Marco Antonio Saavedra Bravo, Guilherme Cesar Silva Dias Santos, Ademir Jose Petenate, Patrick Jacobsen Westphal, Luciana Gouvea de Albuquerque Souza, Roberta Gonçalves Marques, Erica Deji Moura Morosov, Andrea Keiko Fujinami Gushken, Flavia Fernanda Franco, Wladimir Garcia Silva, Rafaela Moraes de Moura, Andreia Lopes de Lima, Renata Gonsalez Dos Santos, Karina de Carvalho Andrade, Andreza Pivato Susin Hamada, Cristiane Maria Reis Cristalda, Luciana Yumi Ue, Claudia Garcia de Barros, Sebastian Vernal
Lean healthcare visual management has been successfully integrated into infection control programs, leading to lower healthcare-associated infection (HAI) rates and greater provider compliance with evidence-based prevention practices; however, its implementation during quality improvement (QI) initiatives in limited-resource settings has not yet been well exploited. We aimed to describe a low-cost strategy involving Kamishibai cards to sustain bundles' adherence to prevent HAIs in a middle-income country. This descriptive case study evaluated the implementation of a lean healthcare visual management tool-Kamishibai board (K-board)-during a nationwide QI collaborative preventing three critical HAIs in 189 adult and pediatric/neonatal intensive care units (ICUs) from September 2021 to January 2023...
December 29, 2023: International Journal for Quality in Health Care