University HealthSystem Consortium (UHC) in the US has initiated an Imperatives for Quality (IQ) programme to eliminate medical errors and reduce hospital-acquired conditions such as catheter-related bloodstream infections (CRBSI).

UHC, a group of 107 academic medical centres and 234 of its affiliated hospitals, will provide specific guidelines for hospital operations through its IQ programme and will also provide work plans, data collection and reporting tools for hospitals.

The UHC IQ programme measures and tracks several factors for participating hospitals to improve performance on CRBSIs.

The programme will also include self-assessment checklists for executive leaders, service line and unit-level staff to provide details of specific areas to be addressed to make sure progress is achieved and sustained in protecting patients from CRBSI.

The checklist at the service level includes the development of a system to routinely monitor and analyse CRBSI rates, organising a stakeholder committee to develop evidence-based protocols for central line insertion, and arranging a task force to conduct product evaluations for central line insertion systems that meet requirements for maximum barrier precautions.

In addition to hospital-acquired conditions, the UHC IQ programme also focuses on capacity management, core measures, reducing overall risk and resource use.