Hand Hygiene Rewards Program at William Osler Health System

Hand Hygiene Rewards Program at William Osler Health System

A Canadian study done in 2003 stated 220 000 patients are afflicted with hospital acquired infections in Canada every year

8,000 to 12,000 of those individuals will die as a result of acquiring a hospital acquired infection

Hand Hygiene Compliance Hand hygiene is very important to prevent and control the transmission of infections. Our data analysis from daily hand hygiene audits indicated our compliance rates were low when compared to the Ontario provincial average

Hand Hygiene Compliance Hand hygiene is very important to prevent and control the transmission of infections. Our data analysis from daily hand hygiene audits indicated our compliance rates were low when compared to the Ontario provincial average

What can we do??? Introduction of Wash to Win rewards Campaign May 7 th 2012

Phase I ran from May 2012 to September 2012 and targets were 75% before patient/patient environment contact and 80% after patient/patient environment contact.

Phase II ran from October 2012 to December 2012 and targets were raised to 85% before patient/patient environment contact and 90% after patient/patient environment contact.

Phase lll of the wash to win is being implemented. A random draw will take place amongst the units that meet and sustain the targets for two consecutive months between January 2013 to December 2013.

The program was implemented in partnership with regular staff education, daily auditing and monthly circulation of compliance rates among staff.

Why do it? To bring about behavioural and cultural change in order to sustain improved hand hygiene among staff.

Prizes All inpatient units and emergency departments which met and sustained hand hygiene targets for two consecutive months won a monetary prize.

Results There was a sustained increase in Osler s hand hygiene compliance rates in phase I. During phase II the targets were increased. At this point the compliance rate dropped

Hand Hygiene Compliance (%) 120 100 80 60 40 20 0 65 Corporate Hand Hygiene Compliance Rates Before initial patient/patient environment contact Median =76 70 57 64 64 70 66 72 76 70 74 77 80 Rewards Program Phase 1 Month 88 88 88 86 89 86 76 81 Rewards Program Phase 2

Hand Hygiene Compliance (%) 120 100 80 60 40 20 0 Corporate Hand Hygiene Compliance Rates After initial patient/patient environment contact Median =88 79 82 73 69 77 83 86 86 83 79 88 91 92 96 94 95 97 95 92 95 94 Rewards Program Phase 2 Rewards Program Phase 1 Months

Total units Participated & Total Gifts: A total of 37 units participated in the wash to win rewards program. The IPAC team gave out 60 awards to the various units during May and September 2013

Lesson learned Positive reinforcement does change people s behaviour. Rewards are most effective when it occurs immediately after the compliance rates have been published.

When the program was started the targets should have been set to 100% for both before and after patient/patient environment contact The program should continue for 18-24 months.

In order to increase public and staff awareness, monthly hand hygiene compliance posters have been placed on every unit. These are updated on a monthly basis.

Monthly Hand Hygiene posters

Conclusion When staff wash before patient contact everybody wins! Patient, staffs and visitors are kept safe and infection-free!

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