Development of a Hospital Care System for Bloodstream Infections, Phon Hospital, Phon District, Khon Kaen Province

Abstract

This research aimed to develop and examine the outcomes of the bloodstream infection care system at Phon Hospital, Khon Kaen Province. The sample groups consist of: (1) 40 patients diagnosed with bloodstream infections receiving treatment at Phon Hospital, and (2) a committee for the development of the bloodstream infection care system at the hospital, comprising 30 members. The research comprised three phases: Phase 1 involved studying the situation of bloodstream infections in hospitals. Phase 2 focused on developing and enhancing the infection care system for bloodstream infections in hospitals. Phase 3 evaluated the outcomes of the developed infection care system for bloodstream infections in hospitals. The research tools included the standing order for sepsis and guidelines for the care of bloodstream infection patients in hospitals. Data analysis was conducted using statistical inference. The research findings indicated improvements in patient care guidelines for bloodstream infections in hospitals. This included enhancements to the recording system, revisions to the clinical practice guidelines (CPG) and standing order for sepsis, the addition of criteria for referral, and criteria for administering combined antibiotics in patients with multiple organ failure. Moreover, the NEWS score tool was introduced for sepsis surveillance in conjunction with the SOS score, immediate diagnosis, and the use of technology for automated medical data collection. Additionally, efficient criteria for referral, medical consultation, and physician reporting were established. Continuous monitoring and review of infection care have led to a decrease in mortality rates among bloodstream infection patients at Phon Hospital, as well as a reduction in referrals of bloodstream infection patients.