Page 21 - Hoag Orthopedic Institute 2015 Outcomes Report

“THROUGH INCREASED AWARENESS, ALONG WITH GREATER ACCESS TO HAND HYGIENE DISPENSERS, MAJOR BARRIERS TO HAND HYGIENE HAVE BEEN OVERCOME AND FREQUENT HAND HYGIENE HAS BECOME PART OF OUR CULTURE.”
TERRY ROTH, BSN, RN, CNOR, EXECUTIVE DIRECTOR, PERIOPERATIVE SERVICES
HOI HAND HYGIENE PROGRAM
Hand hygiene is the best prevention against healthcare-associated infections and the spread of multi-drug resistant organisms. Mindful of
the direct correlation between hand hygiene compliance and infection rates, HOI set a goal
of greater than 90 percent compliance, with a stretch goal of 100 percent, and enacted multiple initiatives to increase hand hygiene compliance:
• Multidisciplinary Performance Improvement
teams were designated, trained and deployed to round as secret shoppers for hand hygiene audits.
• All staff members and physicians are educated on the many opportunities for hand hygiene, taking into consideration contact with the patient as well as the environment.
• Staff members are regularly provided education on infection rates.
• Every patient is shown an educational video at the beginning of their stay encouraging them to remind their health care providers and visitors to perform hand hygiene.
• Every patient receives a personal, travel-size bottle of hand sanitizer in the welcome packet to encourage frequent patient hand hygiene.
• Hand sanitizer dispenser placement was reassessed and in some areas relocated to improve hand hygiene compliance and workflow.
According to the World Health Organization, compliance with hand hygiene practices among health care providers has historically averaged 39 percent. Through the above efforts, HOI staff has achieved compliance as high as 100 percent and strives to maintain 90 percent or above compliance to minimize the risk of infection.
HOI – Overall Hand Hygiene Compliance (Higher is Better) 100
90
80
70 60 50
Q1 2013
Source: Hoag Orthopedic Institute infection prevention audit
Q3 2013
Q4 2013
Q1 2014
Q2 2014
Q3 2014
Q4 2014
Q2 2013
2015 OUTCOMES REPORT | 21