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New research · Pulmonology & Critical Care
Journal for healthcare quality : official publication of the National Association for Healthcare Quality · 1d
StudyJournal for healthcare quality : official publication of the National Association for Healthcare Quality · 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 CareStudy

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 et al. · Journal for healthcare quality : official publication of the National Association for Healthcare Quality · 2026
Background

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

Purpose

To improve the consistency of CHG bath ordering and documentation among non-ICU adult inpatients with CVCs in a community hospital.

Methods

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

0.84
Results
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 CHG baths was 0.42 baths per central line day among patients without CLABSI compared with 0.22 baths per central line day among patients with CLABSI.

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

“
Conclusion · 1 of 2

System-level workflow redesign improved reliability of CHG bath ordering and documentation for patients with CVCs 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.

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