As part of its 100,000 Lives Campaign, the Institute for Healthcare Improvement (IHI) advocated the use of proven, lifesaving, interventions, including a series of steps to reduce or prevent catheter-related bloodstream infections.
When done in concert, these interdependent steps, interventions also called "bundles," typically result in significantly better outcomes than when implemented individually.
The key components of the central line bundle are:
- Hand hygiene
- Maximal barrier precautions upon insertion
- Chlorhexidine skin antisepsis
- Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters
- Daily review of line necessity with prompt removal of unnecessary lines