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Other projects could use a specific tool for data collection that has been validated for internal and external validity. This would reduce the possibility of overlooked or missed data for project inclusion. An identified gap includes the lack of a tool specifically designed to measure patient outcomes concerning CUSP CHG use
such as the CUSP CLABSI maintenance audit tool (appendix B). This tool would be constructed and measured to assure validity and reliability and could be used across a variety of facilities including rural