-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/132-preventing-clabsi-4-key-steps-one-pager.docx
October 01, 2024 - including MRSA, can reach the bloodstream by entering through the central line catheter hub or at the skin … insertion bundle components include:
· Optimal site selection ○ Hand hygiene
· Chlorhexidine skin … preparation ○ Maximal sterile barrier precautions
· Use of a central line insertion checklist ○ … line site care ○ Central line dressing changes
· Hub disinfection ○ Daily chlorhexidine skin
-
www.ahrq.gov/hai/clabsi-tools/guide.html
January 01, 2020 - The biggest barrier to compliance with evidence-based practice is that providers do not know the evidence … Chlorhexidine skin preparation. … Full-barrier precautions during central venous catheter insertion. … The use of 2 percent chlorhexidine for skin antisepsis before catheter insertion and during dressing … line, hand hygiene, site of line placement, dressing and tubing changes, and use of chlorhexidine for skin
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - CHG has been shown to keep bacteria off the skin for up to 24 hours. … Lift skin
folds to clean by firmly massaging the entire skin with the CHG cloth. … Once applied to skin, CHG will bind to skin proteins and will not stain sheets. … skin until fully dry. … Finally, apply CHG- compatible barrier protection over the area.
-
psnet.ahrq.gov/issue/human-computer-collaboration-skin-cancer-recognition
June 26, 2019 - Study
Classic
Human-computer collaboration for skin cancer … Human–computer collaboration for skin cancer recognition. … Human–computer collaboration for skin cancer recognition. … Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin … April 1, 2020
Algorithm based smartphone apps to assess risk of skin cancer in adults
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
April 02, 2025 - Do not count skin lesions not related to pressure, such as skin breaks or maceration from friction/moisture … Have an outside expert perform a skin exam on each patient. … Assessment
Ensure that a skin assessment was performed within 24 hours of admission. … Use Tool 5C: Assessing Comprehensive Skin Assessment. … Examine what the problem is, and plan how to overcome this barrier.
42
Action plan for measuring progress
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.docx
March 01, 2022 - During bath or shower, be sure to perform or train the patient on the following:
Apply CHG to skin with … After CHG is used, apply CHG-compatible barrier product as needed.
-
www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape.html
September 01, 2013 - Chlorhexidine has been shown to keep bacteria off the skin for up to 24 hours. … patient is on this intervention and, if needed, use the standard clean up available in radiology (i.e. barrier … Does Universal Decolonization affect the use of skin preps before a surgical procedure?
No. … Once applied to skin, CHG will bind to skin proteins and will not stain sheets. … Staff should provide the same information they would provide for any applied skin product.
-
www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape.html
September 01, 2013 - Chlorhexidine has been shown to keep bacteria off the skin for up to 24 hours. … patient is on this intervention and, if needed, use the standard clean up available in radiology (i.e. barrier … Does Universal Decolonization affect the use of skin preps before a surgical procedure?
No. … Once applied to skin, CHG will bind to skin proteins and will not stain sheets. … Staff should provide the same information they would provide for any applied skin product.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-iodophor.docx
March 01, 2022 - During bath or shower, be sure to perform or train the patient on the following:
Apply CHG to skin with … After CHG is used, apply CHG-compatible barrier product as needed.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Do not count skin lesions not related to pressure, such as skin breaks or maceration from friction/moisture … Have an outside expert perform a skin exam on each patient. … Slide 37: Performance Review of Comprehensive Skin Assessment
Ensure that a skin assessment was … Use Tool 5C: Assessing Comprehensive Skin Assessment. … Examine what the problem is, and plan how to overcome this barrier.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.pdf
March 01, 2022 - Apply CHG to skin with firm massage.
2. Avoid getting CHG into eyes or ear canals.
3. … After CHG is used, apply CHG-compatible barrier product as needed.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-iodophor.pdf
March 01, 2022 - Apply CHG to skin with firm massage.
2. Avoid getting CHG into eyes or ear canals.
3. … After CHG is used, apply CHG-compatible barrier product as needed.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/065-dec-staff-faqs-decolonization.docx
October 01, 2024 - CHG keeps bacteria off the skin for up to 24 hours. … Once it is applied to skin, CHG will bind to skin proteins and will not stain sheets. … skin until fully dry. … Finally, apply CHG-compatible barrier protection over the area. … skin until fully dry.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - Most soaps, shampoos, deodorants, lotions, and barrier products will inactivate the CHG and negate its … skin, or pressure injuries. … Slide 38
#7: Apply CHG Closest to the Skin
SAY:
Number 7: Apply CHG closest to the skin. … After applying CHG, you may apply CHG-compatible lotions, creams, or barrier protection if they are needed … They make necessary adjustments in stock—such as replacing the petroleum-based barrier cream after discovering
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - The biggest barrier to compliance with evidence-based practice is that providers do
not know the evidence … Interventions to eliminate CLABSI
include--
• Appropriate use of hand hygiene
• Chlorhexidine skin … preparation
• Full-barrier precautions during central venous catheter insertion
• Avoiding the femoral … The use of 2 percent chlorhexidine for skin antisepsis before catheter insertion and during
dressing … line, hand hygiene, site of line placement, dressing and tubing
changes, and use of chlorhexidine for skin
-
digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/lessons-learned-successes-and
January 01, 2023 - Information Technology (IT): Optimal Medication and Care Delivery
Medical Condition
Dermatologic (Skin
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - groups to assume leadership roles in stewardship:
Hospitalists- pneumonia, urinary tract infections, skin … indication
Day of therapy and expected duration
Appropriate length of treatment:
UTI, pneumonia, skin … Hospitals
Ranking at UMHS
Urinary Tract Infections: #1
Pneumonia: #2
Skin and Soft Tissue Infections … Slide 44
Barriers and Facilitators
Barrier: real-world issues:
Large / multiple groups make … that works
Integrate it into existing systems
Slide 45
Barriers and Facilitators
Barrier
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - groups to assume leadership roles in stewardship:
Hospitalists- pneumonia, urinary tract infections, skin … and indication
Day of therapy and expected duration
Appropriate length of treatment
UTI, pneumonia, skin … Hospitals
Ranking at UMHS
Urinary Tract Infections #1
Pneumonia #2
Skin and Soft Tissue … Incentivize Improved Documentation
72 Hour Time-out with Pharmacists
Barriers and Facilitators
Barrier … Create a process that works
Integrate it into existing systems
44
Barriers and Facilitators
Barrier
-
www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
October 01, 2012 - using sterile technique and chlorhexidine
gluconate or povidone-iodine for skin
antisepsis
Tubing … -Sterile technique ideally includes sterile
barrier for tubing assembly and wearing of
face mask, hat … and two staff
members performing connection to central
catheter
-Aseptic technique includes clean barrier … No skin prep was noted for approximately 1 percent of patients.
Table 3. … Procedure Followed 95.8% 1.1% 3.1%
Inserter Performed Hand Hygiene 98.8% 0.2% 1.0%
Wore Sterile Barrier
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - stock decolonization
products
Ensure chlorhexidine gluconate (CHG) compatibility with routine skin … Products
Many topical skin products (e.g., lotions, barrier creams/wipes, perineal cleansers, baby … products, contact the manufacturers of
lotions and skin products that are stocked in the hospital. … Most healthcare skin products have been tested by the manufacturer due
to the commonplace use of CHG … skin, used as medically
directed and continue to apply CHG for routine bathing.