Session A2: Perceptions of Hand Hygiene among Health Care Workers in British Columbia

Presented by Camille Ciarniello Director Risk Management, Patient Safety

and Patient Relations On behalf of the Provincial Hand Hygiene

Working Group

Summary

• Background • Participant Demographics • Survey Limitations • Key Findings • Conclusions

Level of Aspiration

8%

15%

22%

16%

11%

7% 7% 7%

11%

7%

18%

11%

8% 9%

0%

5%

10%

15%

20%

25%

Health Authority Response Rates 2012-2013

2012 2013

39%

2%

22% 24%

13%

42%

2%

25%

20%

11%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Professional Background of the Survey Participants

2012 2013

Awareness of Hand Hygiene Policy

93% and above of all participants know about the hand hygiene policy and how to clean hands

86% continue to identify hand hygiene as being important to their patients, colleagues and themselves

32% 30%

23% 19%

35% 41%

26% 23%

0%5%

10%15%20%25%30%35%40%45%50%

See Reports ForUnit

See Reports ForFacility

See Reports ForProfession

Receive MonthlyReports For

Facility

HCWs' Awareness of Hand Hygiene Compliance Reports (All)

2012 2013

85% 79%

85% 83%

0%10%20%30%40%50%60%70%80%90%

100%

See HH Reportfor the Unit

See HH Reportfor the Facility

See HH Reportfor Profession

Receive MonthlyReports at

Facility

Awareness of Hand Hygiene Compliance Reports

(HCWs Who Enter a Patient Room/Care Area)

41%

55%

80%

41%

55%

82%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Reminding aphysician

Reminding acolleague

Reminded bypatients

Comfortable in Reminding Others to Clean Hands (ALL)

2012 2013

75% 74% 72%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Reminding aPhysician

Reminding aColleague

Reminded by Patients

Comfortable in Reminding Others to Clean Hands (HCWs

Who Enter a Patient Room/Care Area)

67% 62%

66% 62%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Colleagues Promote HH in theFacility

Leaders and Senior ManagersPromote HH in the Facility

Promoting Hand Hygiene (ALL) 2012 2013

74% 74%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Colleagues Promote HH in theFacility

Leaders and Senior ManagersPromote HH in Facility

Promoting Hand Hygiene (HCWs Who Enter a Patient Room/Care

Area)

45%

79%

45%

73% 74% 69%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Satisfied WithFacility's Current HH

Compliance

Target of 80% orHigher Attainable

Job Discipline forConsistantly Non-compliant With HH

Perceptions on Satisfaction With Current HH Compliance, HH Target and Job Discipline

All Participants HCWs Who Enter A Patient Room

Culture

• HH more important to Self & patients than managers & colleagues

71% 71% 56%

80%

19%

77%

6% 6% 15%

5%

28%

6% 0%

10%20%30%40%50%60%70%80%90%

100%

Empty or Broken Soap, Paper Towels and Alcohol Hand Rub Dispensers

(ALL) 2012 2013

Progress?

• Improvement in awareness of frontline HCWs on HH compliance results (now that public posting is mandatory).

• Frontline HCWs recognize the importance of HH compliance and the potential need for consequences for noncompliance.

• Significant improvement in the perception that the BC Health Authorities are repairing and/or refilling, soap, paper towel or alcohol hand rubs dispensers.

Conclusions