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WIHI: No Excuses, No Slack! The Latest from the Front Lines on Hand Hygiene
March 7, 2013 | This WIHI discusses recent innovations in hand hygiene with experts from facilities that have had success in achieving nearly universal compliance.
When It Comes to Clinical Quality, Everybody Makes the Team
When it comes to improving clinical quality and providing the best patient care, every hospital employee and every department plays a role. When you engage non-clinical staff in quality improvement, teams get stronger and patients benefit.
Profiles in Improvement: Tami Merryman from UPMC Shadyside
Who's improving health care? People are, at hospitals and in office practices all across the US and internationally. IHI decided to share the stories of these individuals. Here is a profile of Tami Merryman (Pittsburgh, Pennsylvania, USA).
Improving Hand Hygiene Practice with Six Sigma
HealthEast Care System (St. Paul, Minnesota, USA), in partnership with 3M Health Care, initiated a Six Sigma hand hygiene improvement project in a 20-bed medical-surgical intensive care unit and improved practice compliance from 36 percent to 70 percent.
Columbus Regional Hospital: Where a Focus On Safety Promotes Interdisciplinary Teamwork
They say it takes a village to raise a child, and the same concept is true in health care: it takes a team to deliver excellent care. At Columbus Regional Hospital, teamwork brings together unlikely partners who reach across departments and disciplines to build safety into every aspect of care.
Reducing MRSA Infections: Staying One Step Ahead
When it comes to fighting certain serious infections, the efforts of patients and providers alike can sometimes take on heroic proportions. This is especially true when the stakes are high and the infection is not easily eradicated, like methicillin-resistant Staphylococcus aureus (MRSA).
Reducing Hospital-Acquired Infections in a Long-Term Acute Care Hospital
Windy Hill Hospital (Marietta, Georgia, USA) has significantly reduced the number of hospital-acquired infections caused by MRSA, VRE, and C. difficile by implementing admission surveillance cultures and improving hand hygiene, among other improvements.
Reducing Healthcare-Associated MRSA Infections on a Surgical Unit
St. John's Regional Health Center (Springfield, Missouri, USA) reduced hospital-acquired infections through their work in an IHI Learning and Innovation Community
Reducing Hospital-Acquired Clostridium difficile on a Medical-Renal Unit
The quest to reduce Clostridium difficile infections on the Medical-Renal population led Providence St. Peter Hospital (Olympia, Washington, USA) to focus on improving hand hygiene, adherence to contact precautions, and environmental disinfection.
The Sound of Two Hands Washing: Improving Hand Hygiene
Regularly washing one's hands is widely promoted by everyone from mothers to infection control officers to the World Health Organization as an effective means of keeping germs and illness at bay.
Safer Patients Initiative in the UK Has Dramatically Improved Effective Hand Hygiene Standards
Proper hand hygiene is the single most effective method to reduce hospital-borne infections.
Hand Hygiene Data Collection Tool
This tool is used to document care provider hand hygiene (waterless or soap and water) before and after patient contact and after removal of gloves.
It's OK to Ask Hand Hygiene Pamphlet
This patient education pamphlet encourages patients to ask doctors, nurses, and other health care workers about washing their hands before providing care.
Hand Hygiene Monitoring Tool
This data collection tool is used to monitor whether providers practice hand hygiene with patients in isolation.
Contact Precautions Monitoring Tool
This data collection tool is used to monitor whether providers practice contact precautions and hand hygiene with patients in isolation.
Improving compliance with hand hygiene in hospitals
Review of the reasons for poor compliance with handwashing amongst hospital staff.
System failure versus personal accountability: The case for clean hands
This article states that if we really are serious about making care safer, we need to find the right balance between blaming mistakes on systems and holding individual providers accountable for their everyday practices.
How "user friendly" is the hospital for practicing hand hygiene? An ergonomic evaluation
In this article, the authors describe an ergonomics-based tool — SWAG (for the four main hand hygiene resources: Sinks, Waste receptacles, Alcohol-based hand rub dispensers, and Gloves) — that was developed and implemented to assess the ergonomic characteristics that facilitate usage of these resources in ICUs and individual patient rooms.
How-to Guide: Improving Hand Hygiene
This How-to Guide is designed to help organizations reduce healthcare-associated infections, including infections due to antibiotic-resistant organisms, by improving hand hygiene practices and use of gloves among health care workers.
Scrub the Hub: Example Posters
These example posters are used to remind staff to scrub the hub of a central line prior to accessing the line to instill medications or draw blood, in an effort to reduce potential central line-associate bloodstream infections.
Guideline for Hand Hygiene in Health-Care Settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the Hand Hygiene Task Force
To overcome barriers and lack of knowledge in health care about good hand hygiene practice, the Centers for Disease Control and Prevention’s Healthcare Infection Control Practices Advisory Committee published these comprehensive guidelines.