Healthcare Hygiene magazine December 2019 | Página 23

If hand hygiene is performed as recommended, then it is an extremely effective infection prevention measure.” — Monitoring and collecting hand hygiene-compliance data is a complicated task, compound- ed by the necessity of making sense of it and further using it to improve compliance. “In our practice, meaningful data are detailed data: Instead Claudette Poole, MD of a unit-based percentage of compliance, we provide service chiefs with information about total number of observations and the percent of compliant encounters based on job title,” says Pottinger. “In this way, leaders can decide whether they need to intervene with particular groups of providers. And, no one escapes the view of our eagle-eyed observers! All workers who enter and leave the room are subject to their scrutiny, and the immediate, polite, friendly, supportive feedback of our direct observers.” “When data is collected on the 5 moments, one can measure institutional compliance, compliance by ward, by type of healthcare worker, and compliance by (WHO 5 moments) moment,” Pittet says. “For example, if you notice that there is much lower compliance before aseptic procedures, you could do a training for hand hygiene specifically before aseptic procedures. If you notice that hand hygiene is much worse in the obstetrics ward, or among doctors, you could target that population with trainings or other initiatives.) You can also use this data to fill out the Hand Hygiene Self-Assessment Framework, which will allow you to analyze your institution, and see what elements your specific institution needs to improve on. It also allows you to compare your institution to others around the world.” Poole cautions about monitoring: “Monitoring is not the answer. All healthcare providers come to work every day with the intention of doing the best for their patients. As institutions we need to determine what is making it hard for providers to comply. Are provisions sufficient and conveniently placed? Are provider to patient ratios reasonable? Are we expecting too many disparate tasks to be performed and are we providing enough ancillary support?” Poole continues, “Much has been written about the inaccuracy of the current measures to collect hand hygiene data. In its current forms I am not certain how helpful they are in improving compliance. The most effective measures that have been shown to work are design solutions and incorporation of bundles. In general institutions that have an overall focus on patient safety, infection prevention and performance improvement where all levels from executive leadership to housekeeping and ancillary staff share in that focus, will tend to see a decrease in hospital-associated infections.” References: Ellingson K, Haas JP, et al. SHEA/IDSA Practice Recommendation: Strategies to Prevent Healthcare-Associated Infections Through Hand Hygiene. Infect Control Hosp Epidemiol. Vol. 35, No. S2. August 2014. Pires D, Soule H, Bellissimo-Rodrigues F, de Kraker MEA and Pittet D. Antibacterial efficacy of handrubbing for 15 versus 30 seconds: EN 1500-based randomized experimental study with different loads of Staphylococcus aureus and Escherichia coli. Clin Microbiol Infect. 2019 Jul;25(7):851-856. Salmon S, Phua MY and Fisher D. One size does not fit all: the effectiveness of messaging for hand hygiene compliance by profession in a tertiary hospital. J Hosp Infect. Sept. 13, 2019. YOUR SAFETY ASSURANCE POLICY. How often do you change your privacy curtains and can you validate the exchange? Curtains are often infected with MRSA, C. diff and VRE after just 2 weeks! INFECTION CONTROL CLINICAL EDUCATION POLICIES & PROCEDURES SPD PROCESS IMPROVEMENT Our Compliance Software supports your infection prevention protocols, providing data on all exchanges including ISO, in real time. 2:30 PM 55% Scan ONE CURTAIN SCAN BED Headwall 04:b2:39:8a:27:49:80 2 New curtain 04:2f:37:8a:27:49:81 Installed: Term: [email protected] #WEFIGHTDIRTY www.healthcarehygienemagazine.com • december 2019 Click here to request a free online demo Current curtain 04:4d:38:8a:27:49:81 1 3 CALL TODAY: 512-589-5168 BEYONDCLEAN.NET TAG INFO CONTINUE 4 01 Dec 2018 30 Jan 2019 SKIP THIS STEP Save transaction 23