An ICU has increased central-line-associated bloodstream infections. Observation shows inconsistent hand hygiene, variable skin antisepsis, and no

Question

An ICU has increased central-line-associated bloodstream infections. Observation shows inconsistent hand hygiene, variable skin antisepsis, and no daily review of line necessity. Which of the following is the most appropriate quality improvement measure?

Accepted Answer

Implement a central line insertion and maintenance bundle

Answer

Culture every central line daily

Answer

Replace lines over a guidewire weekly

Answer

Treat colonized lines without removing unnecessary lines

Answer

Use femoral lines as the preferred site

Central line infection prevention — USMLE Step 3 MCQ

An ICU has increased central-line-associated bloodstream infections. Observation shows inconsistent hand hygiene, variable skin antisepsis, and no daily review of line necessity. Which of the following is the most appropriate quality improvement measure?