Examples of Clinical Practice Guidelines Or Practice Standards Developed by Organizations Or Professional Societies Regarding As

Home , Health services research

Examples of Clinical Practice Guidelines or Practice Standards Developed by Organizations or Professional Societies Regarding Aspects of CLABSI Prevention or Diagnosis

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: World Health Organization (WHO)–World Alliance for Patient Safety WHO is the directing and coordi- World Health Organiza- Hand hygiene is a primary measure to reduce All settings, nating authority for health within tion (WHO): WHO infections, including CLABSIs. from high- the United Nations system. It is Guidelines on Hand Hy- A core part of WHO Patient Safety work is re- technology responsible for providing leader- giene in Health Care. lated to Global Patient Safety Challenges. hospitals in ship on global health matters, Geneva: WHO, 2009. These challenges are international campaigns developed setting norms and standards, ar- that bring together expertise and evidence on countries to ticulating evidence-based policy Publication topic: Hand important aspects of patient safety. Recom- remote clinics in options, providing technical sup- hygiene mendations are developed to ensure the resource-poor port to countries, and monitoring safety of patients receiving care globally. WHO villages and assessing health trends. Year published: 2009 Patient Safety works to make these recom- WHO experts produce health mendations widely available and provides guidelines and standards and tools to implement the recommendations in a help countries address public variety of health care settings worldwide. health issues. WHO’s membership is comprised of 193 countries To date there have been two Global Patient and two associate members. Safety Challenges: “Clean Care Is Safer WHO’s Constitution came into Care” and “Safe Surgery Saves Lives.” The force on April 7, 1948—a date WHO guidelines on hand hygiene are a now celebrated every year as product of the “Clean Care Is Safer Care” World Health Day. Global Patient Safety Challenge, launched in 2005. http://www.who.int The hand hygiene guidelines are available at http://whqlibdoc.who.int/publications /2009/9789241597906_eng.pdf.

Continued on next page

Note: All guidelines accessed Mar 17, 2012. CLABSI: central line–associated bloodstream infection; CVC: central venous catheter; PIVC: peripherally inserted venous catheter; HAI: health care–associated infection; MRSA: methicillin-resistant Staphylococcus au- reus; CVAD: central venous access device; PICC: peripherally inserted central catheter.

© The Joint Commission. May be adapted for internal use. Suggested citation: The Joint Commission. Preventing Central Line–Associated Bloodstream Infections: Useful Tools, An International Perspective. Nov 20, 2013. Accessed [user please fill in access date]. http://www.jointcommission.org/CLABSIToolkit Examples of Clinical Practice Guidelines or Practice Standards (Continued)

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: American Society for Parenteral and Enteral Nutrition (ASPEN) ASPEN was founded in 1975 for Mirtallo J, Canada T, Johnson These guidelines update the 2002 All health care the purpose of providing optimal D, Kumpf V, Petersen C, Sacks guidelines and include topic areas settings in which nutrition to all people under all G, Seres D, Guenter P; Task such as sterile compounding of par- patients are re- conditions at all times. ASPEN Force for the Revision of Safe enteral nutrition formulations as well as ceiving has been publishing clinical Practices for Parenteral Nutri- venous access selection, care, and as- parenteral guidelines, statements, stan- tion. Safe practices for par- sessment nutrition dards, and other documents for enteral nutrition. JPEN J more than 20 years in order to as- Parenter Enteral Nutr. 2004 The guidelines (and others) are sist practitioners in providing safe, Nov–Dec;28(6):S39–70. Erra- available at http://www.nutritioncare.org efficacious nutrition care to pa- tum in: JPEN J Parenter En- /Library.aspx. tients. teral Nutr. 2006 Mar–Apr;30(2):177. ASPEN publishes two journals, the Journal of Parenteral and En- Publication topic: Parenteral teral Nutrition (JPEN) and Nutri- nutrition tion in Clinical Practice (NCP). Year published: 2004 http://nutritioncare.org

