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- W2150590695 abstract "denominator data. The results offered little insight beyond direct observation and it was impossible to generalize our findings to the entire staff and/or all hand cleansing opportunities. The findings also could have been affected by observer bias and by changes in caregiver behavior based on the knowledge that they were being observed. With this in mind, we began to seek other opportunities and technologies to help us with these challenges. PROJECT: We installed an automated hand hygiene monitoring system in the 29-bed 4 North medical-surgical unit. We monitored 29 soap dispensers and 31 alcohol-based hand rub (sanitizer) dispensers in patient rooms using communication units and radiofrequency identification (RFID) tags. We also monitored 6 hallway sanitizer dispensers and 1 sanitizer dispenser in a storage room. In June 2012, we distributed tags and educated five staff members from three departments on 4 North to validate system performance. In July 2012, we tagged and educated 34 more employees on 4 North. Hand-hygiene solution dispensing, hand-hygiene compliance and healthcare-associated infection (HAI) rates were measured from June 2012 through November 2012. In October 2012, newly hired employees were tagged and all tagged staff was reeducated. RESULTS: In June, hand-hygiene compliance among the initial five staff members was 67%. In July 2012, compliance dropped to 46% after giving tags to another 34 personnel. There was a 26.3% increase (20,188-25,502) in alcohol-based hand rub (sanitizer) dispenses and a 23.4% increase in total hand hygiene solution dispenses (21,861-26,977) when compared the first and second months of using the system. With continued education and feedback, hand-hygiene compliance rose to 58.6% in November (MTD November 20, 2012). Hand hygiene compliance for all employees increased 27% (46.1%-58.6%) when comparing the first and last months of compliance monitoring (July-MTD November 20, 2012). For June-August, we had a 50% reduction in nosocomial infection markers (NIMs) compared to the same time period from 2011. This reduction equals an estimated $93,470 direct cost savings, an estimated bottom line impact of $52,060 and 81.2 days of length of stay avoided. LESSON LEARNED: Constant feedback and holding staff members accountable, while recognizing those with excellent performance and frequent patient roomvisits, was vital to compliancewith hand hygiene and improved patient outcomes." @default.
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- W2150590695 date "2013-06-01" @default.
- W2150590695 modified "2023-09-27" @default.
- W2150590695 title "Education Excellence in Scope Reprocessing to Improve Patient Safety" @default.
- W2150590695 doi "https://doi.org/10.1016/j.ajic.2013.03.123" @default.
- W2150590695 hasPublicationYear "2013" @default.
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