Challenge 2A HAI

Hand Hygiene

Executive Summary Checklist

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.

References
  1. World Health Organization. Hand Hygiene Self-Assessment Framework. 2010. http://www.who.int/gpsc/country_work/hhsa_framework.pdf

Parent Challenge

  1. Challenge 2: Healthcare-associated Infections (HAIs)