MIPS: Measure 76-Prevention of Central Venous Catheter (CVC) Related Bloodstream Infections

If ultrasound is used, sterile ultrasound techniques should be documented in addition to the CVC maximal sterile barrier technique.

 

Measure 76:  Prevention of Central Venous Catheter (CVC) Related Bloodstream Infections

-National Quality Strategy Domain:  Patient Safety  

  • Description:  Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound techniques followed.  Maximum sterile barrier technique includes ALL of the following elements: cap, mask, sterile gown, sterile gloves, and full body drape.

 

  • Example Documentation:
    • Insertion of CVC was inserted with all elements of maximal sterile barrier technique, cap AND mask AND sterile gown AND sterile gloves AND a large sterile sheet AND hand hygiene AND 2% chlorhexidine for cutaneous antisepsis.”
      • Sterile Ultrasound techniques – requires sterile gel and sterile probe covers. 

 

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