Healthcare Hygiene magazine May 2020 | Page 28

Accurate reporting of hand hygiene compliance in a format that is easy to understand and can illustrate compliance trends should be the goal of all hand hygiene monitoring programs. 28 all hand hygiene monitoring programs. The data should be shared with individuals, patient care units, other patient care specialties, medical staff and administration. Hand hygiene compliance reports should be developed with the input of the providers and leadership who will need to use the data for improving compliance. The reports should trend the compliance data and be displayed in epidemiologically accurate graphs. The data should include the number of observations, the expected number of hand hygiene events and the observed compliance. Each unit or profession or medical staff should be able to have data with their specific rates in comparison to others. Plans for improvement must be generated by the specific group in discussion with the infection preventionists and hospital epidemiologists. Hand hygiene resources and references: Kampf G and Kramer A. Epidemiologic Background of Hand Hygiene and Evaluation of the Most Important Agents for Scrubs and Rubs. Clinical Microbiology Reviews Oct 2004, 17 (4) 863-893; DOI: 10.1128/CMR.17.4.863-893.2004 APIC. Guide to Hand Hygiene Programs for Infection Prevention. June 2015. ISBN: 1-933013-60-5. World Health Organization (WHO). WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. World Health Organization. 2009. Available at: whqlibdoc.who.int/hq/2009/ WHO_IER_ PSP_2009.02_eng.pdf. Boyce JM, Pittet D. Guideline for hand hygiene in health-care Settings. Recommendations of the healthcare infection control practices advisory committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. Society for Healthcare Epidemiology of America, Association for Professionals in Infection Control (APIC), Infectious Diseases Society of America (IDSA). MMWR Recomm Rep 2002; 51(RR16):1-56. Agency for Healthcare Research and Quality. Comprehensive program to change hand hygiene culture improves adherence to disinfection guidelines, leading to lower infection rates and costs. Agency for Healthcare Research and Quality website. 2013. Available at: www.innovations.ahrq.gov/content. aspx?id=2909. Public Health Agency of Canada. Hand Hygiene Practices in Healthcare Settings. Public Health Agency of Canada. 2012. Available at: http://publications.gc.ca/collections/ collection_2012/aspc-phac/HP40-74-2012-eng.pdf. Institute for Healthcare Improvement. How-to Guide: Improving Hand Hygiene A Guide for Improving Practices Among Health Care Workers. 2011. Available a t : h t t p : / / w w w. i h i . o r g / k n o w l e d g e / P a g e s / To o l s / HowtoGuideImprovingHandHygiene.aspx. The Joint Commission (TJC). Measuring hand hygiene adherence: overcoming the challenges. 2009. Available at: www. ascquality.org/Library/Measuring%20Hand%20Hygiene%20 Adherence_Overcoming%20the%20 Challenges%20(TJC).pdf. Boyce JM. Measuring healthcare worker hand hygiene activity: Current practices and emerging technologies. Infect Control Hosp Epidemiol 2011; 32:1016-1028. McGuckin M, Waterman R, Govednik J. Hand hygiene compliance rates in the United States: A one-year multicenter collaboration using product/volume usage measurement and feedback. Am J Med Quality 2009; 24:205-13. Marra AR, Edmond MB. Hand hygiene: State-of-the art review with emphasis on new technologies and mechanisms of surveillance. Curr Infec Dis Rep 2012 14:585-91. Association for Professionals in Infection Control and Epidemiology (APIC). Hand hygiene for healthcare workers. 