Tjallie van der Kooi

Table S1B: A summary of implementation activities per hospital; all hospitals implementing the CVC intervention, alone or in combination. System change Training and Education Evaluation and Feedback Institutional safety climate Hospital Intervention Action plan Need to adapt existing CVC insertion procedure Line cart Educational sessions Small group training Presentations/films/ other material Institutional feedback of results Individual feedback of compliance results (according to the allocated intervention) Supported by hospital management Supported by ICU management Additional activities 1 CVC No No Present Yes No Locally made Yes No Yes Supportive - 2 CVC Yes Minor change Present Yes Yes Locally made Yes Yes Yes Supportive  Monthly short PPPs with results and points of interest on flat screen  Sent email with PPPs to all staff 3 Both No Minor change Present Yes Yes Locally made Yes Yes No Supportive, ICU management in PROHIBIT team - 6 Both No Yes, major change Introduced as part of the intervention Yes Yes Translated Carepractice/HUG material Yes Yes Yes Supportive, ICU management in PROHIBIT team - 9 CVC Yes Yes, major change Present Yes No Locally made Yes No Yes Supportive - 10 Both No Yes, major change Present Yes Yes Carepractice/HUG material (not in national language) Yes Yes Yes Supportive -

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