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Central line infection prevention bundle — USMLE Step 3 MCQ

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HardEthics, Patient Safety, Quality Improvement, Systems-Based PracticeCentral line infection prevention bundleUSMLE Step 3

A hospital finds increased central line-associated bloodstream infections in the ICU. Chart review shows sterile barriers are used inconsistently during line insertion, and clinicians use different dressing-change intervals. The team wants a systems intervention. Which of the following is the most appropriate quality improvement measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Implement a central line insertion checklist with standardized maintenance auditing

Central line bundles with insertion checklists, sterile technique, maintenance standards, and audit-feedback reduce line-associated bloodstream infections by standardizing high-risk processes.

Reference: CDC central line-associated bloodstream infection prevention guidance