2014. Available at: www.apic.org/Resource_/ Educational BrochureForm/370c41f0-380f-4d4d- aa33-67ca4407f3ef/File/ Hand-Hygiene-Healthcare-Workers- Brochure.pdf. Society for Healthcare Epidemiology of American (SHEA). Guidelines and implementation. SHEA Website. Available at: www.shea-online.org/GuidelinesResources/ Guidelines/ Guideline/ArticleId/8/Guideline-for- H a n d - H y g i e n e - i n - Healthcare-Settings.aspx. Centers for Disease Control and Prevention (CDC). CDC Analysis Finds Unique Social and Behavior Intervention Helps Reduce MRSA Rates Up To 62 Percent. Robert Wood Johnson Foundation Website. 2009. Available at: www.rwjf. org/en/ about-rwjf/newsroom/newsroom-content/2009/03/ cdc-analysis-finds-unique-social-and-behavior-intervention- helps.html. Gould, DJ, et al. Interventions to improve hand hygiene compliance in patient care. 2017. Cochrane Library. Low hand hygiene compliance in ICUs. European Society of Clinical Microbiology and Infectious Diseases. April 15, 2019 CDC Handwashing Save Lives . Show Me the Science - How to Wash Your Hands. Available at: https://www.cdc.gov/ handwashing/why-handwashing.html October 2019 Canada Health. The Benefits of Hand Washing Updated April 2010 IIT’’S YOUR HEALTH.This article was produced in collaboration with the Public Health Agency of Canada. Available at: https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/ hl-vs/alt_formats/pacrb-dgapcr/pdf/iyh-vsv/diseases-maladies/ hands-mains-eng.pdf FAQ: Using Nudges to Encourage Handwashing with Soap/The Global Handwashing Partnership. https:// globalhandwashing.org/resources/faq-using-nudges-to- encourage-handwashing-with-soap/ Health Quality & Safety Commission New Zealand Preventing the spread of infection through good hand hygiene. Available at: https://www.hqsc.govt.nz/our-programmes/infection- prevention-and-control/projects/hand-hygiene/November 2019 Santosaningsih, et al. Intervening with healthcare workers’ hand hygiene compliance, knowledge, and perception in a limited-resource hospital in Indonesia: a randomized controlled trial study. Antimicrobial Resistance and Infection Control (2017) 6:23. Available at: https://aricjournal.biomedcentral.com/track/ pdf/10.1186/s13756-017-0179-y Musu M, et al. (2017). Assessing hand hygiene compliance among healthcare workers in six Intensive Care Units. Journal of preventive medicine and hygiene, 58(3), E231–E237. Patel P and Kallen A. (2018). Human Factors and Systems Engineering: The Future of Infection Prevention? Infection Control & Hospital Epidemiology, 39(7), 849-851. doi:10.1017/ ice.2018.122 Peters A, et al. “Clean care for all-it’s in your hands”: the May 5th, 2019 World Health Organization SAVE LIVES: Clean Your Hands campaign. Antimicrobial Resistance & Infection Control. 2019;8:64 Mody L, et al. Multidrug-resistant Organisms in Hospitals: What Is on Patient Hands and in Their Rooms? Clin Infect Dis. Vol. 69, No. 11, Dec. 1, 2019, Pages 1837–1844. WHO. Clean Care is Safer Care. Hand hygiene monitoring and feedback 2019. Available at: https://www.who.int/ gpsc/5may/monitoring_feedback/en/ WHO. Systematic literature review of automated/electronic systems for hand hygiene monitoring Preliminary results. Available at: https://www.who.int/gpsc/5may/automated-hand- hygiene-monitoring.pdf?ua=1 Edmisten C, et al. Implementing an electronic hand hygiene monitoring system: Lessons learned from community hospitals. Am J Infect Control. Vol. 45, No. 8, 860-865. Available at: https://www.ajicjournal.org/article/S0196-6553 Anderson J, et al. Using human factors engineering to improve the effectiveness of infection prevention and control. Critical Care Medicine. 38():S269-S281, August 2010. DOI:10.1097/CCM.0b013e3181e6a058 Infectious Disease Advisor Hospital Infection Control. Behavior modification and infection control. Available at: https:// www.infectiousdiseaseadvisor.com/home/decision-support- in-medicine/hospital-infection-control/behavior-modification- and-infection-control/ may 2020 • www.healthcarehygienemagazine.com