Title

Bundles of Bundles

Author Faculty (Discipline)

Nursing

Document Type

Editorial

Publication Date

8-1-2019

Early Online Version

6-21-2019

JOURNAL

Infection, Disease and Health

VOLUME NUMBER

24

ISSUE NUMBER

3

PAGE NUMBERS

113-114

ISSN

2468-0451

Embargo Period

9-5-2021

ANZSRC / FoR Code

4202 Epidemiology| 4206 Public health

Avondale Research Centre

Lifestyle Research Centre

Reportable Items (HERDC/ERA)

C2

Abstract

Possibly the first time many of us became familiar with the concept of a healthcare associated infection (HAI) prevention bundle was when Pronovost published his Michigan study that demonstrated an evidence based intervention (a bundle) significantly reduced catheter related bloodstream infections in an ICU setting[1]. HAI prevention interventions are often multimodal, which intuitively makes sense, given as it is often difficult to identify the one causative factor. So instead of focussing on just one intervention, we identify several and combine them together into a bundle (as we picture the arrow passing through the holes in the cheese).

The success of a bundle depends on several key factors. They must be composed of only 2–5 simple evidence based components, they must be accompanied by an implementation strategy, and crucially, their success depends on high compliance with all the bundle components[2].

Since Pronovosts study, a variety of infection prevention bundles have been described. For example intervention bundles to prevent catheter associated urinary tract infections[3], a bundle to prevent surgical site infections in colorectal surgery[4], and most recently an environmental cleaning bundle to reduce HAI[5]. Whilst some HAI prevention bundles would appear to be widely implemented and clearly effective, others require further exploration.

Link to publisher version (DOI)

https://doi.org/10.1016/j.idh.2019.06.001

Peer Review

Before publication

Comments

Due to copyright restrictions this editorial is unavailable for download.

At the time of writing Philip Russo was affiliated with Avondale University College.

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