The Journal of the Arkansas Medical Society
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As part of our plan to decrease infection rates, we instituted a rounding sticker used during daily rounds. This sticker is a checklist that serves as a reminder of interventions known to improve quality of care in the PICU. ⋯ Date was collected on central venous catheter days, foley catheter days, arterial line days, infection rates, GI prophylaxis use, neuromuscular blocker use, and changes in medications before and after institution of the rounding sticker. Following rounding sticker use, there was a 56% reduction in urinary tract infections [4.13/1000 device days vs 1.8/1000 device days; p = 0.027], as well as an increase in GI prophylaxis (1846 vs 2399) and enoxaparin (119 vs 151) use.