The percentage of intensive care unit (ICU) patients with central lines for whom all five elements of the Central Line Bundle are documented on the daily goals sheet and/or central line insertion checklist or patient's medical record. 

This measure is an assessment of how well the team is adhering to the Central Line Bundle. Therefore, it is important to measure the compliance with the entire bundle, not just parts of it.

NOTE: This is an "all or nothing" indicator. If any of the five elements of the bundle are not documented, do not count the patient in the measure. If a bundle element is contraindicated for a particular patient and this is documented appropriately on the checklist, then the patient can still be considered compliant with regard to this measure.

95 percent of all patients with central lines in the intensive care unit receive all five elements of the Central Line Bundle.

On a given day, select all ICU patients with central lines and assess them for compliance with the Central Line Bundle.  If even one element of the bundle is missing, the case is not in compliance with the bundle.  For example, if there are 7 patients with central lines, and 6 have all five bundle elements completed then there is 86 percent (6 divided by 7) compliance with the Central Line Bundle.  If all 7 patients had all five elements completed, compliance would be 100 percent.  If all 7 were missing even a single bundle item, compliance would be 0 percent.

The sample should include all patients with central lines in the intensive care unit.  Only patients with all five elements of the Central Line Bundle in place are recorded as being compliant with the Central Line Bundle.

Calculate this monthly measure as follows:

(Number of ICU patients with central lines for whom all elements of the Central Line Bundle are documented and in place) / (Total number of ICU patients with central lines on day of week of sample). Multiply by 100 to obtain percentage.

NOTE: Use a central line insertion checklist, daily goals sheet and/or medical record as data sources.  Incorporating the five elements of the Central Line Bundle into a central line insertion checklist and a daily goals sheet, and reviewing lines daily during multidisciplinary rounds, allows for easy review of bundle compliance. This also helps to serve as a reminder during rounds to increase compliance with the bundle elements.