組合式照護概念

This article describes the improvement of catheter related bloodstream infection rate of a medical center after implementation of a central catheter care bundle. “Care bundle” is a structured model of care that applies evidence-based standard of care across an interdisciplinary collaborative team to optimize quality of patient care. Established care bundles include care of patients under mechanical ventilation, central catheter insertion and shock management. Structure of a care bundle model consists of six guidelines: (1) building the interventions on which care team members agree, (2) independence among interventions, (3) consideration for practice area and patient population, (4) grouping an interdisciplinary team, (5) involving geographic factors and (6) clinical judgments.