| Title: |
Sustained Improvement in Hand Hygiene Adherence: Utilizing Shared Accountability and Financial Incentives |
| Authors: |
Talbot, Thomas R.; Johnson, James G.; Fergus, Claudette; Domenico, John Henry; Schaffner, William; Daniels, Titus L.; Wilson, Greg; Slayton, Jennifer; Feistritzer, Nancye; Hickson, Gerald B. |
| Source: |
Infection Control & Hospital Epidemiology ; volume 34, issue 11, page 1129-1136 ; ISSN 0899-823X 1559-6834 |
| Publisher Information: |
Cambridge University Press (CUP) |
| Publication Year: |
2013 |
| Description: |
Objective. To evaluate the impact of an institutional hand hygiene accountability program on healthcare personnel hand hygiene adherence. Design. Time-series design with correlation analysis. Setting. Tertiary care academic medical center, including outpatient clinics and procedural areas. Participants. Medical center healthcare personnel. Methods. A comprehensive hand hygiene initiative was implemented in 2 major phases starting in July 2009. Key facets of the initiative included extensive project planning, leadership buy-in and goal setting, financial incentives linked to performance, and use of a system-wide shared accountability model. Adherence was measured by designated hand hygiene observers. Adherence rates were compared between baseline and implementation phases, and monthly hand hygiene adherence rates were correlated with monthly rates of device-associated infection. Results. A total of 109,988 observations were completed during the study period, with a sustained increase in hand hygiene adherence throughout each implementation phase ( P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1086/673445 |
| Availability: |
https://doi.org/10.1086/673445; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0195941700034135 |
| Rights: |
https://www.cambridge.org/core/terms |
| Accession Number: |
edsbas.20DBD36B |
| Database: |
BASE |