1. Measurement for Quality
Improvement:
Hand Washing Impact Analysis on the
Occurrence of Diarrhea in a Viet Nam
Hospital
Thuy Trang Nguyen Thi
Hloniphani Juta
Jasmine Paul
Lara Kesteloo

2. What are we Measuring?
Problem Change EFFECT

3. How do we Measure the Effect?
Through data collection (quantitative) or observation
(qualitative)
Quantitative Data: Qualitative Data: involves
involves analysis of analysis of words, objects,
numerical data or experiences
• Surveillance • Feedback to units for
• Benchmarking areas of improvement
• Intervention • Patient satisfaction
• Evaluation

4. Ways to Measure Infection
Control: Qualitative/Quantitative
Data
• Audit units at random times to measure (quantitative):
i. the amount of hand washing done
ii. effectiveness of hand washing
iii. compliance from the staff
• Auditor(s) can then provide feedback to managers and nurse
leaders of the unit for strengths and weaknesses (qualitative):
– E.g. Hand washing is consistent, but is not done thoroughly for at
least 30 seconds between patients

5. Ways to Measure Infection
Control: Qualitative/Quantitative
Data
• Measure whether patients obtained an infection prior to
entering the hospital or after entering the hospital through a
simple assessment form upon admittance/discharge:
– Allows the unit to determine if they need to make a change (increase
education/training, create incentives/rewards to motivate nurses, add
hand washing stations, or stay as they are
– Allows the infection control department to determine whether units
are keeping up to standard or not

6. Why Measure and What are the
Implications?
Know Impact on
Patient
Diarrhea Incidence
Confidentiality
and Prevalence
Measurement Know Staff Habit
Techniques changes
Know Effect of
Perceived Trust Hand Washing
Programs
Temporary Know if Change
Compliance Needed

7. References
• Asberg, R., Hummerdal, D., & Dekker, S. (2011). There are no qualitative methods – nor
quantitative for that matter: The misleading rhetoric of the qualitative-quantitative argument.
Theoretical Issues in Science, 5, 408-415
• Erkan, T., Findik, U. Y., & Tokuc, B. (2011). Hand-washing behaviour and nurses’
knowledge after a training programme. International Journal of Nursing Practice 17(5),
464-489. doi: 10.1111/j.1440-172X.2011.01957.x
• Hornby, A., Sally, W., Colin, M., Joanna, T., & Micheal, A. (2005). Oxford advanced
learner's dictionary. Oxford University Press
• Ilminen, G.R. (2003). Improving healthcare quality measurement: Quality in healthcare.
Retrieved April 24, 2012 from
• http://www.texas-
quality.org/SiteImages/125/Reference%20Library/Healthcare%20Measurement%20-
%20Ilimen.pdf
• O’Reilly, K. (2011). Hospitals’ high-tech tools track who’s washing their hands. American
Medical News. Retrieved from
http://www.lexisnexis.com.ezproxy.library.uvic.ca/hottopics/lnacademic/?shr=t&csi=349321
&sr=HLEAD(Hospitals%27+hightech+tools+track+who%27s+washing+their+hands)+and+
date+is+April,%202011

8. References
• Office of Quality Improvement University of Wisconsin-Madison. (2000). Creating
measures of success for your plan. Retrieved April 24, 2012, from
http://oqi.wisc.edu/resourcelibrary/uploads/resources/Creating%20Measures%20of%
20Success%20for%20Your%20Plan.pdf
• Polat, S., Gurol, A. P., & Cevik, U. (2011). Hand hygiene compliance of nurses: A 5-
unit observational study in North-Eastern Anatolia. International Journal of Nursing
Practice, 17(4), 435-440. doi: 10.1111/j.1440-172X.2011.01954.x
• Shears, P., Prtak, L., & Duckworth, R. (2010). Hospital-based epidemiology: A
strategy for dealing with clostridium difficile. Journal of Hospital Infection, 74(4),
319-325
• Stevens, M.P., Hunter, J.D., Ober, J.F., Bearman, G., & Edmond, M.B. (2010).
Watching them wash: Description of a hand hygiene observation program. Infection
Control & Hospital Epidemiology , 31(2), 198-19

9. Search Strategy
• Utilized previous presentations for
sources of measurement
• Reviewed chapter in textbook by
Batalden on measurement strategies
• Researched on peer-reviewed servers
such as CINHAL and PubMed

10. Collaboration
• As a group we outlined the
presentation and split it into four
parts
• We individually created our own
parts then worked together to join
them into one presentation