Sustained High Level of Healthcare Worker Adherence With Hand Hygiene Practice Recommendations Using the Patient-as-Observer Approach in the Ambulatory Setting

2016 ◽  
Vol 37 (12) ◽  
pp. 1496-1498 ◽  
Author(s):  
Rachael A. Lee ◽  
Gary R. Cutter ◽  
Janet L. Pate ◽  
Emily Boohaker ◽  
Bernard C. Camins
Keyword(s):  
Quality Improvement ◽  
Hand Hygiene ◽  
Healthcare Worker ◽  
Infect Control Hosp ◽  
Ambulatory Setting ◽  
Quality Improvement Initiative ◽  
Hygiene Practice ◽  
Hand Sanitizer ◽  
Practice Recommendations ◽  
High Level

We report on a quality improvement initiative for hand hygiene adherence using the patient-as-observer method in the ambulatory setting. There were 604,661 observations recorded with improvement of adherence from 88% to 95% or greater; alcohol-based hand sanitizer purchasing correlated with this increase. This sustainable method effectively ensures hand hygiene adherence.Infect Control Hosp Epidemiol 2016;1496–1498

scholarly journals Utilizing an Electronic Health Record System to Improve Vaccination Coverage in Children

2010 ◽  
Vol 01 (03) ◽  
pp. 221-231 ◽  
Author(s):  
A. Oster ◽  
G. H. Yeh ◽  
J. Magno ◽  
H. M. Paek ◽  
L. Au
Keyword(s):  
Quality Improvement ◽  
Electronic Health Records ◽  
Childhood Vaccination ◽  
Ambulatory Setting ◽  
Quality Improvement Initiative ◽  
Local Health ◽  
Childhood Immunization ◽  
Health Records ◽  
Bar Code ◽  
Electronic Health

Summary Background: Electronic Health Records (EHR) are widely believed to improve quality of care and effectiveness of service delivery. Use of EHR to improve childhood immunization rates has not been fully explored in an ambulatory setting. Objective: To describe a pediatric practice’s use of Electronic Health Records (EHR) in improving childhood immunization. Methods: A multi-faceted EHR-based quality improvement initiative used electronic templates with pre-loaded immunization records, automatic diagnosis coding, and EHR alerts of missing or delayed vaccinations. An electronic patient tracking system was created to identify patients with missing vaccines. Barcode scanning technology was introduced to aid speed and accuracy of documentation of administered vaccines. Electronic reporting to a local health department immunization registry facilitated ordering of vaccines. Results: Immunization completion rates captured in monthly patient reports showed a rise in the percentage of children receiving the recommended series of vaccination (65% to 76%) (p<0.000). Bar-code technology reduced the time of immunization documentation (86 seconds to 26 seconds) (p<0.000). Use of barcode scanning showed increased accuracy of documentation of vaccine lot numbers (from 95% to 100%) (p<0.000). Conclusion: EHR-based quality improvement interventions were successfully implemented at a community health center. EHR systems have versatility in their ability to track patients in need of vaccines, identify patients who are delayed, facilitate ordering and coding of multiple vaccines and promote interdisciplinary communication among personnel involved in the vaccination process. EHR systems can be used to improve childhood vaccination rates.

scholarly journals Common Behaviors and Faults When Doffing Personal Protective Equipment for Patients With Serious Communicable Diseases

2019 ◽  
Vol 69 (Supplement_3) ◽  
pp. S214-S220 ◽  
Author(s):  
Joel M Mumma ◽  
Francis T Durso ◽  
Lisa M Casanova ◽  
Kimberly Erukunuakpor ◽  
Colleen S Kraft ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Failure Modes ◽  
Communicable Diseases ◽  
Simulated Patients ◽  
Protective Equipment ◽  
Hand Sanitizer ◽  
The Common ◽  
High Level

Abstract Background The safe removal of personal protective equipment (PPE) can limit transmission of serious communicable diseases, but this process poses challenges to healthcare workers (HCWs). Methods We observed 41 HCWs across 4 Ebola treatment centers in Georgia doffing PPE for simulated patients with serious communicable diseases. Using human factors methodologies, we obtained the details, sequences, and durations of doffing steps; identified the ways each step can fail (failure modes [FMs]); quantified the riskiness of FMs; and characterized the workload of doffing steps. Results Eight doffing steps were common to all hospitals—removal of boot covers, gloves (outer and inner pairs), the outermost garment, the powered air purifying respirator (PAPR) hood, and the PAPR helmet assembly; repeated hand hygiene (eg, with hand sanitizer); and a final handwashing with soap and water. Across hospitals, we identified 256 FMs during the common doffing steps, 61 of which comprised 19 common FMs. Most of these common FMs were above average in their riskiness at each hospital. At all hospitals, hand hygiene, removal of the outermost garment, and removal of boot covers were above average in their overall riskiness. Measurements of workload revealed that doffing steps were often mentally demanding, and this facet of workload correlated most strongly with the effortfulness of a doffing step. Conclusions We systematically identified common points of concern in protocols for doffing high-level PPE. Addressing FMs related to hand hygiene and the removal of the outermost garment, boot covers, and PAPR hood could improve HCW safety when doffing high-level PPE. We identified ways that doffing protocols for high-level personal protective equipment may fail to protect healthcare workers. Hand hygiene, removing the outermost garment, boot covers, and respirator hood harbored the greatest risk and failed in similar ways across different hospitals.

Randomized Crossover Study Evaluating the Effect of a Hand Sanitizer Dispenser on the Frequency of Hand Hygiene among Anesthesiology Staff in the Operating Room

2014 ◽  
Vol 35 (6) ◽  
pp. 717-720 ◽  
Author(s):  
L. Silvia Munoz-Price ◽  
Zalak Patel ◽  
Shawn Banks ◽  
Kristopher Arheart ◽  
Scott Eber ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Crossover Study ◽  
Operating Room ◽  
Anesthesia Machine ◽  
Infect Control Hosp ◽  
Hand Sanitizer ◽  
Anesthesia Providers ◽  
Randomized Crossover Study

Forty anesthesia providers were evaluated with and without hand sanitizer dispensers present on the anesthesia machine. Having a dispenser increased the frequency of hand hygiene only from 0.5 to 0.8 events per hour (P = .01). Other concomitant interventions are needed to further increase hand hygiene frequency among anesthesia providers.Infect Control Hosp Epidemiol 2014;35(6):717–720

scholarly journals Quality Improvement Initiative to Improve Hand Hygiene Compliance in Indian Special Newborn Care Unit

2021 ◽  
Vol 6 (6) ◽  
pp. e492
Author(s):  
Reena Rai ◽  
Amanpreet Sethi ◽  
Amarpreet Kaur ◽  
Gurmeet Kaur ◽  
Harsh Vardhan Gupta ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Newborn Care ◽  
Quality Improvement Initiative ◽  
Improve Hand Hygiene ◽  
Hygiene Compliance
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