Webinar 3 - Patient Involvement in Hand Hygiene
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Transcript of Webinar 3 - Patient Involvement in Hand Hygiene
Patient Involvement in Hand Hygiene: Patient-as-Observer Approach
Jessica NgManager, Infection Prevention & Control
Sheila Le-AbuyenInfection Prevention & Control Practitioner
Wednesday, April 24th, 2013
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Women’s College Hospital (WCH)
Public Health Ontario’s Just Clean Your Hands Program
Hand Hygiene (HH) Auditing
• Physical environment• Type of care provided• Resources required
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What is the Patient-as-Observer (PAO) Approach?
• Adapted an alternative auditing method to address concerns unique to ambulatory setting
• Patients as observers for HH compliance of HCPs
What is the Process?
• Multidisciplinary working group• Staff engagement• Data collection
What is the Process?
• Multidisciplinary working group– Developed workflow, staff engagement strategy, survey
tools and timeline together– Ongoing input in shaping pilot
What is the Process?
• Staff engagement– HH product location and use– Provided necessary education/training
What is the Process?
• Staff engagement– Working group meetings– Presentation to
department– All users’ memo– Update meetings– Emails
What is the Process?
• Data collection– Trained volunteers to distribute and collect survey cards– Shared results through regular email updates
What is the Process?
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What is the Process?
What is the Process?
• Data collection– Survey card return rate: 76%– Hand hygiene compliance rate: 97%
Next Steps
– Present pilot results to department
– Expansion to rest of department
– Adoption in other ambulatory clinics/departments conducive to PAO method
Challenges
• Managing preconceived notions about HH auditing• Dependence on volunteers
Lessons Learned
• Viable alternative to direct observation HH auditing
• Fewer resources cost-effective
• Patient-centered design to maximize response rates
• Engagement through multidisciplinary working group
• Utilization of volunteers in non-traditional ways
• Means to engage, empower and educate patients
Thank you! Questions?