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Table 1 HAI management strategies and example “best practice” components

From: Searching for management approaches to reduce HAI transmission (SMART): a study protocol

Aggressive Goal Setting and Support

 Establish the goal of zero CLABSIs and “walk the talk”

 Establish a budget to support product adoption, education, and communication efforts

Strategic Alignment/Communication and Information Sharing

 Include CLABSI rate information as part of organization-level scorecard to be reviewed regularly with executives and board Communicate widely and regularly about CLABSI-prevention goals and progress

Systematic Education

 Continual re-education about CLABSIs as part of broader patient safety efforts

 Develop structured education and in-service programs

Inter-professional Collaboration

 Build and sustain positive physician-nursing relationships

 Hold inter-disciplinary rounds and safety huddles

Meaningful Use of Data

 Emphasize importance of data by widely and regularly sharing data on CLABSI rates

 Prioritize development of automated reporting capabilities to support CLABSI monitoring and compliance with protocols

Recognition for Success

 Provide rewards and recognition for success with CLABSI reduction efforts and ongoing CLABSI prevention

 If incentive compensation is used, tie a portion to CLABSI prevention goals