MRSA Eradication to Reduce Catheter related infections (MERCI)
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2019
To reduce catheter-related MRSA bacteremia infections for renal patients. The MERCI project successfully eliminated catheter-related MRSA infections, demonstrating the impact of system-wide improvements.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement, Value Based Care, Safe Care, Adverse Outcome Reduction
About this Content
Aims
To reduce catheter-related MRSA bacteremia infections for renal patients.
Background
A surge of MRSA infections among dialysis patients revealed inconsistencies in pre-procedural preparation, catheter care, and MRSA decolonization practices. 4 out of 5 cases with MRSA catheter infections originated at NUH.
Methods
Introduced the Dialysis Access Checklist, revised SOPs for catheter care, implemented MRSA decolonization protocols, and changed disinfection solutions. Multidisciplinary approach ensured compliance through radiology request forms and audits.
Results
Achieved zero MRSA cases over 6 months post-implementation. Improved adherence to pre-procedural preparation and catheter care.
Conclusion
The MERCI project successfully eliminated catheter-related MRSA infections, demonstrating the impact of system-wide improvements.
Lessons Learnt
Multidisciplinary collaboration and continuous audits ensured protocol compliance. Nurses played a crucial role in reinforcing the checklist and protocols.
Additional Information
Protocol updates were shared in UMC meetings for sustained implementation.
Keywords
Clinical Improvement, Safe Care, Process Improvement, Quality Improvement Tool, Dialysis Access Checklist, Infection Prevention, Nephrology, Radiology
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Urology, Infectious Diseases, Neonatology |
Project Lead(s) | Christopher Leo |
Project Member(s) | Liao Jun |
Connect with this contributor!
Dr Christopher Leo - christopher_leo@nuhs.edu.sg
Project Attachment
33_NUH_MRSA_Eradication_to_Reduce_Catheter_related_infections_combine.pdf