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 11 Both No Yes, major change Present Yes No Carepractice/HUG material (not in national language) – live verbal translation needed by and provided for one doctor Yes Yes No Supportive, ICU management in PROHIBIT team - 12 CVC No Yes, major change Present Yes No Locally made Yes Yes Yes Supportive, ICU management in PROHIBIT team Existing CVC kits completed with large sterile gowns. 13 Both No Minor change Present Yes No Locally made (but only in house-film of CVC insertion) Yes Yes Yes Supportive in one ICU, ICU management in PROHIBIT team. Less support in the other ICU. - 14 CVC No Yes, major change No Yes No Locally made Yes Yes Yes Supportive, ICU management in PROHIBIT team - CVC: Central venous catheter; ICU: Intensive care unit; PROHIBIT: Prevention of hospital infection by intervention and training; WHO: World Health Organization
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