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Table 5 Selected implementation strategies

From: Implementation of a children’s hospital-wide central venous catheter insertion and maintenance bundle

Intervention types

Components

Education program, theme week

Multidisciplinary seminar

 

Workshop for physicians

 

Instruction for nurses

 

Instruction on hygienic insertion and maintenance

Reminders

Leaflets

 

Screen savers

 

Daily questionnaire CVC need, pop-up in electronic patient management system

 

Sticker attached at disinfection solution: apply 30 seconds air dry time

Feedback (quarterly)

Reporting incidence of CA-BSI

 

Reporting adherence to insertion bundle

 

Reporting adherence to maintenance bundle

Engagement of the managing staff

One-liners combined with picture

Awareness

Time out procedure, and staff empowerment to stop in case of protocol violation

 

Daily goal sheet

Procedures

Revised protocols

 

CVC infection preventions manual.

 

Timers

 

30 seconds air dry timer displayed on bedside screen

  1. CA-BSI catheter-associated bloodstream infection, CVC central venous catheter.