FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4311557013> ?p ?o ?g. }

• W4311557013 abstract "Abstract Background Hand hygiene (HH) is widely regarded as the most important factor in preventing transmission of infections. Since 2012 our health system has utilized unit-based direct observation to measure HH compliance. Although direct observation is widely used and considered gold standard, the discrepancy between unit-based HH compliance (UB-HH) and Infection Prevention validation HH audits (IP-HH) was increasing over time. To understand the drift in HH compliance, we began a Lean Six Sigma (LSS) Green Belt project to improve UB-HH observation accuracy. Methods The IP LSS Green Belt team included nursing, respiratory care, and human factors, and analyzed factors leading to inaccurate UB-HH using LSS tools including the Voice of the Customer, process mapping, fishbone diagrams, and failure modes and effects analysis. We updated HH observer web-based education; implemented a new process to ensure observer training; and eliminated unit report card penalties for poor UB-HH. We implemented a new, more accessible observation tool, which provides a dashboard for real-time access to HH results by all staff. IPs began weekly validation HH audits. Results Baseline data revealed a 34% discrepancy between UB-HH and IP-HH compliance (95% vs 61%) over 4 different monthly validation events; only 27% of observers had completed web-based training. Goal conflicts were discovered: units were penalized for poor HH, yet the observations were unit level self-report. These results prompted design changes to the online tool and the process flow of UB-HH observation; units implemented the new program sequentially between 9/20 and 12/20. These changes resulted in 99% of observers being web-trained; however, between 10/21-3/22, UB-HH compliance averaged 98% (n=19,940), while IP-HH compliance averaged 53% (n=579) (difference, 45%). Conclusion Using multidisciplinary process improvement, we enhanced our manual HH observation processes; however, no improvement in HH accuracy was observed. Unit-based staff, who lack dedicated time for HH observation, are biased to document HH compliance over non-compliance, even with recent re-training in non-biased HH observation processes and elimination of penalties. To improve HH accuracy, we recommend either dedicated neutral HH observers or automated systems. Disclosures All Authors: No reported disclosures." @default.
• W4311557013 created "2022-12-27" @default.
• W4311557013 creator A5000591601 @default.
• W4311557013 creator A5004078800 @default.
• W4311557013 creator A5043683350 @default.
• W4311557013 creator A5048543309 @default.
• W4311557013 creator A5049494641 @default.
• W4311557013 creator A5051889311 @default.
• W4311557013 creator A5067978349 @default.
• W4311557013 creator A5086662146 @default.
• W4311557013 date "2022-12-01" @default.
• W4311557013 modified "2023-09-28" @default.
• W4311557013 title "1210. A Lean Six Sigma Approach to Improving Accuracy of Manual Hand Hygiene Observations" @default.
• W4311557013 doi "https://doi.org/10.1093/ofid/ofac492.1043" @default.
• W4311557013 hasPublicationYear "2022" @default.
• W4311557013 type Work @default.
• W4311557013 citedByCount "0" @default.
• W4311557013 crossrefType "journal-article" @default.
• W4311557013 hasAuthorship W4311557013A5000591601 @default.
• W4311557013 hasAuthorship W4311557013A5004078800 @default.
• W4311557013 hasAuthorship W4311557013A5043683350 @default.
• W4311557013 hasAuthorship W4311557013A5048543309 @default.
• W4311557013 hasAuthorship W4311557013A5049494641 @default.
• W4311557013 hasAuthorship W4311557013A5051889311 @default.
• W4311557013 hasAuthorship W4311557013A5067978349 @default.
• W4311557013 hasAuthorship W4311557013A5086662146 @default.
• W4311557013 hasBestOaLocation W43115570131 @default.
• W4311557013 hasConcept C121955636 @default.
• W4311557013 hasConcept C127413603 @default.
• W4311557013 hasConcept C137335462 @default.
• W4311557013 hasConcept C142724271 @default.
• W4311557013 hasConcept C144133560 @default.
• W4311557013 hasConcept C199521495 @default.
• W4311557013 hasConcept C21547014 @default.
• W4311557013 hasConcept C23119410 @default.
• W4311557013 hasConcept C2778139897 @default.
• W4311557013 hasConcept C41008148 @default.
• W4311557013 hasConcept C547646559 @default.
• W4311557013 hasConcept C71924100 @default.
• W4311557013 hasConceptScore W4311557013C121955636 @default.
• W4311557013 hasConceptScore W4311557013C127413603 @default.
• W4311557013 hasConceptScore W4311557013C137335462 @default.
• W4311557013 hasConceptScore W4311557013C142724271 @default.
• W4311557013 hasConceptScore W4311557013C144133560 @default.
• W4311557013 hasConceptScore W4311557013C199521495 @default.
• W4311557013 hasConceptScore W4311557013C21547014 @default.
• W4311557013 hasConceptScore W4311557013C23119410 @default.
• W4311557013 hasConceptScore W4311557013C2778139897 @default.
• W4311557013 hasConceptScore W4311557013C41008148 @default.
• W4311557013 hasConceptScore W4311557013C547646559 @default.
• W4311557013 hasConceptScore W4311557013C71924100 @default.
• W4311557013 hasIssue "Supplement_2" @default.
• W4311557013 hasLocation W43115570131 @default.
• W4311557013 hasLocation W43115570132 @default.
• W4311557013 hasOpenAccess W4311557013 @default.
• W4311557013 hasPrimaryLocation W43115570131 @default.
• W4311557013 hasRelatedWork W2014528605 @default.
• W4311557013 hasRelatedWork W2048793746 @default.
• W4311557013 hasRelatedWork W2074108346 @default.
• W4311557013 hasRelatedWork W2116931568 @default.
• W4311557013 hasRelatedWork W2748952813 @default.
• W4311557013 hasRelatedWork W2899084033 @default.
• W4311557013 hasRelatedWork W308664510 @default.
• W4311557013 hasRelatedWork W4240483126 @default.
• W4311557013 hasRelatedWork W4255467724 @default.
• W4311557013 hasRelatedWork W4286008869 @default.
• W4311557013 hasVolume "9" @default.
• W4311557013 isParatext "false" @default.
• W4311557013 isRetracted "false" @default.
• W4311557013 workType "article" @default.