• Teresa Caya, Jackson Musuuza, Eric Yanke, Michelle Schmitz, Brooke Anderson, Pascale Carayon, and Nasia Safdar.
• 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.
• J Nurs Care Qual. 2015 Oct 1; 30 (4): 337-44.

AbstractWe 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.

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