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Updated: May 7, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Education of physicians-in-training can decrease the risk for vascular catheter infection.
R J Sherertz1, E W Ely, D M Westbrook
1North Carolina Baptist Hospital and Wake Forest University School of Medicine, Winston-Salem 27157, USA. sherertz@wfubmc.edu
A training course improved physician use of sterile drapes during central venous catheter (CVC) insertion, significantly reducing CVC-related infections and associated costs. This standardized approach offers a cost-effective model for physicians-in-training.
Area of Science:
- Medical Education
- Infection Control
- Patient Safety
Background:
- Physician training for invasive procedures often lacks standardization.
- Low adherence to sterile techniques, like using full-size sterile drapes during central venous catheter (CVC) insertion, increases infection risk.
Purpose of the Study:
- To standardize infection control practices and techniques during invasive procedures.
- To evaluate the impact of a training course on sterile technique adherence and infection rates.
Main Methods:
- A nonrandomized pre-post observational trial involving medical students and first-year residents.
- A 1-day course on infection control was implemented, followed by surveys and surveillance for drape usage and catheter-related infections.
Main Results:
- Perceived need for full-size sterile drapes increased from 22% to 73% post-course (P < 0.001).
- Documented use of full-size sterile drapes rose from 44% to 65% (P < 0.001).
- Catheter-related infection rates decreased by 28%, yielding significant cost savings.
Conclusions:
- Standardized infection control training is a cost-effective method to reduce adverse outcomes in healthcare settings.
- This training approach can serve as a replicable model for physicians-in-training to improve patient safety.
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