Approximately 1 in 5 U.S. healthcare facilities don't make alcohol-based hand sanitizer available at every point of care, missing a critical opportunity to prevent healthcare-associated infections, according to new research from Columbia University School of Nursing and the World Health Organization (WHO) published in the American Journal of Infection Control. The study, which examined compliance with WHO hand hygiene guidelines in the U.S., also found that only about half of the hospitals, ambulatory care, and long-term care facilities had set aside funds in their budgets for hand hygiene training.
A research team jointly led by Laurie Conway, RN, MS, CIC, a PhD student at Columbia Nursing, and Benedetta Allegranzi, MD, lead of the WHO infection control program Clean Care is Safer Care, surveyed compliance with WHO hand hygiene guidelines at a sample of 168 facilities in 42 states and Puerto Rico. Overall, 77.5 percent of facilities reported that alcohol-based sanitizer was continuously available at every point of care, the study found. About 1 in 10 facilities reported that senior leaders such as the chief executive officer, medical director, and director of nursing didn't make a clear commitment to support hand hygiene improvement, according to the study.
"When hospitals don't focus heavily on hand hygiene, that puts patients at unnecessary risk for preventable healthcare-associated infections," says Conway. "The tone for compliance with infection control guidelines is set at the highest levels of management, and our study also found that executives aren't always doing all that they can to send a clear message that preventing infections is a priority.
Hand hygiene is critical to preventing healthcare-associated infections, which kill about 100,000 people a year in the U.S. and cost about $33 billion to treat. The Centers for Disease Control and Prevention issued guidelines for hand hygiene in 2002, and the WHO followed suit in 2009.
"The survey also shows that facilities participating in the WHO global hand hygiene campaign achieved a higher level of progress," says co-author Didier Pittet, MD, MS, director of the infection control program and WHO Collaborating Center on Patient Safety, University of Geneva Hospitals and Faculty of Medicine in Geneva, Switzerland. "While hand hygiene compliance is the responsibility of every healthcare worker, U.S. healthcare facilities would certainly benefit from coordinated national and sub-national efforts aimed at hand hygiene improvement. They would also gather innovative ideas and trans-cultural approaches by participating in global efforts such as the WHO campaign."
The paper is titled "Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of American healthcare facilities." Elaine Larson, PhD, RN, FAAN, associate dean for research at Columbia Nursing, also contributed to the study.
Source: Columbia University School of Nursing
The 90’s Club: A Successful Hand Hygiene Adherence Campaign
July 9th 2024The "90’s SwipeSense Club" significantly improved hand hygiene adherence at Novant Health Thomasville Medical Center. By incentivizing adherence through 1990s-themed rewards and using SwipeSense technology to track hygiene practices, the hospital increased adherence rates from 53% in 2021 to 84% by May 2024.
Hand Hygiene Adherence in the Kingdom of Saudi Arabia: Safety Is Universal
July 1st 2024Hebah al Zamel, MSN, CIC, CPHQ, an infection preventionist in the Kingdom of Saudi Arabia and a member of ICT's Editorial Advisory Board, describes how hand hygiene is handled in Prince Sultan Cardiac Center in Qasim.
How Emerging Technologies Increase Hand Hygiene Adherence and Reduce Infections
June 24th 2024Health care-associated infections (HAIs) affect over 680,000 patients annually in the U.S. Unlike manual methods, automated hand hygiene monitoring can significantly improve compliance and reduce HAIs.