Search our Database of Scientific Publications and Authors

I’m looking for a
    The Safety Stand-down: A Technique for Improving and Sustaining Hand Hygiene Compliance Among Health Care Personnel.
    J Patient Saf 2015 Mar 23. Epub 2015 Mar 23.
    From the *Director of Epidemiology, Division of Infectious Diseases, †Department of Pediatrics, Division of Critical Care, ‡Department of Pediatrics, Division of Neonatology, and §Assistant to the Chief Medical Officer and Emeritus Professor of Clinical Surgery, The Ohio State University, Columbus, Ohio; and ∥Nationwide Children's Hospital, Columbus, Ohio.
    Objectives: Hand hygiene (HH) is critical to prevent health care-acquired infections. However, compliance by health care workers remains between 30% and 70% at most institutions. Most efforts to improve compliance have proven ineffective. The objective of this study was to determine whether a safety stand-down can improve HH compliance.

    Methods: We adapted and borrowed from the military an approach known as a stand-down. A mandatory Hand-Hygiene Leadership Safety Summit was called for all hospital leaders-physicians and nonphysicians. Four days later, a hospital-wide 15-minute-long safety stand-down occurred, during which all nonessential activity was suspended and action plans to improve HH compliance were discussed. All medical sections and hospital departments were required to submit written action plans. After the stand-down, HH compliance monitoring was increased, and noncompliers were required to speak to senior hospital administration.

    Results: Compliance increased from less than 65% to greater than 95% (P < 0.001) and has been sustained for 3½ years.

    Conclusions: A health care safety stand-down can be an effective method to rapidly change and sustain culture change regarding HH in the inpatient hospital setting.

    Similar Publications

    Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative.
    Med J Aust 2011 Nov;195(10):615-9
    Infectious Diseases Department, Austin Health, Melbourne, VIC, Australia.
    Objective: To report outcomes from the first 2 years of the National Hand Hygiene Initiative (NHHI), a hand hygiene (HH) culture-change program implemented in all Australian hospitals to improve health care workers' HH compliance, increase use of alcohol-based hand rub and reduce the risk of health care-associated infections.

    Design And Setting: The HH program was based on the World Health Organization 5 Moments for Hand Hygiene program, and included standardised educational materials and a regular audit system of HH compliance. The NHHI was implemented in January 2009. Read More
    Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.
    BMJ Qual Saf 2012 Dec 21;21(12):1019-26. Epub 2012 Jul 21.
    Department of Medicine, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
    Background: Evidence that hand hygiene (HH) reduces healthcare-associated infections has been available for almost two centuries. Yet HH compliance among healthcare professionals continues to be low, and most efforts to improve it have failed.

    Objective: To improve healthcare workers' HH, and reduce healthcare-associated infections. Read More
    Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.
    Int J Nurs Stud 2013 Apr 28;50(4):464-74. Epub 2012 Aug 28.
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
    Background: Improving hand hygiene compliance is still a major challenge for most hospitals. Innovative approaches are needed.

    Objective: We tested whether an innovative, theory based, team and leaders-directed strategy would be more effective in increasing hand hygiene compliance rates in nurses than a literature based state-of-the-art strategy. Read More
    [Investigation on compliance of hand hygiene of healthcare workers].
    Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2008 Oct;30(5):546-9
    Department of Infection Control, Peking University First Hospital, Beijing 100034, China.
    Objective: To investigate the hand hygiene (HH) compliance and its influencing factors in order to improve the HH of healthcare workers (HCWs).

    Methods: HH compliance of HCWs in randomly sampled departments in our hospital was observed and recorded single-blindly by specially-trained staffs using a uniform method.

    Results: The total compliance rate of HH of HCWs was 30. Read More