Patient Safety & Quality Improvement USMLE Step 1 Practice Question
A hospital's quality committee reviews data showing that central line-associated bloodstream infection (CLABSI) rates have increased over the past quarter. They discover that compliance with the central line insertion bundle, which includes hand hygiene, maximal barrier precautions, chlorhexidine skin preparation, optimal catheter site selection, and daily review of line necessity, has dropped from 95% to 72%. Which of the following is the most effective intervention to reduce CLABSI rates?
Answer choices
- AImplement a checklist and empower nurses to stop the procedure if any step is missedCorrect answer
- BPost the bundle steps on a poster in the ICU
- CAdd a quality metric for CLABSI to physician performance reviews
- DRequire infectious disease consultation for all central line insertions
- ESend an email reminder to all physicians about the insertion bundle
- FIncrease the frequency of central line dressing changes from every 7 days to every 3 days
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