8 Steps Improve Anesthesia Department Hand Hygiene Compliance 540%

Improving workflow, performing direct observation and providing individual feedback increased hand hygiene compliance in an anesthesia department more than fivefold in a year and a half, according to a study in the American Journal of Infection Control.

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Researchers studied hand hygiene compliance, defined by alcohol hand disinfection during the “5 moments for hand hygiene” described by the World Health Organization, in a hospital anesthesia department. The three-phase study included three observation phases separated by two interventions from March 2010 to September 2011.

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The first intervention consisted of the following:

•    Additional hand sanitizer dispensers
•    Promotion of disinfectant bottles for gown pockets
•    Teaching and audits
•    Implementation of standard operating procedures for invasive procedures

The second intervention consisted of the following:

•    Audits through direct observation with feedback on an individual basis
•    Re-evaluation and improvement of the standard operating procedures
•    More efficient distribution of the standard operating procedures
•    Multiple presentations of interim results as a training and motivational tool

Hand hygiene compliance increased from 10 percent in the first phase to 30 percent in the second phase and 54 percent in the third phase — a total increase of 540 percent. In addition, workflow improvements decreased the number of hand hygiene opportunities from 24 to 14.

More Articles on Hand Hygiene:

WHO: Patient Participation Can Improve Health Workers’ Hand Hygiene
Study: Better Hand Hygiene Didn’t Alter C. diff, MRSA Rates

5 Strategies for Staff Engagement in Hand Hygiene

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