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    ActionQI's logo that gets you to homepage
    • Articles
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    Author: Malene Townsend

    Image of an infectious organism. A Busy Week on 4 South with CAUTI

    Case Study: A Busy Week on 4 South with CAUTI

    Introduction Welcome to this TRACE Framework learning exercise. In Part 1, you will review a healthcare-associated infection case involving a patient who developed a catheter-associated…

    Malene Townsend July 5, 2023
    Image of 2 nurses standing, discussing a case in a low lit room. The Weekend Shift

    Case Study: The Weekend Shift with CLABSI

    Healthcare-associated infections rarely result from a single event. More often, they emerge when multiple risks accumulate across people, processes, environments, and systems. The TRACE Framework…

    Malene Townsend July 5, 2023
    Image of puzzle put together with the center missing. The word missing is printed in the center. When the Numbers Are Half the Story

    Case Study: When the Numbers are Half the Story

    Before reviewing the case below, you will be presented with a structured guide designed to help you work through the TRACE Framework. The purpose of…

    Malene Townsend July 5, 2023
    Image showing the 4 stages of the TRACE Framework. 1. Event Summary, 2. Timeline Reconstruction, 3. Risks and Contributing Factors, 4. Analysis, Corrective Actions, and Enabling Conditions

    Case Study: A Guide to Using the TRACE Framework

    PART 1 This case study was developed as a practical walkthrough of the TRACE Framework.  The goal of this exercise is to practice structured investigation…

    Malene Townsend July 5, 2023
    Image showing the 4 stages of the TRACE Framework. 1. Event Summary, 2. Timeline Reconstruction, 3. Risks and Contributing Factors, 4. Analysis, Corrective Actions, and Enabling Conditions

    Beyond Root Cause Analysis: Using ActionQI’s TRACE Framework to Strengthen HAI Investigations

    Healthcare-associated infection (HAI) investigations often begin with a straightforward question: “What caused the infection?” But in practice, HAIs such as CLABSIs rarely emerge from a…

    Malene Townsend July 5, 2023

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