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CLABSI quality improvement — ABIM Board MCQ

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HardGeneral Internal MedicineCLABSI quality improvementABIM Board

A hospital notes an increase in central line-associated bloodstream infections in one ICU. Review shows inconsistent sterile barrier use during line insertion. Which of the following is the most appropriate quality improvement intervention?

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Correct answer: DIntroduce an insertion checklist with standardized sterile technique auditing and feedback

Quality improvement for device-associated infections should target systems and reliable processes, such as checklists, sterile insertion bundles, auditing, and feedback. A punitive individual focus misses latent system failures.

Reference: CDC CLABSI Prevention Guidance; AHRQ Patient Safety Methods