Assignment: Catheter Bloodstream Infections
The education included (a) a live presen- tation on the evidence regarding the ABCDE bundle for all nursing, respiratory therapy, and rehabilitation staff; (b) a nursing-specific class on proper administration of the Inten- sive CareDelirium Screening Checklist tool; and (c) an online module for all disciplines on the new administrative policy. The authors reported an average savings of $2,156 per pa- tient after a combination of educational interventions. However, information on the cost of the educational inter- vention was not provided, so further economic impact calculations could not be made.
Young, Borris-Hale, Falconio-West, and Chakravarthy (2015) provided caregiver education by an interactive
web-based program on pressure ulcer prevention strate- gies including how to use new skin care products and an algorithm for treatment of wounds. The RNs received 7.5 hours of education, and the patient care technicians had 5.5 hours. This education, the development of an algorithm and change in skin care products, resulted in a significant reduction in nosocomial pressure ulcers from a mean of 5.9/month to a mean of 0.2/month after the program. By educating the RNs and patient care technicians, significant cost avoidance was achieved in this long-term care setting. Though ROI was not calculated by the authors, enough in- formation was reported to calculate a 381% ROI for their 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
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