why don't we wash out hands? chris nickson
TRANSCRIPT
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!
