Using the six sigma process to implement the Centers for Disease Control and Prevention Guideline for Hand Hygiene in 4 intensive care units.

Journal of General Internal Medicine
Noel E EldridgeSteven M Wright

Abstract

The Centers for Disease Control and Prevention (CDC) Guideline for Hand Hygiene in Health Care Settings was issued in 2002. In 2003, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) established complying with the CDC Guideline as a National Patient Safety Goal for 2004. This goal has been maintained through 2006. The CDC's emphasis on the use of alcohol-based hand rubs (ABHRs) rather than soap and water was an opportunity to improve compliance, but the Guideline contained over 40 specific recommendations to implement. To use the Six Sigma process to examine hand hygiene practices and increase compliance with the CDC hand hygiene recommendations required by JCAHO. Six Sigma Project with pre-post design. Physicians, nurses, and other staff working in 4 intensive care units at 3 hospitals. Observed compliance with 10 required hand hygiene practices, mass of ABHR used per month per 100 patient-days, and staff attitudes and perceptions regarding hand hygiene reported by questionnaire. Observed compliance increased from 47% to 80%, based on over 4,000 total observations. The mass of ABHR used per 100 patient-days in 3 intensive care units (ICUs) increased by 97%, 94%, and 70%; increases were sustained for 9 m...Continue Reading

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Citations

Dec 5, 2008·The Journal of Hospital Infection·John M Boyce
Apr 28, 2006·Journal of General Internal Medicine·Lisa V Rubenstein, Jacqueline Pugh
Sep 18, 2012·Implementation Science : IS·Anita HuisMarlies Hulscher
Nov 7, 2013·Health Care Management Science·Laila CureEwing Tiong
Sep 15, 2009·American Journal of Infection Control·Michael A BorgDespo Pieridou Bagatzouni
Apr 17, 2007·The Journal of Hospital Infection·G KinsellaR J Taylor
Jun 1, 2016·American Journal of Infection Control·Jun Rong Jeffrey NeoElla Franklin
Jan 11, 2007·Journal of the American Medical Informatics Association : JAMIA·Thomas D SequistDavid W Bates

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