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If there is a specific approach that you have tried to improve hand hygiene and have had good results, share your successes with others. Read what other organizations have done with hand hygiene in their facilities. Fairview Lodge reaches 72 per cent compliance rate with Employee Friendly Program Fairview Lodge has achieved a 72 per cent overall hand hygiene compliance rate by implementing some employee-friendly ideas. Hand sanitizers were installed on the wall in every resident room for use at point of care. Both hand hygiene and a hand care program were promoted to staff. North York General improved hand hygiene compliance by over 50 per cent in eight weeks In 2008, North York General Hospital piloted a hand hygiene compliance program which improved hand hygiene compliance rates from 19% to 74% over an 8-week period! Find out how they did it and how it has spread throughout their organization. Fairview Lodge reaches 72 per cent compliance rate with Employee Friendly Program When Fairview Lodge launched the Just Clean Your Hands (JCYH) program in its home, it installed hand sanitizers on the wall in every single resident room for staff to use at point of care. The placement of the hand sanitizers made it much easier for staff to clean their hands. After conducting a hand hygiene audit from May - September 2010 the home found that it was at an overall compliance rate of 72 per cent. Posters were developed from tools in their implementation kit and group pictures of staff were used. Everyone loved seeing themselves featured in the posters and it was good support for the program.
In addition to the wall hand sanitizers, hand lotion dispensers were installed in every nursing station. The result? Staffers are happy to comply with hand hygiene because their hands stay healthy and the residents are kept safe. North York General improved hand hygiene compliance by over 50 per cent in eight weeks North York General Hospital chose to implement its hand hygiene program as a corporate improvement project. In January 2008, NYGH partnered with 3M Canada to pilot a hand hygiene compliance program which began with the general surgery units. This was accomplished through six sigma methodology which tied together improvement methods directly with identified process failures. This analysis enhanced identification of specific improvement opportunities and supported development of a tailored control plan to sustain gains in compliance. To spread the success of this pilot project to the remaining inpatient clinical areas, a Lean Management approach to project planning known as a Vertical Value Stream was used. Stakeholders determined key tasks and timelines required to meet the organization's interim goal of 80 per cent compliance across all clinical units within four months. Improvement strategies focused on:
Results Pilot success: The pilot program with 3M Canada proved successful, with hand hygiene compliance improving from 19 per cent to 74 per cent over an eight-week period. These positive results demonstrated the value of this collaborative, resulting in a partnership that has continued throughout the organizational spread of the program. Broader organization roll-out: Since program inception, over 55,000 observations have been collected with compliance results improving significantly to a mean of 86 per cent. Sustained results were attained with the organization maintaining compliance targets for over one year. Other areas that have since implemented the program include the emergency department, perioperative eervices and the long term care facility (Seniors' Health Centre). Physician engagement: The statistical power of a large sample data set allowed focus on specific areas of improvement. One area was physician-based compliance results. Initial variance between the physicians and other clinical staff was as high as 40%. This gap was reduced over time through engagement of physician leaders, education and awareness campaigns. A tremendous cultural shift has occurred in the organization where staff, physicians and management are often competing for their weekly results. For more information email:handhygiene@oahpp.ca
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