Assignment: Educational Interventions
Garrison and Beverage (2018) used the process de- scribed in Opperman et al. (2016b) to calculate the ROI
TABLE 1 Recent Educational Intervention Studies Including Calculation of Economic Impact (2014Y2018)
Citation Project/Methodology Financial Impact Strategy/Intervention Outcomes Measured Frampton et al. (2014)
Systematic review (74 studies)
Decision-analytic economic modelVcost-effectiveness of education intervention to prevent catheter bloodstream infections
Cost-effective to implement educational interventions
Huge variety of educational methods, length and number of contacts with learners
Diverse types of educational interventions reduce incidence of CLABSI
Utilized both educational practices andnoneducational activities
Model showed bundle saved 0.8 CLABSI and 0.3 lives per 100 patients Increased survival by 3.55 years and 2.72 QALYs
Identified need for standardized definitions for blood stream infections
Garrison & Beverage (2018)
Process for NPD tracking ROI to increase awareness
Reviewed 2 projects: peritoneal dialysis (PD) and colon clean closure (Colon).
PD: Results are 91% ROI; staff comfort level went from 2.8 to 4.2
Colon: 409% ROI if reduction of one SSI; staff comfort level was measured as 4.11
PD: Quarterly PD review, three stations with education and return demonstration
Colon: 30-minute live, poster presentations and electronic learning module
PD: Increased nurse comfort level with PD; decreased LOS by 1 day/ year; measured nurse comfort level and learning needs assessment
Colon: Reduced SSI rates and increased comfort level of nursing staff to prevent SSIs
Kram et al. (2015)
ABCDE bundle, delirium, EBP
Awakening, breathing, coordination, delirium, and early mobility
Saved an average of $2,156 per patient
Did not provide the cost of educating staff
Live CE in evidence for bundle; live CE on proper administration of ICDSC tool; online module and paper version available
Decreased average LOS by 1.8 days; reduced length of mechanical ventilation by 1 day; established baseline delirium prevalence of 19% over 3 months
Young et al. (2015)
Quasiexperimental, quality improvement project with pre- and postmeasurement design
$27,019 cost education (84 nurses; 41 PCTs)
Cost to care for single stage PrU can be up to $130,000, making this a good investment
Implementation of MEDLINE Pressure Ulcer Prevention program & Tracked for 24 months & Training: RN 7.5 hours, PCT 5.5 hours
& New skin care products & Algorithm for tx protocols
Significant reduction in nosocomial PrU preprogram (mean = 5.9) and postprogram (mean = 0.2)
Facility had nearly 6 PrUs per month, reduced to nearly 0
Note. CE =
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