1. How in the real world are wemeasuring PPE compliance?
2. WHO guidelines for Handhygiene
http://www.who.int/gpsc/5may/background/5moments/en/inde
x.html
3. Perceived barriers to adherence withhand hygiene.... skin
irritation caused by hand hygiene agents inaccessible hand hygiene
supplies interference with HCWpatient relationships patient needs
perceived as a priority over hand hygiene wearing of gloves
forgetfulness lack of knowledge of guidelines insufficient time for
hand hygiene high workload and understaffing lack of scientific
information showing a definitive
4. So from our Fishbone Data....
5. Personnel Incident reports Surveys Education and training
Communication
6. Environment Use of signage Counting the amount of PPE
equipment being used Determining perceived comfort Changing
hospital policy Making sure the equipment is available and in good
supply Ease of access
7. Patients Education in the form of posters, signage,
advertisements Use of an assessment scale And the use of
surveys
8. How successful is PPEcompliance in the real world?This is
what I found....
9. The Joint Commission.... The Association for Professionals
in Infection Control and Epidemiology, Inc. The Centres for Disease
Control and Prevention The Institute for Healthcare Improvement The
National Foundation for Infectious Diseases The Society for
Healthcare Epidemiology of America The World Health Organization
World Alliance for Patient Safety
10. According to the JointCommission... Observation Product
measurement Surveys
11. Using multiple methods to measurehand hygiene...
Triangulation, or the use of more than one approach to study the
same phenomenon. multiple perspectives can provide more and
different information
12. Another example from the JointCommission.... Direct
observation by frontline health care workers and training others to
do the same Gathering of information about patients perceptions of
health care worker hand hygiene practices, using a patient
satisfaction survey. Monitoring of hand hygiene product usage
system wide
13. Deciding on which aspects toobserve Type of product or
agent used Thoroughness of cleaning Glove use
14. Determining who to observe Nurses, nursing assistants,
orderlies, physicians, medical residents, pharmacists, and
therapists Technicians/technologists Nonclinical staff
Environmental staff Pastoral care, social workers, discharge
planners Food service staff Transporters Vendors Students,
visitors, patient sitters, parents/guardians
15. Determining who will conductobservations: Infection
preventionists Other trained personnel Use of patients