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Using Visual Management to Improve Compliance with Chlorhexidine Gluconate Bathing and Nasal Decolonization
Joint Commission Journal on Quality and Patient Safety
|August 12, 2026
Summary
Visual management tools improved nursing handoff communication and the administration of chlorhexidine gluconate (CHG) bathing and nasal decolonization. This led to better documentation and reduced infection rates.
Area of Science:
- Healthcare Management
- Infection Prevention
- Nursing Practice
Background:
- Visual management tools enhance staff performance and behavior.
- Tailoring these tools to specific clinical areas increases their relevance and effectiveness.
Purpose of the Study:
- To standardize nursing handoff communication.
- To improve the administration and documentation of chlorhexidine gluconate (CHG) bathing and nasal decolonization.
Main Methods:
- Implemented visual management tools, including standardized supply locations and patient whiteboard stickers.
- Used these tools to prompt discussions on CHG bathing and nasal decolonization status during nursing handoffs.
Main Results:
- Significantly improved compliance with documentation for CHG bathing (OR 1.66) and nasal decolonization (OR 1.86).
- Observed a reduction in central line-associated bloodstream infection rates (RR 0.47).
Conclusions:
- Visual management tools can enhance nursing handoff communication.
- These tools effectively improve the administration and documentation of CHG bathing and nasal decolonization, contributing to infection control.
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