BACKGROUND: Central line associated bloodstream infections have a substantial impact on both
patient mortality and the healthcare organization's financial burden. At an academic
medical center, there was clinical variation in ordering and obtaining blood cultures
which led to unnecessary culturing, increased use of central venous lines for blood
culture draws, and increased contamination rates. Using Lean methodology, a rapid
improvement event (RIE) was held in the medical Intensive Care Unit (ICU) which revealed
variation in practice with multiple national practice guidelines, provider beliefs,
and level of experience of all health care team members.
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