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
Measure Specs
General Information
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.
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)
Measure Record
Point of Contact
NA
Public Comments