why don't we wash out hands? chris nickson

WHY don’t we WASH OUR

HANDS?Chris Nickson

The Alfred ICUhttp://lifeinthefastlane.com/ccc/hand-hygiene/

No financial disclosures

The Problem

Image by Tom Adriaenssen http://www.flickr.com/photos/inferis/110652572/

“made me so miserable that life seemed worthless”

Image by Rafael Anderson Gonzales Mendoza https://www.flickr.com/photos/andercismo/2349098787

Source: http://en.wikipedia.org/wiki/File:Streptococcus_pyogenes.jpg

CADAVEROUS PARTICLES

The Problem

Today…

HAIHealthcare Associated Infection

10% of hospitalised patients

1 in 4 Are ICU patients

100,000 Deaths per year (USA)

$5 BILLION in costs per year (USA)

UTIWound infections

BSIVAP

Image by Vic (Flickr)

OUR HANDS ARE MEANT TO HEAL,

NOT KILL

FIRST, DO NO HARM

The Solution

The Solution

Today…

Image from the WHO “5 Moments of Hand Hygiene”

Timing is Everything

Hand Hygiene

Hand wash

Hand rub

We still do not wash our hands

Why don’t we wash our hands?

NOT A HAPPYMAN!

“You Herr Professor have been a partner in this massacre!”

“I declare before God and the world that

you are a murderer!”

Wash your flippin’ hands!

Photo by Darwin Bell

COMPLEX BARRIERS

LACK OF EVIDENCE?

POOR DESIGN

LACK OF FOCUS

OBSESSION WITH AUDIT

LACK OF FEEDBACK

“I forgot”

“I forgot”“I’m busy”

“I forgot”“I’m busy”

“I didn’t use my hands”

WHAT IS DIRTY?

Image by Vic (Flickr)

BAD CULTURE

CULTUREMATTERS

ROLE MODELS

Image by Tasha Sturm

Final Words…

http://lifeinthefastlane.com/ccc/hand-hygiene/

CULTUREMATTERS

http://lifeinthefastlane.com/ccc/hand-hygiene/

http://lifeinthefastlane.com/2009/04/laws-for-the-navigation-of-life/

The 22nd of Peter Safar’s Laws for the Navigation of Life

It is up to us to save the

world!