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Scott & White Memorial Hospital

A successful multifaceted strategy to improve hand hygiene compliance rates at a major teaching institution. Jamie Sodek, BSN, RN; Teresa Barnett, RN; Alejandro Arroliga, MD, Jesse Barnett, EHS Spec., CHSP, Marius Michalkowski, & Nancy Ellis, BSN, RN.

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Scott & White Memorial Hospital

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  1. A successful multifaceted strategy to improve hand hygiene compliance rates at a major teaching institution Jamie Sodek, BSN, RN; Teresa Barnett, RN; Alejandro Arroliga, MD, Jesse Barnett, EHS Spec., CHSP, Marius Michalkowski, & Nancy Ellis, BSN, RN

  2. Scott & White’s Mission: To provide the most personalized, comprehensive, and highest-quality health care, enhanced by medical education and research. Scott & White’s Vision: Scott & White will be the most Trusted and most Valued name in American Health Care. Scott & White Memorial Hospital Non-profit collaborative health care system 650 bed hospital Level I Trauma Center Texas A&M Health Science Center College of Medicine Major medical research institution Located in Temple, Texas

  3. Objectives • Upon completion, participant will be able to: • Identify the importance for increased hand hygiene compliance rates within a healthcare setting • Discuss key interventions to increase hand hygiene compliance rates within a healthcare setting • Construct and implement strategies to sustain increased hand hygiene compliance rates within a healthcare setting

  4. What’s the problem? • Hand hygiene compliance rates remain low among healthcare workers • Poor hand hygiene compliance jeopardizes patient safety by potentially increasing healthcare associated infections (HAIs) • Prevent 1/3 of HAIs by practicing good hand hygiene Hand Hygiene Best Practice Team set out to increase compliance rates!!

  5. Interventions • Developed a Secret Shopper Program • Increased the availability of alcohol based hand gel throughout the hospital • Placed red flags on gel dispensers to alert staff members when servicing was needed • Sent letters from the chief medical officer to noncompliant healthcare workers • Awarded trophies to the elite groups of compliant healthcare workers

  6. Visual Reminders Red Flags Trophies

  7. Overall Hand Hygiene Compliance Rates(Feb’12 – Feb’13)

  8. Total Number of Observations(Feb’12 – Feb’13)

  9. Conclusion • Multifaceted interventions led to: • Significant and sustained increase in hand hygiene compliance rates • Change in culture that brought hand hygiene awareness to all healthcare workers • Prevention of potential patient harm • Must have Leadership Support

  10. Future Plans • Secret Shopper Training classes held monthly • Hand hygiene compliance rates are still collected and distributed monthly throughout the system • Best Practice Team is developing new initiatives to keep front line staff engaged and involved in spreading the excitement about hand hygiene

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