Impact of a Successful Speaking Up Program on Health-Care Worker Hand Hygiene Behavior

Pediatric Quality & Safety
W Matthew LinamJayant K Deshpande

Abstract

Health-care worker (HCW) hand hygiene (HH) is the cornerstone of efforts to reduce hospital infections but remains low. Real-time mitigation of failures can increase process reliability to > 95% but has been challenging to implement for HH. To sustainably improve HCW HH to > 95%. A hospital-wide quality improvement initiative to improve HH was initiated in February 2012. HCW HH behavior was measured by covert direct observation utilizing multiple-trained HCW volunteers. HH compliance was defined as correct HH performed before and after contact with the patient or the patient's care area. Interventions focusing on leadership support, HCW knowledge, supply availability, and culture change were implemented using quality improvement science methodology. In February 2014, the hospital began the Speaking Up for Safety Program, which trained all HCWs to identify and mitigate HH failures at the moment of occurrence and addressed known barriers to speaking up. Between January 1, 2012, and January 31, 2016, there were 30,514 HH observations, averaging 627 observations per month (9% attending physicians, 12% resident physicians, 46% nurses, 33% other HCW types). HCW HH gradually increased from 75% to > 90% by December 2014. After the Spea...Continue Reading

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Citations

Apr 13, 2019·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Adam Novak
Apr 14, 2018·American Journal of Infection Control·David L B Schwappach

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