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HHC - New York Health and Hospitals Corporation
HHC InFocus - Understanding Our Quality & Safety Performance
Intervention "Bundles" for Infection Prevention

HHC continues to champion the use of proven, lifesaving interventions to reduce or prevent ventilator-associated pneumonia and 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

The ventilator bundle is a series of interventions related to ventilator care that, when implemented together, will achieve significantly better outcomes than when implemented individually.

The key components of the ventilator bundle are:

  • Elevation of the head of the bed
  • Daily "sedation vacations" and assessment of readiness to extubate
  • Peptic ulcer disease prophylaxis
  • Deep venous thrombosis prophylaxis
  • Daily oral care with chlorhexidine