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479,000 die each year in healthcare facilities from infections they acquire from their caregivers.
99,000 in hospitals / 380,000 in nursing homes/long-term care*

Overcoming Underwashing

Mike Mann's picture

Intensified Hand Hygiene Highlights APIC 2017

Healthcare kitchens escape measured scrutiny

Immersion into the topic of hand hygiene to reduce operational risk, filled the agenda at the 44th annual conference of the Association for Professionals in Infection Control. The suspicions of the past have now been confirmed by so many respected authorities. Data does change hand hygiene behaviors in a sustainable way.

Mike Mann's picture

Handwashing's Risk-Based Behavior Change

Facing the culture trap

Handwashing behaviors are primarily driven by assessment of risk. The Administration starts near the top of this pyramid, looking first to change the behaviors of caregivers via Nursing, Quality Assurance and Training. The C-Suite representatives are disengaged as there are no handwashing compliance reports to look at. They are content that Nursing & Operations has this under a modicum of control, undeterred by their inherent bias of productivity.

The Core Handwash

This poster is a no-charge download, designed as a training aid and a daily reminder of a more professional and productive 20 second handwash. The sequence listed in step #3 converts the mindless passing of time method to a make-sense increase in friction. This change also encourages the caregiver to think of handwashing as a process based on chemistry, physics and ergonomics.

 

Mike Mann's picture

Assumicide

Risks rise as immune systems fall

Too many healthcare risk managers are basing today's risks on yesterday’s threats.

Missed hand washes have new and costly consequences yet equipping caregivers with electronically assisted compliance systems is dangerously unhurried.  Observational monitoring techniques are too expensive to reach statistical significance. Electronic Hand Hygiene Monitoring, EHHM, compliments direct observation with its electronic, 24/7, “eyes”.

Jim Mann's picture

Innovation In Nursing Home Handwashing

Funding Enhanced Handwashing

The funding step for enhanced hand hygiene proposals fill the waste baskets and shredding machines of USA nursing homes. Everyone agrees on the need, no one pulls out the checkbook.

Catriona O’Connor, the Proprietor and Director of Care for a nursing home in Ireland has an answer that deserves a look. She simply ranks all her care programs on the basis of risk and takes the money from less risky elements. Her's is a person-centered P&L.

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