HAND HYGIENE…
HERE WE GO AGAIN
How is it different this
time?
= Solution
Vision Statement
“Innovative delivery of exceptional community healthcare”
Hospital Acquired Infections
Over 99,000 deaths per year 1.7 million patients infected
per year $45 billion each year Over 70% of all HAI’s are
antibiotic resistant
U.S. Not Improving 2002 CDC Guidelines
Wall mount dispensers Infection rates not declining U.S. does not follow CDC or
World Health Organization guidelines
What does this mean?.
HH is still to blame It is the standard of HH
that is failing…not YOU
When do we need to change??
Yesterday
Urgency ZERO tolerance 2012
Medicare withholdings
Compliance based or Blame-base systems HERE
How do we improve?
Together
Personal Dispensers
+ Meaningful
Performance Feedback
Empowerment Professional Empowerment
Performance-Feedback
Driving to a Goal
Be True to the Guidelines
World Health Organization5 MOMENTS
CDC
5 MOMENTSBeyond Foam-In/Foam-Out
1. Before touching a patient2. Before aseptic procedures3. After body fluid exposure4. After touching a patient5. After touching patient
surroundings
CDC
Patient Nest Hand Hygiene This is the patient and all the
surroundings Vulnerability of ICU patients
Patient Nest Facts VRE can live on surfaces for
7days up to 4 months 80% carried MRSA for 3
hours…despite gloves Increased workload is
associated w MRSA transmission
Point-of-Care Access
Personal Dispensers Personal Approach Build Second-nature habit
Personal Dispenser
Wearing it Using it Replacing bottle
Personal Dispensers
Trade in you Tags for your personal dispenser
Goal of 8 uses/hr Performance feedback will
be on personal dispenser usage only
Performance Feedback
Feedback PhilosophyDrive Performance- Not POLICEAnonymous to leadership
How it works Hourly Hand Hygiene rate Goal Rate
Alcohol Adoption Alcohol misconceptions
Alcohol adoption process
Lotion
Building the Habit
Stick with the good habits
Pt. nest hand hygiene
Continuous sanitizing
What Improvement
Means
Perspective Innovative Process Changing a Standard New Model
Study at Dartmouth-Hitchcock ICU
Your Clinical Leadership
Raising Hand Hygiene to an advanced clinical skill
Innovate a model that will contribute to safe patient handling.
Review You can make a difference Wear it and use it Give us your feedback!! Use performance feedback to get
the habit Encourage and help each other, it's
worth it
Thank you!Patient Safety
is aPowerful Fashion
Statement
Wear it