Organization or Professional Society: Australasian Society for Parenteral and Enteral Nutrition (AuSPEN) Founded in 1974, AuSPEN has Gillanders L, Angstmann K, The guidelines for home parenteral nu- Home care members from Australia, New Ball P, Chapman-Kiddell C, trition were commissioned by AuSPEN setting Zealand, and the Asia-Pacific re- Hardy G, Hope J, Smith R, and developed by a multi-disciplinary gion. Strauss B, Russell D; Aus- group. The guidelines make recom- tralasian Society of Parenteral mendations in four domains: patient AuSPEN is a multidisciplinary soci- and Enteral Nutrition. AuSPEN selection, patient education, formula- ety focusing on clinical nutrition. clinical practice guideline for tion and monitoring regimens, and pre- Members include physicians, sur- home parenteral nutrition pa- venting and managing complications. geons, intensivists, dietitians, phar- tients in Australia and New macists, nurses, and scientists. Zealand. Nutrition. 2008 Available at AuSPEN promotes an evidence- Oct;24(10): http://www.auspen.org.au/assets based approach to nutrition in clini- 998–1012. Epub 2008 Aug 16. /Uploads/Documents/guidelines-2 cal practice and provides clinical Erratum in: Nutrition. 2009 /WEBSITE-AUSPEN-BEST-PRACTICE nutrition expertise in an advisory Jun;25(6):685. -GUIDELINES-FOR-HOME capacity to other nutrition organiza- -PARENTERAL-NUTRITION.pdf. tions, health professionals, and Publication topic: Parenteral government bodies. nutrition

http://www.auspen.org.au Year published: 2008

Continued on next page

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: Centre for Healthcare Related Infection Surveillance and Prevention (CHRISP) The prevention, monitoring, and Centre for Healthcare Related A large number of interventions have All settings reporting of HAIs is part of a pro- Infection Surveillance and Pre- been developed to prevent health gram to reduce preventable harm vention (CHRISP). care–associated intravascular device– in Queensland Health hospitals in I-Care Program. Australia: related bloodstream infections. The I- Australia. CHRISP provides clini- CHRISP (2007). Care acronym stands for: cal governance, leadership, and ■ I—IV device management expert advice through its advisory http://www.health.qld.gov.au ■ C—Clean your hands groups, networks, and provision /chrisp/icare/about.asp ■ A—Access: Use alcoholic of statewide systems and chlorhexidine to prepare the in- processes that underpin quality Publication topic: The CHRISP sertion site, and use sterile alco- improvement and patient/staff I-Care Program has consoli- hol swabs to clean the injection safety. Work undertaken by dated CLABSI prevention inter- port before accessing CHRISP, in collaboration with ventions into one document ■ R—Review the need for the IV Health Service Districts and coun- called Recommended Prac- device on a daily basis and re- terparts in other divisions within tices, for the main types of in- move when no longer required Queensland Health, focuses on travascular devices (IVD), ■ E—Educate everyone about evidence-based, clinician-driven including: I-Care: staff, patients, and care- change and the empowerment of ■ Percutaneous CVC givers those involved in clinical care. ■ Tunneled CVC ■ PICC The Recommended Practices have http://www.health.qld.gov.au/chrisp ■ PIVC been specifically tailored for the ■ Hemodialysis catheters Queensland Health environment and ■ Port are broad statements used to guide policy and procedure development in Year published: 2007 specific work environments.

Organization or Professional Society: International Federation of Infection Control (IFIC) Founded in 1987, IFIC is an um- Heeg P. Prevention of Authored by experts in infection pre- brella organization of associations intravascular device–associated vention and control, microbiology, and and societies of health care pro- infections. In Friedman C, New- epidemiology, IFIC’s infection preven- fessionals in infection control and som W, editors. IFIC Basic tion and control book provides a scien- related fields worldwide. IFIC Concepts in Infection Control, tific foundation of basic infection strives to minimize the risk of in- 2nd ed. International Federa- prevention and control principles and fection within the health care set- tion of Infection Control, 2011, strategies. Chapter 17, “Prevention of ting worldwide through 247–255. Intravascular Device-Associated Infec- development of an infection con- tions,” includes practices and strate- trol communication network to fa- Publication topic: Basic infec- gies to minimize the risks associated cilitate consensus building, tion prevention and control con- with CVCs. education, and sharing of expert- cepts and recommended ise. Organizations that join IFIC practices This book is not connected to any are designated as member soci- country’s laws, regulations, or tradi- eties. Currently IFIC has 66 mem- Year published: 2011 tions and therefore has international ber societies from 51 countries. applicability.

http://www.theific.org Available at http://www.theific.org/basic _concepts/index.htm.

