http://www.modernhealthcare.com/article/20161203/MAGAZINE/312039999
The 604-bed pediatric hospital in Columbus, Ohio, had excellent hand hygiene, according to self-reported surveys. But when leaders installed observers to covertly monitor handwashing and hand sanitization habits, compliance was less than 60%.
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Dirty hands are linked with healthcare-acquired infections, which are both deadly and costly. In 2011, nearly 722,000 such infections occurred in hospitals, and about 75,000 patients with those infections died.
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the average healthcare provider cleans his or her hands less than half the number of times they ought to, according to the Centers for Disease Control and Prevention.
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To effectively draw its staff's attention to hand hygiene, Nationwide Children's ultimately decided on a stand-down, an intervention borrowed from the military. In the 15-minute drill, which took place twice—once in the morning and once in the evening—on a single day in spring 2010, everyone and everything except essential patient care ground to a halt.
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And if they, as units and as individuals, did not meet 90% compliance rates or were caught failing to comply, they would have to meet with the chief medical officer or chief nursing officer, or their designates, to explain why.
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“We didn't know how effective that would be,” Davis said. “It turns out it's pretty embarrassing to be called to the principal's office to explain why you're not doing your job.”
Within a month of the stand-down, compliance rates hit 90%, and they've stayed that way for six years. Davis and his colleagues published the results of their intervention in the Journal of Patient Safety. Davis said separately that healthcare-acquired infection rates had dropped significantly in several categories, including surgical site infections and central line infections.
NHS hospitals that outsource cleaning linked with higher rates of MRSA
http://medicalxpress.com/news/2016-12-nhs-hospitals-outsource-linked-higher.html
The superbug is becoming increasingly difficult to treat. As from 2005, trusts have been required to regularly report incidents of MRSA, which has enabled researchers to produce empirical evidence for the first time that compares the rates of infection in hospitals that outsource cleaning with those using in-house cleaners. They calculate that, on average, the incidence of MRSA infection between 2005 and 2009 was 2.28 in every 100,000 bed days in trusts that outsourced their cleaning, compared with 1.46 bed days in trusts that used in-house cleaners –.a difference of almost 50 per cent. However, the research also highlights that trusts which used outsourced cleaners did save money.