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

CBE ID
2726
1.4 Project
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
Next Planned Maintenance Review
Patient Safety Fall 2024
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 central venous catheter (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

        • 1.15 Denominator

          All patients, regardless of age, who undergo CVC insertion

        • Exclusions

          None

          The measure includes a denominator exception as indicated by reporting 6030F-1P for the numerator: 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
          Endorsed Patient Safety Spring Cycle 2019
          Initial Endorsement
          Last Updated
        • Steward Organization Email
          Steward Organization Copyright

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