Healthcare Hygiene magazine November 2019 | Page 34
hand hygiene
By Paul Alper
A Checklist to Drive Higher Compliance:
Using Actionable Feedback to Drive Meaningful Change
I
’m often asked a simple question by healthcare organiza-
tions: “We are not ready to change products or put in an
electronic monitoring system yet – but we do want to use
evidence-based practices to drive improvement with what
we have in place today.”
Giving that some thought, I’ve put together a checklist
based on an actionable feedback model that should help
you make some changes in the way your organization thinks
about hand hygiene compliance, its safety culture and the
social fabric of your community.
The following checklist is based on insights and inspiration
gained from some interesting studies 1-3 basic PDSA cycles
thinking, and my 35-plus years of working in many aspects
of hand hygiene and patient safety innovation. Here’s the list:
➊ Make hand hygiene compliance a unit/ward/department
responsibility. Hand hygiene compliance improvement should
be a defined responsibility at the unit level with the manager
responsible and accountable for meeting growth targets. 1 A
great way to help ensure results is to tie this directly to the
performance appraisal process.
➋ Identify the unit-specific barriers and obstacles to hand
hygiene behavior plus action plans to remove Them. Each
unit becomes responsible for identifying its unique barriers
and obstacles to hand hygiene compliance and putting in
place specific action plans to remove them. 1 This might be
best accomplished using direct observation to capture those
unit specific behaviors that need to be modified. 2
➌ Establish unit-specific improvement goals. Each unit
is responsible for establishing its own realistic improvement
goals monthly, which should be achievable assuming the
action plans are carried out as assigned. 1 The end game is
that the barriers and obstacles identified can be continuously
reduced or eliminated.
➍ Measure performance and give routine feedback
consistently. Use the most robust approach to measure-
ment available to your organization within the resource
constraints (time, people, money) and provide performance
feedback on a consistent basis (weekly to start, migrating
to monthly, for example). Be sure to measure the behavior
standard that you train staff on – in/out, WHO 5 Moments,
CDC or a variant you’ve chosen for your organization. If
the approach is electronic monitoring, ensure its accuracy
has been validated. If you’re using direct observation, be
sure you control for inter-rater reliability. A quick thought
about secret shoppers: It’s difficult to comprehend why an
organization would witness the potential risk of not cleaning
hands without intervening.
➎ Celebrate successes and then set a new, higher goal.
When goals are not met, have the same barrier/obstacle/
action plan conversation.
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➏ Make psychological safety a cultural norm. Anyone
at any level within the organization can remind anyone
else regardless of their level or status when hand hygiene is
missed in a professional, “out of patient view” way, without
the fear of reprisal.
➐ Make leaders responsible for modeling and authentic
engagement. C-suite leaders must know about, support and
model the behaviors expected across the entire staff community.
In one of the studies on which the checklist is based
on, Childers, et al. used this basic framework at Memorial
Sloan-Kettering Cancer Center, and a baseline rate of hand
hygiene of 60-70 percent increased to 97 percent as measured
with direct observation. 1
Kelly, et al. also used a similar approach with electronic
monitoring for measurement at the Greenville Memorial
Hospital and achieved a 25 percent increase in hand hygiene
compliance with a 43 percent reduction in MRSA infections. 3
Steed, et al. also used a variant at the same organization
combining modified use of the Joint Commission’s Targeted
Solutions Tool with electronic monitoring for measurement and
achieved aggregate performance increase on four test units of
23.5 percent within six months that was statistically significant. 2
To be clear, we are a long way from “getting hand
hygiene right” – this is just one framework that requires
no investment other than time that might make sense to
consider in some adapted embodiment that aligns well with
your culture and organization. A three- to four-unit pilot
will help you see if it works for you.
Let me know what you think, and please send me your
specific hand hygiene challenges, frustrations and nagging
problems – I’ll share any ideas that might be of interest and help
in this monthly column [email protected].
Paul Alper, BA, led the launch of PURELL®, invented the
first electronic hand hygiene monitoring system proven to
reduce infections while improving behavior and eliminating
costs, and is now the vice president of patient safety innovation
for Medline Industries, Inc. through an exclusive engagement
with his consulting practice, Next Level Strategies, LLC.
References:
1. Son C, Chuck T, et al. Practically speaking: Rethinking hand hygiene
improvement programs in health care settings. Am J Infect Control. 39(9),
716–724. 2011.
2. Kelly W, Blackhurst D, et al. Use of the Targeted Solutions Tool and
Electronic Monitoring to Improve Hand Hygiene Compliance. Paper Present-
ed at the 2016 SHEA Conference.
3. Kelly W, Blackhurst D, McAtee W and Steed C. Electronic Hand
Hygiene Monitoring as a Tool for Reducing Healthcare-Associated Methi-
cillin-Resistant Staphylococcus aureus Infection. Am J Infect Control. 44(8),
956-957. 2016.
november 2019 • www.healthcarehygienemagazine.com