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Am J Med Qual. 2016 Nov;31(6):577-583. Epub 2015 Jul 22.

Achieving Hand Hygiene Success With a Partnership Between Graduate Medical Education, Hospital Leadership, and Physicians.

Author information

1
University of California, San Francisco, CA rosenbluthg@peds.ucsf.edu.
2
UCSF Medical Center, San Francisco, CA.
3
University of California, San Francisco, CA.
4
Duke-NUS Graduate Medical School, Singapore.
5
Singapore General Hospital, Singapore.

Abstract

Engaging physicians in hand hygiene programs is a challenge faced by many academic medical centers. Partnerships between education and academic leaders present opportunities for effective collaboration and improvement. The authors developed a robust hand hygiene quality improvement program, with attention to rapid-cycle improvements, including all levels of staff and health care providers. The program included a defined governance structure, clear data collection process, educational interventions, rapid-cycle improvements, and financial incentive for staff and physicians (including residents and fellows). Outcomes were measured on patients in all clinical areas. Run charts were used to document compliance in aggregate and by subgroups throughout the project duration. Institutional targets were achieved and then exceeded, with sustained hand hygiene compliance >90%. Physician compliance lagged behind aggregate compliance but ultimately was sustained at a level exceeding the target. Successfully achieving the institutional goal required collaboration among all stakeholders. Physician-specific data and physician champions were essential to drive improvement.

KEYWORDS:

hand hygiene; infection control; quality improvement; residents and fellows

PMID:
26201665
DOI:
10.1177/1062860615596567
[Indexed for MEDLINE]
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