A multifactorial action plan improves hand hygiene adherence and significantly reduces central line–associated bloodstream infections - 01/11/14
, Sarah Grueber, BHS, RRT, CIC, Cathy Schlotzhauer, BSN, RN, CIC, Eileen Phillips, MSN, RN, CIC, Paula Bullock, MED, MT (ASCP), CIC, Jaime Basnett, MSN, RN, CIC, Kristin Hahn-Cover, MD, FACPAbstract |
Background |
Although hand hygiene (HH) is key to reducing health care–associated infections, it is well documented that health care worker (HCW) adherence to appropriate HH protocols is relatively low.
Methods |
This was a collaborative quality improvement project with multiple interventions conducted in a 570-bed academic hospital in Columbia, MO between April 2006 and September 2012. A multimodal action plan to improve HH adherence among all HCWs was developed, addressing 4 key areas: staff education, staff accountability, hand sanitizer product selection and accessibility, and organizational culture. HH adherence and central line–associated bloodstream infection (CLABSI) rates were monitored as outcome measures.
Results |
The overall HH adherence rate increased from 58% in April 2006 to 98% in September 2012. The adherence rates increased among all hospital units and among all HCW categories; in September 2012, HH adherence was 96% for physicians, 99% for nursing staff, and 99% for food services staff. CLABSI rates decreased over the same period, from 4.08 per 1000 device-days to 0.42 per 1000 device-days.
Conclusions |
This multifactorial quality improvement project resulted in an institution-wide increase in HH adherence and a significant decrease in CLABSIs.
Le texte complet de cet article est disponible en PDF.Key Words : Health care-associated infections, Patient safety, Alcohol-based hand rub
Plan
| Medline Industries, Mundelein, IL, contributed publication assistance. Editorial assistance in preparing this manuscript was provided by Magellan Medical Technology Consultants, Inc, Minneapolis, MN. |
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| Conflict of interest: None to report. |
Vol 42 - N° 11
P. 1146-1151 - novembre 2014 Retour au numéro
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