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TABLE 1

Time Line of the Endotracheal Culture QI Initiative

Event
Winter 2016 Initial concern for overuse of EACs 
Fall 2017 Review of 1 year of baseline EAC use 
November 2017 to January 2018 Surveys of PICU staff after EACs obtained 
January to March 2018 Focus groups with PICU staff and development of clinical decision support algorithm 
March 26, 2018 Decision support algorithm approved by unit director 
March 26–28, 2018 E-mail announcement and algorithm sent to all PICU staff; paper copies placed in work rooms; algorithm posted to intranet Web site accessible to staff 
April 1, 2018 Initiation date to start using algorithm 
April to May 2018 Paper checklist of algorithm signed by attending physicians and fellows when EACs obtained; Meetings with clinicians to discuss initiative and any safety concerns or observations; QI team walk rounds through the PICU soliciting feedback 
May 2018 to June 2019 Quarterly discussion at PICU safety meetings 
February 2020 Electronic monitoring dashboard became available 
Event
Winter 2016 Initial concern for overuse of EACs 
Fall 2017 Review of 1 year of baseline EAC use 
November 2017 to January 2018 Surveys of PICU staff after EACs obtained 
January to March 2018 Focus groups with PICU staff and development of clinical decision support algorithm 
March 26, 2018 Decision support algorithm approved by unit director 
March 26–28, 2018 E-mail announcement and algorithm sent to all PICU staff; paper copies placed in work rooms; algorithm posted to intranet Web site accessible to staff 
April 1, 2018 Initiation date to start using algorithm 
April to May 2018 Paper checklist of algorithm signed by attending physicians and fellows when EACs obtained; Meetings with clinicians to discuss initiative and any safety concerns or observations; QI team walk rounds through the PICU soliciting feedback 
May 2018 to June 2019 Quarterly discussion at PICU safety meetings 
February 2020 Electronic monitoring dashboard became available 
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