Using Visual Management to Improve Compliance with Chlorhexidine Gluconate Bathing and Nasal Decolonization.

IF 3 Q2 HEALTH CARE SCIENCES & SERVICES

Joint Commission journal on quality and patient safety Pub Date : 2026-07-16 DOI:10.1016/j.jcjq.2026.07.007

Abigail Ruby, Eman Chami, Hannah Musgrove, Xuan Ma, Jennifer McLenon, Gwen Gnam

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引用次数: 0

Abstract

Background: Visual management tools are designed to drive desired behaviors and support consistent performance. When tailored to specific practice areas, these tools become more relevant for staff.

Methods: Visual management tools were designed and implemented for this project to standardize nursing handoff communication and improve administration of 2% chlorhexidine gluconate (CHG)-impregnated wipe bathing and prophylactic alcohol-based nasal decolonization swabs. Supply locations were standardized across the hospital, and a wipeable sticker was added to patient whiteboards, which served as a visual reminder, prompting discussion of CHG bathing and nasal decolonization administration status during nursing handoff.

Results: Compliance with nursing documentation of chlorhexidine gluconate bathing (odds ratio [OR] 1.66, 95% confidence interval [CI] 1.57-1.76, p < 0.001) and nasal decolonization (OR 1.86, 95% CI 1.81-1.93, p < 0.001) improved postimplementation (October 2023-April 2024 vs. October 2024-April 2025). Improvements were also noted in central line-associated bloodstream infection (rate ratio [RR] 0.47, 95% CI 0.28-0.76, p = 0.003) and methicillin-resistant Staphylococcus aureus bacteremia (RR 0.80, 95% CI 0.20-3.01, p = 0.74) rates when comparing preimplementation and postimplementation data.

Conclusion: This project demonstrates that visual management tools may help to improve nursing handoff communication, and CHG bathing and nasal decolonization administration and documentation.

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采用目视管理提高葡萄糖酸氯己定沐浴及鼻去殖民化依从性。

背景：可视化管理工具的设计是为了驱动期望的行为和支持一致的性能。当针对特定的实践领域进行定制时，这些工具将变得与员工更加相关。方法：设计并实施可视化管理工具，规范护理交接沟通，改善2%葡萄糖酸氯己定（CHG）浸渍擦拭浴和预防性酒精鼻去菌落拭子的管理。整个医院的供应地点都标准化了，并在患者白板上添加了可擦拭贴纸，作为视觉提醒，促使人们在护理交接期间讨论CHG沐浴和鼻腔去离子化管理状况。结果：采用葡萄糖酸氯己定洗浴（优势比[OR] 1.66, 95%可信区间[CI] 1.57-1.76, p < 0.001）和鼻离体（优势比[OR] 1.86, 95% CI 1.81-1.93, p < 0.001）改善了术后（2023年10月- 2024年4月vs. 2024年10月- 2025年4月）的依从性。在比较实施前和实施后的数据时，中心线相关血流感染（发生率比[RR] 0.47, 95% CI 0.28-0.76, p = 0.003）和耐甲氧西林金黄色葡萄球菌血症（RR 0.80, 95% CI 0.20-3.01, p = 0.74）的发生率也有所改善。结论：本项目表明可视化管理工具可能有助于改善护理交接沟通，CHG沐浴和鼻非殖民化管理和记录。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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