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Kaiser Permanente National Hand Hygiene Program.

Sue Barnes, Dana Barron, Linda Becker

    The Permanente Journal
    |December 26, 2015
    PubMed
    Summary
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    Implementing a national hand hygiene program increased compliance by 26% and reduced healthcare-associated infections. The initiative also significantly decreased the use of artificial nails in healthcare settings.

    Area of Science:

    • Healthcare Infection Control
    • Public Health Interventions
    • Epidemiology

    Background:

    • Hand hygiene is critical for preventing healthcare-associated infections.
    • Waterless, alcohol-based skin degermers and eliminating artificial nails are recognized infection prevention strategies.
    • Kaiser Permanente (KP) launched a national hand hygiene initiative in 2001.

    Purpose of the Study:

    • To increase hand hygiene compliance across the KP organization.
    • To evaluate the impact of a national hand hygiene program on infection rates.
    • To promote infection control through standardized practices.

    Main Methods:

    • Implemented a national hand hygiene program including education and standardized products.
    • Eliminated the use of artificial nails for healthcare personnel.

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  • Monitored outcomes such as hand hygiene compliance and infection rates.

    • Main Results:

    • Achieved a 26% increase in hand hygiene compliance.
    • Observed a decrease in bloodstream infections and methicillin-resistant Staphylococcus aureus (MRSA) infections.
    • Reduced artificial nail usage by 97% nationwide by May 2003.

    Conclusions:

    • KP leadership endorsement facilitated widespread program implementation.
    • Outcome indicators suggest the hand hygiene initiative has been successful.
    • Final outcome monitoring was scheduled for completion in December 2003.