Perceptions of Hand Hygiene among Health Care Workers in British Columbia

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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

Published in: Health & Medicine
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Perceptions of Hand Hygiene among Health Care Workers in British Columbia

  1. 1. 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
  2. 2. Summary • Background • Participant Demographics • Survey Limitations • Key Findings • Conclusions
  3. 3. Level of Aspiration
  4. 4. Health Authority Response Rates 2012-2013 2012 25% 2013 22% 20% 18% 16% 15% 15% 11% 10% 5% 0% 8% 7% 11% 11% 7% 7% 8% 9% 7%
  5. 5. 50% Professional Background of the Survey Participants 45% 40% 2012 42% 2013 39% 35% 30% 25% 25% 22% 20% 11% 10% 0% 20% 13% 15% 5% 24% 2% 2%
  6. 6. 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
  7. 7. HCWs' Awareness of Hand Hygiene Compliance Reports (All) 2012 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 2013 41% 32% 35% 30% 23% 26% 23% 19% See Reports For See Reports For See Reports For Receive Monthly Unit Facility Profession Reports For Facility
  8. 8. Awareness of Hand Hygiene Compliance Reports (HCWs Who Enter a Patient Room/Care Area) 100% 90% 85% 85% 79% 80% 83% 70% 60% 50% 40% 30% 20% 10% 0% See HH Report for the Unit See HH Report for the Facility See HH Report Receive Monthly for Profession Reports at Facility
  9. 9. 100% Comfortable in Reminding Others to Clean Hands (ALL) 90% 2012 2013 80% 80% 82% 70% 60% 55% 55% 50% 41% 41% 40% 30% 20% 10% 0% Reminding a physician Reminding a colleague Reminded by patients
  10. 10. 100% Comfortable in Reminding Others to Clean Hands (HCWs Who Enter a Patient Room/Care Area) 90% 80% 75% 74% 72% Reminding a Physician Reminding a Colleague Reminded by Patients 70% 60% 50% 40% 30% 20% 10% 0%
  11. 11. Promoting Hand Hygiene (ALL) 2012 80% 70% 67% 2013 66% 62% 62% 60% 50% 40% 30% 20% 10% 0% Colleagues Promote HH in the Facility Leaders and Senior Managers Promote HH in the Facility
  12. 12. Promoting Hand Hygiene 100% (HCWs Who Enter a Patient Room/Care Area) 90% 80% 74% 74% Colleagues Promote HH in the Facility Leaders and Senior Managers Promote HH in Facility 70% 60% 50% 40% 30% 20% 10% 0%
  13. 13. Perceptions on Satisfaction With Current HH Compliance, HH Target and Job Discipline 100% All Participants HCWs Who Enter A Patient Room 90% 79% 80% 73% 74% 69% 70% 60% 50% 45% 45% 40% 30% 20% 10% 0% Satisfied With Facility's Current HH Compliance Target of 80% or Higher Attainable Job Discipline for Consistantly Noncompliant With HH
  14. 14. Empty or Broken Soap, Paper Towels and Alcohol Hand Rub Dispensers 100% (ALL) 2012 2013 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 71% Culture 77% 80% 71% 56% 15% 6% 6% 5% • HH more important 28% 19% to Self & 6% patients than manager s& colleague s
  15. 15. Progress?
  16. 16. Conclusions • 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.

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