title: Using a Systems Engineering Initiative for Patient Safety to Evaluate a Hospital-wide Daily Chlorhexidine Bathing Intervention.
abstract: We undertook a systems engineering approach to evaluate housewide implementation of daily chlorhexidine bathing. We performed direct observations of the bathing process and conducted provider and patient surveys. The main outcome was compliance with bathing using a checklist. Fifty-seven percent of baths had full compliance with the chlorhexidine bathing protocol. Additional time was the main barrier. Institutions undertaking daily chlorhexidine bathing should perform a rigorous assessment of implementation to optimize the benefits of this intervention.
authors.affiliation: Department of Medicine (Dr Safdar), School of Medicine and Public Health (Ms Caya), University of Wisconsin-Madison; Institute of Clinical and Translational Research (Dr Musuuza), University of Wisconsin-Madison; and Department of Industrial and Systems Engineering and Center for Quality and Productivity Improvement (Dr Carayon), University of Wisconsin-Madison; Department of Medicine (Dr Yanke) and Division of Infectious Diseases (Dr Safdar), William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin; and Departments of Infection Control (Mss Schmitz and Anderson) and Infectious Disease (Dr Safdar), University of Wisconsin Hospital and Clinics, Madison.
authors.forename: Teresa
authors.initials: T
authors.lastname: Caya
authors.forename: Jackson
authors.initials: J
authors.lastname: Musuuza
authors.forename: Eric
authors.initials: E
authors.lastname: Yanke
authors.forename: Michelle
authors.initials: M
authors.lastname: Schmitz
authors.forename: Brooke
authors.initials: B
authors.lastname: Anderson
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.forename: Nasia
authors.initials: N
authors.lastname: Safdar
mesh_terms: D000328:Adult; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D001494:Baths / Q000379:methods / Q000451:nursing*; D002710:Chlorhexidine / Q000008:administration & dosage*; D003428:Cross Infection / Q000517:prevention & control; D006784:Hospitals, Teaching; D006801:Humans; D017053:Infection Control / Q000592:standards; D007362:Intensive Care Units / Q000592:standards; D009741:Nursing Staff, Hospital / Q000193:education; D061214:Patient Safety; D058996:Quality Improvement; D013203:Staphylococcal Infections / Q000517:prevention & control; D011795:Surveys and Questionnaires; D013597:Systems Analysis
chemical_list: D000891:Anti-Infective Agents, Local; D002710:Chlorhexidine