Best Practices & Compliance

Hand Hygiene Compliance Monitoring Guidebook

November 29, 2017

This Guidebook provides a comprehensive look at hand hygiene compliance monitoring, specifically electronic systems and how technology can drive improved performance.

Healthcare Personnel Compliance With Infection Prevention Imperatives

January 8, 2016

So much of the infection preventionist’s time has traditionally been spent in the pursuit of healthcare personnel education and training on infection control-related principles and practices, with varying degrees of success measured through compliance metrics. Be it hand hygiene compliance percentages, terminal cleaning effectiveness rates, or various infection prevention bundles, compliance can be suboptimal in many healthcare institutions — and healthcare workers freely admit it. For example, Yassi, et al. (2007) assessed the determinants of healthcare worker self-reported compliance with infection control procedures via a survey of personnel in 16 healthcare facilities. A strong correlation was found between both environmental and organizational factors and self-reported compliance; no relationship was found with individual factors. The researchers found that only 5 percent of survey respondents rated their training in infection control as excellent, and 30 percent felt they were not offered the necessary training. The investigators concluded that compliance with infection control procedures is tied to environmental factors and organizational characteristics, suggesting that efforts to improve availability of equipment and promote a safety culture are key. They added that training should be offered to high-risk personnel, demonstrating an organizational commitment to their safety.  

We spoke with Sue Barnes, RN, CIC, the national leader of infection prevention and control in the Program Office for Kaiser Permanente in California, for her perspective on issues relating to boosting compliance with infection prevention and control imperatives, and what clinical issues are driving interventions.