Continued on next page

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: European Society for Clinical Nutrition and Metabolism (ESPEN) ESPEN is dedicated to the field of Pittiruti M, Hamilton H, Biffi R, The guidelines provide general recom- All settings in clinical nutrition and metabolism. MacFie J, Pertkiewicz M; mendations about the indications for which health The society promotes basic and ESPEN. ESPEN Guidelines on and use of the various types of venous care personnel clinical research, basic and ad- Parenteral Nutrition: Central access devices available for parenteral care for patients vanced education, and organiza- venous catheters (access, nutrition. Topic areas covered include who require par- tion of consensus statements care, diagnosis and therapy of choosing the best route for intravenous enteral nutrition, about clinical care and care qual- complications). Clin Nutr. 2009 nutrition and type of catheter device, including acute ity control. ESPEN encourages Aug;28(4):365–377. ultrasound-guided venipuncture, care and home the dissemination of knowledge strategies to reduce the risk of care and its application in the field of Publication topic: Parenteral catheter-related infection, and diagno- parenteral and enteral nutrition. nutrition sis and treatment of catheter-related ESPEN sponsors the journal Clin- infections. ical Nutrition. Year published: 2009 Available at http://www.sciencedirect http://www.espen.org .com/science/article/pii/S02615614090 00788.

Organization or Professional Society: Infectious Diseases Society of America (IDSA) IDSA represents scientists, physi- Mermel LA, Allon M, Bouza E, These guidelines update those pub- Settings in cians, and other health care pro- Craven DE, Flynn P, O’Grady lished in 2001. Topic areas covered in- which health fessionals who specialize in NP, Raad II, Rijnders BJA, clude when and how to perform blood care personnel infectious diseases. IDSA’s pur- Sheretz RJ, Warren DK. Clini- cultures and management of catheter- care for patients pose is to improve the health of cal practice guidelines for the related infections. who have in- individuals, communities, and so- diagnosis and management of travascular ciety by promoting excellence in intravascular catheter-related Available at http://cid.oxfordjournals catheter–related patient care, research, education, infection: 2009 Update by the .org/content/49/1/1.full.pdf+html. infections or public health, and prevention re- Infectious Diseases Society of who are at risk lating to infectious diseases. America. Clin Infect Dis. 2009 for them Jul;49:1–45. http://www.idsociety.org Publication topic: Diagnosis and management of catheter- related infections

Year published: 2009

Continued on next page

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)

(See above information for IDSA.) Marschall J, Mermel LA, In addition to discussing CLABSIs, this Acute care Classen D, Arias KM, Podgorny compendium of practice recommenda- hospitals SHEA is a professional society K, Anderson DJ, Burstin H, tions synthesizes the best evidence for with more than 1,900 physicians Calfee DP, Coffin SE, Dub- the prevention of surgical site infec- and other health care profession- berke ER, Fraser V, Gerding tions, catheter-associated urinary tract als around the world. Since its DN, Griffin FA, Gross P, Kaye infections, ventilator-associated pneu- founding in 1980, SHEA has re- KS, Klompas M, Lo E, Nicolle monia, Clostridium difficile, and MRSA. mained dedicated to advancing L, Pegues DA, Perl TM, Saint The compendium was sponsored and the science and practice of health S, Salgado CD, Weinstein RA, authored by SHEA and IDSA. Partners care epidemiology and preventing Wise R, Yokoe DS. Strategies in this work were the Association for and controlling worldwide the to prevent central line–associ- Professionals in Infection Control and morbidity, mortality, and costs ated bloodstream infections in Epidemiology (APIC), The Joint Com- associated with HAIs. acute care hospitals. Infect mission, and the American Hospital Cont Hosp Epidemiol. 2008 Association (AHA). The compendium http://www.shea-online.org Oct;29 Suppl 1:S22–30. also does the following: ■ Highlights basic HAI prevention Publication topic: Prevention of strategies plus advanced ap- CLABSIs proaches for outbreak management and other special Year published: 2008 circumstances ■ Recommends performance and accountability measures to apply to individuals and groups working to implement infection prevention practices

The entire compendium, available in English, Spanish, and Portuguese, can be downloaded at http://www.shea -online.org/GuidelinesResources /CompendiumofStrategiestoPrevent HAIs.aspx. It is also published in the October 2008 supplemental issue of the SHEA journal Infection Control and Hospital Epidemiology.

