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Table 3 Digitalised interventions for CLABSI prevention

From: Digitalised measures for the prevention of central line-associated bloodstream infections: a scoping review

Type of Digitalised Intervention

Examples Related to Central Vascular Catheters

Target

Digitalised checklist (in a mobile application or EHR)

- Indication for catheter insertion

- Checklist for catheter insertion

- Daily assessment for catheter necessity

Improve compliance with good clinical practices

Automatic reminders in EHR

- Alerts on catheter days

- Reminders for dressing changes

Increase compliance with preventive measures and timely catheter removal

Decision-making algorithm

- Guidance on appropriate CVC indication

- Algorithm-based recommendations for catheter type selection

- Optimised order-sets to guide blood cultures ordering

- Alerts for inappropriate catheter use based on patient status

Support clinical decision-making

E-learning modules

- Training on CVC insertion techniques

- Simulation-based learning for CVC complications management

- Case-based learning on CLABSI prevention

- Refresher courses on maintenance bundles

Enhance knowledge of good clinical practices

Dashboard and real-time analytics

- Patient-specific summary of needs and objectives related to CVC with automated reminders

- Inter-unit comparison of CLABSI rates and compliance with preventive bundles

Improve monitoring of compliance and early identification of risks

Gamification

- Team-based competition on best compliance with preventive measures

- Reward system for adherence to best practices

- Interactive quizzes with leaderboards on catheter safety

Motivate healthcare teams through engagement

  1. CLABSI: central line associated bloodstream infections, EHR: electronic health record; CVC: central venous catheter;