H AND H YGIENE Everyone is already at 100%, so why are we talking about this?!

Slides:

Advertisements

Similar presentations

2014 National Patient Safety Goals

Advertisements

An Imperative for Performance Improvement

SIM Delivery System Reform Status FFY Q1, SIM Delivery System Reform Driven by Maine Quality Counts Overall Delivery System Reform Status:Green.

Safety Guidelines Illness and Injury Prevention Safety Guidelines Illness and Injury Prevention 2.01 Understand safety procedures 1.

Medical Center Hospital is a Joint Commission Accredited Organization.

© Copyright, The Joint Commission Quality Tools Available for Critical Access Hospitals December 16, :00-3:00pm CST.

EnvironmentalSafety 2.01 Understand safety procedures 1.

[Hospital Name | Presenter name and title | Date of presentation]

Chapter 10 Health, Safety, and Preparedness

Infection Control Germ Buster Game 1 Infection Control Germ Buster Round 1 2.

Infection Prevention Medicine Service Nursing Service Volunteers * Joint Commission Center for Transforming Healthcare.

Introduction to Standard 2: Partnering with consumers Advice Centre Network Meeting Nicola Dunbar October 2012.

1 CHCOHS312A Follow safety procedures for direct care work.

2015 National Patient Safety Goals and the Older Adult Julie Pope Nurs 4292 Spring I Columbus State University.

Hand Hygiene Measurement Technology

© Copyright, The Joint Commission 2013 National Patient Safety Goals.

Objectives To assess the effectiveness of strategies designed to improve hand hygiene behaviour among healthcare workers To assess the barriers to hand.

Transforming Community Services: Staff engagement and clinical leadership NHS Leeds Innovation in Community Services – Transforming Community Services.

What is it? Why it is so important?

© Copyright, The Joint Commission Performance Improvement: Getting Started in Your ASC Dana Dunn RN, MBA, CNOR, CASC Certified Yellow Belt Field Representative,

© Joint Commission Resources AMP with FSA Step-by-Step Guide to Implementing AMP in your Organization Step 1-Developing Teams Jeanette Snell, RN, MSN Clinical.

JCAHO UPDATE June The Bureau of Primary Health Care is continuing to encourage Community Health Centers to be JCAHO accredited. JCAHO’s new focus.

Scaled Up and Spread Agency for Healthcare Research and Quality 2011 Bernard Roberson, MSM, BA, HSC Administrative Director Patient Family Centered Care.

Module 3. Session DCST Clinical governance

Worker / Patient Safety: Steps in a Culture Change Mary Margaret Jackson Director, Performance Outcome Services Self Regional Healthcare.

Toward Eliminating Central Line Associated Blood Stream Infections.

CLABSI Supplemental Call Series Best Practices: How Successful Units Engaged Their Senior Executive Leaders October 18, 2011 Presenters: Jonathan Kling,

Update on the Australian Commission on Safety and Quality in Health Care Update on the Australian Commission on Safety and Quality in Health Care Presentation.

The Expectation Triad Healthcare Engineering Consultants Regulatory Compliance: “Ensuring that all of the required standards are being met”

The Joint Commission’s 2011 National Patient Safety Goals.

© Copyright, The Joint Commission 1 Joint Commission Center for Transforming Healthcare Introduction: Hand Hygiene Targeted Solutions Tool ® (TST)

Carol VanDeusen Lukas, EdD

Improving the Culture of Hand Hygiene Deborah Scott RN, Infection Prevention QI Specialist.

1 Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 7 Health Care Regulatory and Certifying Agencies.

AHRQ Safety Program For Long-Term Care: HAIs/CAUTI Module 1: Using the Comprehensive Long-Term Care Safety Toolkit: Applying Safety Principles.

National Patient Safety Goals (NPSGs)

© Copyright, The Joint Commission 2015 National Patient Safety Goals.

Environmental Cleaning Tool Kit Funded through the AORN Foundation and supported by a grant from Ecolab Quality in Environmental Cleaning Module 6.

© Copyright, The Joint Commission 2014 National Patient Safety Goals.

H AND H YGIENE C OMPLIANCE : “G OING B ACK TO B ASICS ” Greater NY York APIC Chapter 13 November 19, 2014 Presented by: Saungi McCalla, MSN, MPH, RN, CIC.

A Team Members Guide to a Culture of Safety

Nurse Empowerment On the CUSP: Stop BSI

Eshley May Pacamalan University of Central Florida.

AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Toolkit: Building a Culture of Safety National Content Webinar April 16, 2015.

