REview and improvement of Cardiac implanTable device InFection management qualitY initiative (RECTIFY): Rationale and Design for a Cardiac Implantable Electronic Device Infection Quality Initiative Demonstration Project.

Cardiac implantable electronic device (CIED) infections are a growing concern due to their associated high morbidity, mortality, and healthcare costs. Current guidelines given complete device and lead removal for CIED infection a class I recommendation, yet adherence to these gudelines are low with delays in extraction associated with poor adverse clinical events. The REview and improvement of Cardiac implanTable device InFection qualitY initiative (RECTIFY) is a multi-center demonstration project aimed to identify and address health system-wide barriers to timely diagnosis and guideline-driven management of CIED infections. This prospective interventional study conducted across three U.S health systems employs quality improvement (QI) interventions aimed at increasing early identification of CIED infections, minimizing delays to device extraction, and enhancing referral efficiency.