Table 2 Performance of cross check in intervention period
Checklist items | Execution (no.) | Missing (no.) | Effective compliance rate (%) |
|---|---|---|---|
Checklist for CVC insertion | |||
1. Was the inserter approved by the medical department for insertion qualification? | 1018 | 0 | 100.00% |
2. Had daily skin cleaning with 2% chlorhexidine been performed? | 782 | 80 | 83.37% |
3. Whether hand hygiene was performed before insertion? | 1018 | 0 | 100.00% |
4. Were all items required for intravenous insertion prepared in advance? | 902 | 0 | 88.61% |
5. Was the maximum sterile barrier precautions performed? | 1000 | 0 | 98.23% |
6. Was the patient to be covered with a full-body sterile drape? | 1000 | 0 | 98.23% |
7. Skin preparation? | 1018 | 0 | 100.00% |
8. Was the ultrasound guidance used for internal jugular catheter insertion? | 572 | 0 | 56.19% |
9. Whether hand hygiene was performed at insertion? | 991 | 0 | 97.35% |
10. Whether the aseptic operation procedures were broken? | 1018 | 0 | 100.00% |
11. Was the correct dressing used? | 1018 | 0 | 100.00% |
12. Was hand hygiene performed after taking off gloves? | 1018 | 0 | 100.00% |
Checklist for CVC maintenance | |||
1. Whether hand hygiene was performed? | 1286 | 1144 | 95.76% |
2. Whether the dressing became damp, loosened, or visibly soiled? | 2202 | 0 | 88.50% |
3. Whether the catheter-insertion sites were clean or dry? | 2088 | 0 | 83.92% |
4. Was there any blood clot at the catheter hubs, needleless connectors, and injection ports? | 1945 | 0 | 78.18% |
5. Whether an alcoholic chlorhexidine preparation, 70% alcohol, or povidone-iodine was used to disinfect catheter hubs, needleless connectors, and injection ports before accessing the catheter? | 1515 | 973 | 100.00% |
6. Whether mechanical friction was applied for not less than 5Â s to reduce pollution during hub/connector/port disinfection? | 1515 | 973 | 100.00% |