Continued on next page

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: Infusion Nurses Society (INS) INS, located in Norwood, Massa- Infusion Nursing Standards of The INS publication Infusion Nursing All patient chusetts, is a national nonprofit or- Practice. J Infus Nurs. 2011 Standards of Practice provides a settings and ganization founded in 1973. Jan–Feb;34 Suppl 1:S1–110. framework that guides clinical practice. patient Membership is open to all health The standards are used to define and populations care professionals from all prac- Publication topic: Prevention of develop organizational infusion-based tice settings who are involved in or catheter-related infections policies and procedures for all practice interested in the practice of infu- settings. The comprehensive contents sion therapy. INS is dedicated to Year published: 2011 include standards of nursing practice advancing the delivery of quality and patient care practices, vascular therapy to patients, enhancing the access device selection and place- specialty through stringent stan- ment, use of access devices, site care dards of practice and professional and maintenance, and infusion-related ethics, and promoting research complications. and education in the infusion nursing practice. Available for purchase at http://www.ins1.org/i4a/ams/amsstore http://www.ins1.org /category.cfm?category_id=7.

Organization or Professional Society: Intravenous Nurses New Zealand (IVNNZ) IVNNZ is a voluntary organization IVNNZ Standards of Infusion The standards were launched on All patient for registered nurses/midwives Nursing March 30, 2012, at the IVNNZ confer- settings and and allied health professionals. ence. patient IVNNZ was founded in 1993, with Publication topic: All aspects of populations the goal of establishing IV therapy CVAD management and com- Contact [email protected] with as a specialty in nursing practice. plication prevention any questions. IVNNZ promotes excellence in IV therapy by providing education Year published: 2012 The standards are available at (conferences, workshops, semi- http://www.ivnnz.co.nz/about-ivnnz-inc. nars), maintaining IV standards of /Infusion-Standards-of-Practice. best practice, and offering precep- torship, research, and networking.

IVNNZ is an international affiliate of the Infusion Nurses Society (INS) of America.

http://www.ivnnz.co.nz

Continued on next page

About the Organization/Society Guideline Citation, Applicable Summary and Website Address Publication Topic, Year Settings

Organization or Professional Society: British Committee for Standards in Hematology (BCSH) BCSH is a subcommittee of the Bishop L, Dougherty L, Boden- These guidelines are a review of basic Adult patients in British Society for Hematology ham A, Mansi J, Crowe P, Kib- principles and relevant research for various clinical and provides up-to-date bler C, Shannon M, Treleaven medical and nursing staff involved in settings evidence-based guidelines for J. Guidelines on the insertion the care of patients with CVADs. They both clinical and laboratory hema- and management of central ve- complement existing guidelines for tologists on the diagnosis and nous access devices in adults. nursing staff (from the Royal College of treatment of hematological Int J Lab Hematol. 2007 Nursing, 2005, updated in 2010). The disease. Aug;29(4):261–278. BCSH guidelines pertain to the insertion and management of http://www.bcshguidelines.com Publication topic: Prevention of nontunneled and skin-tunneled CVCs, CVC–related infection implanted ports, and PICCs.

Year published: 2006 The guidelines are available at http://www.bcshguidelines.com /documents/central_venous_access _management_guidelines_2006.pdf.

Organization or Professional Society: Royal College of Nursing (RCN) RCN was founded in 1916 as a Royal College of Nursing, IV The standards address all aspects of Inpatient, professional organization for Therapy Forum. Standards for infusion therapy, including infusion outpatient, and trained nurses and has evolved Infusion Therapy, 3rd ed. Lon- equipment, site selection, and care. home care into a professional union. For al- don: Royal College of Nursing, Specific topic areas include staff settings most a century the RCN has pio- 2010. education, patient education, hand hy- neered professional standards for giene, and selection and placement of nurses in their education, practice, Publication topic: Infusion CVCs. and working conditions. Today the RCN has more than 400,000 therapy members in England, Northern Ire- The guidelines are available at land, Scotland, and Wales. Year published: 2010 http://www.scribd.com/doc/49770787 /IV-THERAPY. http://www.rcn.org.uk

Organization or Professional Society: National Institute for Health and Clinical Excellence (NICE) NICE is part of the English Na- National Institute for Clinical Ex- NICE was asked to look at the avail- Any setting in tional Health System (NHS). It cellence (NICE). Guidance on able evidence on ultrasound locating which CVCs are produces guidance for both the the Use of Ultrasound Locating devices for placing CVCs and provide placed NHS and patients on the use of Devices for Placing Central Ve- guidance that would help the NHS in medicines, medical equipment, di- nous Catheters. Technology Ap- England and Wales decide when they praisal Guidance 49. London: should be used. The technology for agnostic tests, and clinical and NICE, 2002. and proper use of ultrasound for this surgical procedures. purpose is covered. Publication topic: Ultrasonic http://www.nice.org.uk placement of CVCs The guideline is available at http://guidance.nice.org.uk/TA49 Year published: 2002 /Guidance/pdf/English.