PREVENTION Kaplan University Capstone NU499 VENTILATOR – ASSOCIATED PNEUMONIA VAP PREVENTION at Sparks Regional Medical Center.

Medical Center Hospital is a Joint Commission Accredited Organization.

CASA 2014 Accreditation Essentials of Joint Commission Accreditation Pamela Roark Field Representative, Ambulatory Care Program The Joint Commission.

Driving to Results: Key Changes and Leadership Behaviors: Management Systems to Deploy & Sustain the Improvements David Munch M.D. IHI Faculty Chief Clinical.

HSE - Prevention of Falls A Joint Presentation by: Antoinette Malone, Clinical Placement Co-Ordinator Nursing Practice Development Department Connolly.

The Illinois Clostridium difficile Prevention Collaborative.

Done by: Sandra Goodall Liza McGill Elecia Trowers Vivarian Malcolm.

QUALITY CARE/NPSG’S NUR 152 Week 16. OBJECTIVES Define quality improvement and the methods used in health care to ensure quality care. State understanding.

The Joint Commission’s 2011 National Patient Safety Goals

The Joint Commission’s National Patient Safety Goals

Developing a Quality Management Plan December 2005

What is the role of a school psychologist?

PIECES: A Robust Approach to Infection Control

2017 National Patient Safety Goals

Increase compliance of Personal Protective Equipment

The Joint Commission’s National Patient Safety Goals

Safety Guidelines Illness and Injury Prevention

Hand Hygiene & Contact Precautions Compliance Improvement Story

Engaging Patients and Families as Partners

Monitoring Compliance monitoring

Quality Tools Available for Critical Access Hospitals

Safety Guidelines Illness and Injury Prevention

Quality patient care is at the core of all we do

Safety Guidelines Illness and Injury Prevention

Environmental Cleaning Tool Kit

Presentation transcript:

H AND H YGIENE Everyone is already at 100%, so why are we talking about this?!

Hand Hygiene “Advanced Math”

Hand Hygiene Guru

T HE J OINT C OMMISSION National Patient Safety Goal (NPSG ) Comply with either the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the current World Health Organization (WHO) hand hygiene guidelines. Elements of Performance 1. Implement a program that follows categories IA, IB, and IC of either the current Centers for Disease Control and Prevention (CDC) or the current World Health Organization (WHO) hand hygiene guidelines. (See also IC , EP 5) 2. Set goals for improving compliance with hand hygiene guidelines. (2. See also IC , EP 3) 3. Improve compliance with hand hygiene guidelines based on established goals.

P ROGRAM I NFRASTRUCTURE System Change Training and Education Evaluation and Feedback Reminders in the Workplace Institutional Safety Climate Multimodal hand hygiene improvement strategy CDC-WHO Partnership to Assess HH Infrastructure at Healthcare Facilities

J OINT C OMMISSION C ENTER FOR T RANSFORMING H EALTHCARE Targeted Solutions Tool™ (TST) is an innovative application that guides health care organizations through a step-by-step process to accurately measure their organization’s actual performance, identify their barriers to excellent performance, and direct them to proven solutions that are customized to address their particular barriers H abit A ctive Feedback N o One Excused D ata Driven S ystems

H AND H YGIENE BUNDLE 1. Establish ongoing monitoring and feedback on infection rates 2. Establish administrative leadership and support 3. Establish a multidisciplinary design and response team 4. Provide on-going education and training for staff, patients, families and visitors 5. Ensure hand hygiene resources are accessible facility wide and at the point of care 6. Reinforce hand hygiene behavior and accountability 7. Provide reminders throughout the health care setting 8. Establish on-going monitoring and feedback of hand hygiene compliance AJIC. Vol.40, No.4, Supplement 1. May 2012.

P OLICY AND P ROCEDURE Expectations Products Procedures Program Description

P RODUCT P LACEMENT

C OMMUNICATION : E DUCATION /R EMINDING Healthcare Workers Family/Visitors Patients

M ONITORING Joint Commission Monograph Measuring Hand Hygiene Adherence: Overcoming the Challenges (2009) iScrub

F EEDBACK Patient Survey Data Observation Data Real Time Engagement

T ECHNOLOGY FOR R EMINDING, M ONITORING AND C OMPLIANCE

A N OLDIE, BUT A G OODIE ?!

C ULTURE OF S AFETY ( HIGH R ELIABILITY O RGANIZATIONS ) Shared value/beliefs about safety in organization Always anticipating precarious events Informed employees and medical staff Culture of reporting Learning culture “Just culture” Blame-free environment Team work environment Culture of continuous improvement Empowering families to participate Informed and activated patient Source: Safe Design