Enhancing Reliability in Non-ICU Central Line Maintenance Through System Redesign: A Quality Improvement…

StudyJournal for healthcare quality : official publication of the National Association for Healthcare Quality· Jul 2026

Enhancing Reliability in Non-ICU Central Line Maintenance Through System Redesign: A Quality Improvement Initiative.

Areeba Nayyer, Daniel Salcido, Fathia Mohammed … Stephanie Rosales

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Pulmonology & Critical CareStudyClinical practiceQ3IF 1.1

System redesign was associated with more documented chlorhexidine gluconate bathing.

Enhancing Reliability in Non-ICU Central Line Maintenance Through System Redesign: A Quality Improvement Initiative.

Areeba Nayyer … Stephanie Rosales

Journal for healthcare quality · Jul 2026 · Q3 in General Medicine

Background

Central line-associated bloodstream infections (central line-associated bloodstream infections) remain a major source of preventable harm and cost.

Purpose

To improve the consistency of chlorhexidine gluconate bath ordering and documentation among non-ICU adult inpatients with central venous catheters in a community hospital.

Methods

We conducted a single-center quality improvement project using system redesign principles.

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Results

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baths per central line day

After system changes, patients with central lines received documented antiseptic baths more often

More results

The baseline rate of documented chlorhexidine gluconate baths was 0.42 baths per central line day among patients without central line-associated bloodstream infections compared with 0.22 baths per central line day among patients with central line-associated bloodstream infections.

More results

After implementation, chlorhexidine gluconate bath order compliance improved to 66-80% and bath completion compliance improved to 69-78%.

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Conclusion · 1 of 2

System-level workflow redesign improved reliability of chlorhexidine gluconate bath ordering and documentation for patients with central venous catheters in non-ICU settings.

Conclusion · 2 of 2

IMPLICATIONS: System-level approaches that prioritize leadership engagement and standardization may help improve central line maintenance practices in non-ICU settings.

Enhancing Reliability in Non-ICU Central Line Maintenance Through System Redesign: A Quality Improvement Initiative.

Enhancing Reliability in Non-ICU Central Line Maintenance Through System Redesign: A Quality Improvement Initiative.

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