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Prevention of Catheter-Related Bloodstream Infections (CRBSI) – Central Venous Catheter (CVC)

CBE ID
0464
1.4 Project
Patient Safety
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Full Year 2013
Is Under Review
No
1.3 Measure Description

Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound techniques followed

    • 1.14 Numerator

      Patients for whom CVC was inserted with all elements of maximal sterile barrier
      technique*, hand hygiene, skin preparation and, if ultrasound is used, sterile
      ultrasound techniques** followed
      Definitions:
      *Maximal sterile barrier technique includes ALL of the following elements:
      • cap
      • mask
      • sterile gown
      • sterile gloves
      • sterile full body drape
      ** Sterile ultrasound techniques require sterile gel and sterile probe covers

      NOTE: For purposes of this measure, maximal sterile barrier technique during CVC insertion is defined to include use of:
      cap AND mask AND sterile gown AND sterile gloves AND a large sterile sheet AND hand hygiene AND 2% chlorhexidine for cutaneous antisepsis.

    • 1.15 Denominator

      All patients, regardless of age, who undergo CVC insertion

    • Exclusions

      Denominator Exceptions: Documentation of medical reason(s) for not following all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound techniques during CVC insertion (including increased risk of harm to patient if adherence to aseptic technique would cause delay in CVC insertion)

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Project 2013-2014
      Initial Endorsement
      Last Updated
      Removal Date