Improving Hand Hygiene Compliance On Nursing Practice

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All Hands on Deck: Improving Hand Hygiene Compliance
Hand hygiene (HH), or cleansing of the hands with soap and water or an alcohol-based hand rub (ABHR), is the single most important clinical determinant for marked risk reduction of hospital-acquired infections (HAIs) or more specifically, multidrug-resistant organisms (MDROs), a major contributing factor to patient morbidity and mortality. Despite being one of multiple quality indicators for hospital patient safety ratings and infection prevention interventions, hand hygiene compliance (HHC) amongst healthcare workers (HCW) is subpar across the nation. This paper explores the significance of HHC, a current quality improvement issue in nursing practice. Current data and tools for measuring the nursing sensitive indicator of HHC will be discussed. It concludes with a model for improvement in HHC to meet a minimum recommended sustained rate of 90% compliance.
Quality Improvement Initiative
Hand Hygiene
In 1847, Ingaz Semmelweis, a Hungarian physician, demonstrated that basic HH markedly reduced the occurrence of sepsis (Haas and Larson, 2007). HH has since been declared the most effective measure for the prevention of HAIs and MDROs, yet the rates for HHC remain inexcusably low, considering the simplicity and low cost of the swift task, particularly as ABHRs become the preferred method of HH. With the incidence of HAIs and MDROs mounting, the WHO, CDC, NIH, and of personal significance, the hospital with which I am employed,
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