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The compliance with the practices was monitored by reviewing the central line bundles components assessed by the physicians, the nurses and the infection control preventionists upon insertion and on daily basis.
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Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.
In our ICU a variation of the mnemonic has evolved, initially into 'FLATHUGS', and more recently into 'FLATHUGS VC', where additional care bundle components include L: invasive vascular L ines; C: C hlorhexidine mouth care; V: lung protective V entilation.
Individual bundle components were characterized based on compliance during the last time it was monitored.
Second, compliance was not measured for any of the bundle components, whereas we checked compliance of 5 bundle components.
Fourthly, the 'gap' will usually increase exponentially with the rise in the number of bundle components.
Some bundle components, such as stress ulcer prophylaxis, paradoxically increase pneumonia risk [ 9].
♣ Phase I (July 2009-Jun 2010): The bundle components for the prevention of CLABSIwere introduced.
We therefore purposefully selected 'simple' care bundle components in preference to 'complex' ones where possible.
Compliance with individual bundle components was generally high, but substantially lower overall for the 'all or nothing' bundles.
The sensitivities of five ventilator bundle components were from 92% to 100% in the derivation subset in our final iteration.
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