In order to implement a program to improve hand hygiene and reduce healthcare-associated infections (HAIs), the following implementation plan will require actionable steps:
The following checklist was adapted from the WHO Hand Hygiene Self-Assessment Framework.1
- Commitment from hospital governance and senior administrative leadership to address this major performance gap in their own organization by taking action.
- Mandate a hand hygiene protocol that is supported by hospital leadership.
- Continually monitor hand hygiene and post results – the goal is 100% compliance.
- Empower patients to ask their provider “Have you washed your hands?”
- System change to ensure that alcohol-based handrub is easily available, there is a continuous supply of clean running water and soap at each sink, and a budget to replenish alcohol-based handrubs.
- Dedicated hand hygiene team dedicated to the promotion and implementation of optimal hand hygiene practice in the facility.
- Mandatory training for all professional categories at commencement of employment, then ongoing regular training (at least annually):
- Educational resources easily available to all health-care workers (ex: WHO Guidelines on Hand Hygiene in Health-care: A Summary).
- System in place for training and validation of hand hygiene compliance observers.
- Dedicated budget that allows for hand hygiene training.
- Evaluation and Feedback:
- Ward infrastructure survey regarding availability of hand hygiene products and facilities performed annually.
- Indirect monitoring of hand hygiene compliance through consumption of alcohol-based handrub and soap.
- Direct monitoring of hand hygiene compliance through hand hygiene monitoring technologies.
- Immediate feedback to health-care workers at the end of each hand hygiene compliance observation session.
- Systematic feedback of data related to hand hygiene indicators and trends given monthly, as well as every 6 months.
- Reminders in the workplace such as posters, brochures, leaflets, badges, stickers, etc.
Between the 2017 World Patient Safety, Science & Technology Summit and the 2017 Midyear Planning Meeting a workgroup comprised of experts representing administrators, clinicians, technologists and patient advocates will meet to update this APSS. If you are interested in joining this workgroup, please email us.