1002. Self-Assessments of US Healthcare Facilities Participating in the World Health Organization’s “SAVE LIVES:  Clean Your Hands” Campaign – 2011
Session: Poster Abstract Session: Hand Hygiene 2012
Friday, October 19, 2012
Room: SDCC Poster Hall F-H
  • Conway ID Week Poster 52 x 28.pdf (344.9 kB)
  • Background: The World Health Organization (WHO) Hand Hygiene Self-Assessment Framework (HHSAF) is a validated tool for evaluation of hand hygiene infrastructure, promotional activities, performance monitoring and feedback, and institutional commitment in health-care facilities. The Framework consists of 27 indicators weighted and grouped into 5 components of 100 points each, and summed as a total score of 500. Our objective was to describe hand hygiene promotion infrastructures and resources within US healthcare facilities using the HHSAF, and to identify predictors of levels.

    Methods: All US healthcare facilities registered for the WHO Save Lives: Clean Your Hands campaign (n=2238) were invited via email to complete the HHSAF and submit their scores confidentially to WHO in Fall 2011. Logistic and ordinary least squares regression were used to assess multiple predictors.

    Results: 129 facilities participated (response rate=5.8 %).  Mean total score was 373 (SD 70.8). Component scores were uniformly high for System Change (median 100, IQR 5) and lowest for Institutional Safety Climate (median 60, IQR 35). Facilities with >0.75 infection preventionists (IP) per 100 beds had averaged total scores 36 points higher than facilities with lower IP staffing (CI 8-64, p=0.012) and significantly higher odds of having high Education and Institutional Safety Climate component scores (OR 3.4, CI 1.4-8.3, and OR 3.1, CI 1.2-7.6; respectively). Facilities participating in hand hygiene campaigns other than WHO Save Lives had averaged total scores 41 points higher than facilities not participating (CI 15-67, p=0.002) and significantly higher odds of having high Education and Institutional Safety Climate component scores (OR 2.5, CI 1.1-5.7, and OR 2.6, CI 1.1-5.9; respectively).

    Conclusion: On average, US healthcare facilities report intermediate levels of hand hygiene promotion. Adequate IP staffing and participation in hand hygiene campaigns predicted superior hand hygiene infrastructure and promotion activities, and likely reflects a good level of organizational commitment to safe care.  Facilities with more IPs or a focus on hand hygiene may have been more likely to respond; however, the survey highlights components which need attention even in the best hospitals.

    Laurie Conway, RN, MS, CIC1, Benedetta Allegranzi, MD2, Katherine Ellingson, PhD3, Elaine Larson, PhD, RN, FIDSA, FSHEA1 and Didier Pittet, MD, MS4, (1)Columbia University School of Nursing, New York, NY, (2)World Alliance for Patient Safety, World Health Organization (WHO), Geneva, Switzerland, (3)Centers for Disease Control and Prevention, Atlanta, GA, (4)Infection Control Program, University of Geneva Hospitals, Geneva, Switzerland


    L. Conway, None

    B. Allegranzi, None

    K. Ellingson, None

    E. Larson, Deb Healthcare: Grant Investigator, Research grant
    Clorox: Grant Investigator, Research grant
    Gojo: Consultant, Research support

    D. Pittet, None

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