Transformed Catheter Exit-site Care for Hospitalized Peritoneal Dialysis Patients
Care Process & Redesign
National Healthcare Innovation and Productivity Medals
SingHealth
31 December 2022
To prevent exit-site infections in PD patients and reduce manpower needs without compromising care. Weekly chlorhexidine dressing is effective and cost-efficient for PD exit-site care in hospitals.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement, Value Based Care, Safe Care, Productivity, Time Saving, Cost Saving
About this Content
Aims
To prevent exit-site infections in PD patients and reduce manpower needs without compromising care.
Background
Increasing PD patients in hospitals, exacerbated by COVID-19, raised the need for optimized nursing care.
Methods
Introduced weekly chlorhexidine dressings for PD patients in hospitals, training all nurses on application and monitoring adverse reactions.
Results
Reduced dressings from 2103 to 546 (4-fold reduction), saved nursing time by 4-fold, and reduced healthcare costs by approximately 2.7-fold without adverse reactions.
Conclusion
Weekly chlorhexidine dressing is effective and cost-efficient for PD exit-site care in hospitals.
Lessons Learnt
Pilot studies are essential for mitigating risks and predicting outcomes.
Keywords
Peritoneal Dialysis, Chlorhexidine Dressing, Patient Care
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Neonatology |
Project Lead(s) | Htay Htay |
Project Member(s) | Marjorie Foo Wai Yin |
Connect with this contributor!
Dr. Htay Htay - htay.htay@singhealth.com.sg