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This presentation was delivered in session A2 of Quality Forum 2014 by: Camille Ciarniello Director, Risk Management, Patient Safety and Patient Relations Providence Health Care
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Session A2: Perceptions of Hand Hygiene among Health Care Workers in British Columbia
Presented by Camille Ciarniello Director Risk Management, Patient Safety
and Patient Relations On behalf of the Provincial Hand Hygiene
Working Group
Summary
• Background • Participant Demographics • Survey Limitations • Key Findings • Conclusions
Level of Aspiration
8%
15%
22%
16%
11%
7% 7% 7%
11%
7%
18%
11%
8% 9%
0%
5%
10%
15%
20%
25%
Health Authority Response Rates 2012-2013
2012 2013
39%
2%
22% 24%
13%
42%
2%
25%
20%
11%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Professional Background of the Survey Participants
2012 2013
Awareness of Hand Hygiene Policy
93% and above of all participants know about the hand hygiene policy and how to clean hands
86% continue to identify hand hygiene as being important to their patients, colleagues and themselves
32% 30%
23% 19%
35% 41%
26% 23%
0%5%
10%15%20%25%30%35%40%45%50%
See Reports ForUnit
See Reports ForFacility
See Reports ForProfession
Receive MonthlyReports For
Facility
HCWs' Awareness of Hand Hygiene Compliance Reports (All)
2012 2013
85% 79%
85% 83%
0%10%20%30%40%50%60%70%80%90%
100%
See HH Reportfor the Unit
See HH Reportfor the Facility
See HH Reportfor Profession
Receive MonthlyReports at
Facility
Awareness of Hand Hygiene Compliance Reports
(HCWs Who Enter a Patient Room/Care Area)
41%
55%
80%
41%
55%
82%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Reminding aphysician
Reminding acolleague
Reminded bypatients
Comfortable in Reminding Others to Clean Hands (ALL)
2012 2013
75% 74% 72%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Reminding aPhysician
Reminding aColleague
Reminded by Patients
Comfortable in Reminding Others to Clean Hands (HCWs
Who Enter a Patient Room/Care Area)
67% 62%
66% 62%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Colleagues Promote HH in theFacility
Leaders and Senior ManagersPromote HH in the Facility
Promoting Hand Hygiene (ALL) 2012 2013
74% 74%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Colleagues Promote HH in theFacility
Leaders and Senior ManagersPromote HH in Facility
Promoting Hand Hygiene (HCWs Who Enter a Patient Room/Care
Area)
45%
79%
45%
73% 74% 69%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Satisfied WithFacility's Current HH
Compliance
Target of 80% orHigher Attainable
Job Discipline forConsistantly Non-compliant With HH
Perceptions on Satisfaction With Current HH Compliance, HH Target and Job Discipline
All Participants HCWs Who Enter A Patient Room
Culture
• HH more important to Self & patients than managers & colleagues
71% 71% 56%
80%
19%
77%
6% 6% 15%
5%
28%
6% 0%
10%20%30%40%50%60%70%80%90%
100%
Empty or Broken Soap, Paper Towels and Alcohol Hand Rub Dispensers
(ALL) 2012 2013
Progress?
• Improvement in awareness of frontline HCWs on HH compliance results (now that public posting is mandatory).
• Frontline HCWs recognize the importance of HH compliance and the potential need for consequences for noncompliance.
• Significant improvement in the perception that the BC Health Authorities are repairing and/or refilling, soap, paper towel or alcohol hand rubs dispensers.
Conclusions
Recommended