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Central Line Checklist to Reduce Central Venous Line Associated Bloodstream Infections in the ICU Caring for Adult Patients (Wichmann, D., Campos, B., Ehrhardt, C. E., Kock, S., Weber, T., Rohde, C., . . .Stefan, 2018) pose a question about the impact of using a checklist during central line care. The next three articles entitled, Preventing central venous line related bloodstream infections in adult ICU’s: Start From the Basics and Bundle (Arvaniti, K. 2017), Prevention of Central Venous Line Associated Bloodstream Infections in Adult Intensive Care Units: A Systemic Review (Reyes, D. C. V., Bloomer, M., Morphet, J., 2017), and ASPIC Guide for Prevention of Central Line Associated Bloodstream Infections (CLABSI) (Moi, L. L., Apisarnthanarak, A., Jaggi, N., Harrington, G., Morikane, K., Le, T. A. T., . . . Chun-Ming, L., 2016) pose questions comparing the effectiveness of previously introduced interventions to reduce CLABSI rates. The last article, Association for Academic Surgery: Ultrasound-Guided Placement of Midline Catheters in the Surgical Intensive Care Unit: A Cost-Effective Proposal for Timely Central Line Removal (Deutsch, G. B., Sathyanarayana, S. A., Singh, N., Nicastro, J.,2014), poses the question does prompt removal of central lines reduce CLABSI rates. While eachof the aforementioned articles identifies different techniques used, they all involve the research of the impact of each of the interventions on CLABSI.
LITERATURE REVIEW4Sample Population ComparisonMany acute care hospitals have adopted zero CLABSI goals as they strive to provide the best care possible to patients in response to the hospital national patient safety goals (Joint Commission, 2019). Many of these facilities have implemented policies aimed at prompt removal of unnecessary central lines (Infusion Nurse, 2013). One area of the hospital that poses achallenge is the ICU. Patients who require the complex and intensive care of the ICU often require central venous access to provide the prescribed treatments needed to sustain life (Reyes, D. C. V., Bloomer, M., Morphet, J., 2017). Of the articles chosen seven of them use patient populations from the acute care ICU and one is all hospitalized acute care patients. Even though most of the articles focus on the acute care ICU the populations are each unique. Only three of the eight are studies patients in ICU’s in the United States (US) the other articles have populations from Germany, Korea, Eastern Mediterranean, Taiwan and the United Kingdom, providing a diverse set of research populations. Study Limitation ComparisonEvery study has limitations, limitations are any aspect that hinders a study or its findings (Wordvice, 2019). These limitations can be related to research design or methodology and may or may not impact the study results (Wordvice, 2019). It is encouraged to provide the study limitations as part of the research article upon completion and should be provided in the discussion portion of the article (Wordvice, 2019). This shows readers that you are aware of the