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Table 2 Quality indicators for central venous catheter-related bloodstream infections (CRBSI): indicators to be implemented

From: Development of quality indicators and data assessment strategies for the prevention of central venous catheter-related bloodstream infections (CRBSI)

No

Indicator

Time-mode for assessment

Data source

Triggera

At initial treatment (t0)

At follow-up treatment (t1)

Cross- sectional, once a year

Service provider

Hospital claims data

Health insurance claims data

 
  

Inpatient

Outpatient

Inpatient

Outpatient

Inpatient

Outpatient

1

Indication for applying CVC

X

     

X

  

1

2

Indication for retaining CVC

X

     

X

  

1

3

Indication for retaining CVC after transfer to non-ICU-setting

X

     

X

  

1

6

Vena femoralis as location for insertion

X

     

X

  

1

7

Aseptic conditions upon placement of CVC

X

     

X

  

1

8

Criteria for blood culture are met

X

     

X

X

 

1

9

Blood cultures taken in the presence of sepsis (as coded by ICD-10) and CVC

X

     

X

X

 

1

10

Prevalence of blood cultures in a hospital

    

X

 

X

  

3

16

Explanation or revision of a CVC because of infection

  

X

X

    

X

2

19

CRBSI rate in neonatologyb

X

     

X

  

1

20

CRBSI- rate in premature neonatesb

X

     

X

  

1

21

CRBSI rate

X

     

X

 

X

1

22

CRBSI rate of multi resistant pathogens

X

     

X

 

X

1

23

Use of hand disinfectants in ICU setting

    

X

 

X

  

3

24

Use of hand disinfectants in non-ICU setting

    

X

 

X

  

3

25

Working procedures for applying CVC

    

X

 

X

  

3

26

Working procedures for changing CVC dressing

    

X

X

X

  

3

27

Working procedures for applying venous port and connecting it

    

X

X

X

  

3

28

Working procedures for handling and applying intravenous fluids

    

X

X

X

  

3

29

Working procedures for managing infection in patient with venous port or tunnelled catheter

    

X

X

X

  

3

30

Service internal standards for initial treatment with antibiotics

    

X

 

X

  

3

31

Training concept for staff

    

X

X

X

  

3

32

Staff participation in training in hygiene and prevention of infections

    

X

X

X

  

3

  1. CVC central venous line, CRBSI central venous catheter-related bloodstream infections
  2. aTrigger:
  3. 1: Routine claims data from the hospital electronic information systems
  4. 2: Claims data from the health insurance companies for which data flow has to be clarified
  5. 3: Needs to be defined: annual cross-sectional survey
  6. bWill be implemented within QA procedures for premature neonates and neonatology