysis project .
Procedures
In combination with products and practices are procedures . An appropriate goal in clinical practice ( i . e ., placing a CVC , accessing the CVC , changing the dressing , etc .) is to have purposeful steps to be completed , in order , consistently throughout an institution , regardless of caregiver . A CVC insertion checklist is an example of a guideline that is common practice in CLABSI prevention , where an infection prevention and control department has determined the step-by-step procedure to be used for all CVC insertions . Again , The Joint Commission has weighed in with recommendations and even provides a template . 9
In this section , policies come into play . An institution will have policies , procedures , and perhaps even guidelines and protocols that are all geared to create an environment of consistent care , regardless of a patient ’ s physical location or their caregiver . Analyzing these written procedures can be instructive and comparing them to the practice outlined above can help the value analysis and clinical departments determine if changes are necessary .
A total package of sepsis prevention can include specific situations , such as CLABSI prevention . Inherent in these situations can be product , practice , and procedure analyses in which value analysis can readily assist . Clinical departments can benefit from collaborating with value analysis departments to determine the best methods of providing patient care for the good of the patient , caregiver , and institution . As shown in this article , with the use of central venous catheters as an example , this partnership between clinical departments and value analysis can help an institution enact practices that are evidence-based and analyzed with objective data to provide positive outcomes . A comprehensive objective analysis can help prevent facilities from defaulting to “ fixing ” problems with new products , when the root cause may involve practice or procedures . Defaulting to simply adding new products can be counterproductive and fail to address what caregivers actually do , or what their policies tell them to do . In short , in projects to combat very real and potentially fatal conditions such as sepsis , a partnership between clinical and value analysis departments can help provide a positive outcome for all concerned .
James Russell , RN-BC , MBA , CVAHP , is director of clinical resource management for MD Anderson Cancer Center .
Resources :
5 . https :// www . jointcommission . org / resources / patient-safety-topics / infectionprevention-and-control / central-line-associated-bloodstream-infectionstoolkit-and-monograph / variability-of-surveillance-practices-for-centrallineassociated-bloodstream-infections-and-its-impl /#:~: text = Central % 20 line % 2Dassociated % 20bloodstream % 20infections % 20 ( CLABSIs )% 20are % 20 health % 20care , to % 20 % 242.3 % 20billion % 20a % 20year .
6 . www . ecri . org / components / TechnologySnapshot / Documents / Catheters % 20 Vascular % 20Hemodialysis % 20Central % 20Venous . pdf
7 . www . jointcommission . org / - / media / tjc / documents / resources / health-services-research / clabsi-toolkit / clabsi _ toolkit _ tool _ 3-21 _ scrub _ the _ hubpdf . pdf ? d- b = web & hash = 79BF0D29BD4AAF13DEC3C3DE5AB90494 & hash = 79BF0D29B- D4AAF13DEC3C3DE5AB90494 #:~: text = To % 20Scrub % 20the % 20 Hub & text = Don % 20clean % 20or % 20sterile % 20gloves , use % 20only % 20 on % 20one % 20hub www . jointcommission . org / - / media / tjc / documents / resources / health-services-research / clabsi-toolkit / clabsi _ toolkit _ tool _ 3- 21 _ scrub _ the _ hubpdf . pdf ? db = web & hash = 79BF0D29BD4AAF13DEC3C3DE- 5AB90494 & hash = 79BF0D29BD4AAF13DEC3C3DE5AB90494 #:~: text = To % 20 Scrub % 20the % 20Hub & text = Don % 20clean % 20or % 20sterile % 20 gloves , use % 20only % 20on % 20one % 20hub .
9 . www . jointcommission . org / - / media / tjc / documents / resources / health-servicesresearch / clabsi-toolkit / clabsi _ toolkit _ tool _ 3-17 _ central _ line _ insertion _ checklist _ - _ templatepdf . https :// www . mayoclinic . org / diseases-conditions / sepsis / symptoms-causes / syc-20351214
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