A need exists at Blessing Hospital to decrease the number of annual hospital-acquired infections (HAI)

Homan, Charlotte

Hruska, Aleassa

King, Claudia

Leathers, Lori

English

Sigma Repository

Wash Your Hands!Charlotte Horman, Aleassa Hruska, Claudia King, and Lori Leathers NSG 405:  Senior Leadership Change Project, Spring 2023Literature Review• The hand hygiene compliance system (HHCS) captured more hand hygiene events than human observers3• Hand hygiene compliance during the HHCS’ implementation met the hospital’s goal but was lower than human observers3• Four predictors for hospital acquired infection (HAI) acquisitions were identified: viral CNS infections, central venous catheters, urinary catheters, and nasogastric tubes1• The risk factors for increased mortality were not significantly different than those without HAIs but were increased age, diabetes, intubation, mechanical ventilation > 48, and nasogastric tubes1• ICU sink drains are a major reservoir for organisms that cause patient infections4AssessmentOpportunity• A need exists at Blessing Hospital to decrease the number of annual hospital-acquired infections (HAI)Driving Forces• Infection prevention team (IPT)• Patient safety• Reduction in hospital expenses• Research findingsRestraining Forces• Budget constraints• Cost of equipment and supplies• Communication obstacles with key stakeholdersImplementationSteps• Conducted research on HHCS• Defined goals for our project• Met with IPT and explored cost of equipment• Started working with HHCSrepresentative to implement trial inICU/CVICU• Awaiting approval from LCHandling Resistance• Provided education and training to staff• Provided data to show cost savingsEvaluationEvaluation of Change• Educate IPT on evaluating data from HHCSStrategies to Stabilize• Emphasize importance of hand hygiene• The IPT will pilot project after trial• Develop an education planPlanningShort Term Goal• Establish HHCS in ICU/CVICULong Term Goal• Establish HHCS hospital wideStrategies to Hardwire Change• Share research findings with leadership council (LC)• Educate and collaborate with key stakeholders• Develop training process for HHCSEvaluation Plan• Survey staff to evaluate satisfaction with HHCS post implementationReferences1. Despotovic, A., Milosevic, B., Milosevic, I., Mitrovic, N., Cirkovic, A., Jovanovic, S., & Stevanovic, G. (2020). Hospital-acquired infections in the adult intensive care unit—epidemiology, antimicrobial resistance patterns, and risk factors for acquisition and mortality. American Journal of Infection Control, 48(10), 1211–1215. https://doi.org/10.1016/j.ajic.2020.01.0092. McCalla, S., Reilly, M., Thomas, R., & McSpedon-Rai, D. (2017). An automated hand hygiene compliance system is associated with improved monitoring of hand hygiene. American Journal of Infection Control, 45(5), 492–497. https://doi.org/10.1016/j.ajic.2016.12.0153. Sukhum, K. V., Newcomer, E. P., Cass, C., Wallace, M. A., Johnson, C., Fine, J., Sax, S., Barlet, M. H., Burnham, C.-A. D., Dantas, G., & Kwon, J. H. (2022). Antibiotic-resistant organisms establish reservoirs in new hospital-built environments and are related to patient blood infection isolates. Communications Medicine, 2(62), 1–15. https://doi.org/10.1038/s43856-022-00124-5Figure ListFigure 1. Yusufdemirci, D. (n.d.). Vector Illustration of Washing Hands. Vector Illustration royalty free SVG, cliparts, vectors, and stock illustration. image 1123561595. 123RF. Retrieved May 5, 2023 from https://shutterstock.com/image-vector/vector-illistration-washing-hands-1123561595AcknowledgementsMike Holt, Telecommunications techSarah Job, RN, Nurse Manager CVUKendra Meany, MSN, RN MEDSURG-BC, Nurse Manager ICUKarla Paris, MSN, RN, Associate Chief Nursing OfficerRob Ritchey, Administrative Director PharmacyVickie Roberts, RN and the infection prevention teamPaul Winkler, Ecolab representativeFigure 1.What We Learned• HHCS helps reduce the number of HAIs by holding each individual responsible for performing hand hygiene• Communication with key stakeholders is essential• Strategies to overcome restraining forces• Perseverance is necessary when trying to effect changeWhat We Would Do Differently• Improve communication with key stakeholders• Involve more key stakeholders early on in the process• Enhance teamwork, communication, and collaboration among group membersSummary

Wash your hands!

https://www.sigmarepository.org/cgi/viewcontent.cgi?article=1001&context=group_blessing-reiman_cnhs

Wash your hands!

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