Public Health Apps

Hand Hygiene Evaluation Checklist

Hand hygiene is the single most important component of healthcare-associated infection prevention. Effective hand hygiene strategies integrate environmental, personal, and organizational/operational elements. Continuous monitoring is helpful in preventing the spread of infectious disease and improving hand hygiene practices among healthcare workers. But the physical environment also plays a key role in promotion of hand hygiene. This checklist provides strategies for addressing infection control in facility design.

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Hand Hygiene Evaluation Checklist

Instructions: Evaluate the implementation of the following strategies for improving hand hygiene. Under each strategy, mark the relevant environmental, operational, and people measures that have been implemented. If other measures have been implemented, briefly describe them in the blank spaces below.

Date

Strategy #1: Increase knowledge/awareness through education

Environment

Computer Screensavers

Signs/posters

Operations/Process

Leadership support of hand hygiene improvement

Well-defined hand hygiene procedure

Education campaign to generate awareness

Hand hygiene message content designed for staff (e.g., gain- framed, personal safety)

Focus groups

People

Social influence (e.g., peer pressure through role modeling)

Motivation through financial and nonfinancial incentives (e.g., praise, recognition)

Strategy #2: Provide real-time monitoring/reminders

Environment

Sinks/dispensers in staff vision field during patient care

Color/materials to highlight sinks/dispensers

Signs (e.g., strip of bright red color on floor and wall) to direct attention to sinks/dispensers

Electronic monitoring system (e.g., electronic hand hygiene counters)

Video surveillance

Wireless technology

Automatic reminders (e.g., electronic motion-activated audible hand hygiene reminders)

Radio frequency identification (RFID) tracking systems

Operations/Process

Policy of providing feedback/reports

People

Patient engagement in monitoring and reminders

Verbal reminders from peers

Strategy #3: Make it easy to clean hands

Environment

Convenient locations of alcohol- based hand rub dispensers (e.g., bed rail, medical equipment, sanitizer-dispensing door handle device)

Wearable dispensers

Convenient locations and quantity of sinks

Automated alcohol hand hygiene dispensers (e.g., battery-operated, touch-free dispensers, foot- operated sinks)

Design allowing more time in patient care activities

Automatic reminders (e.g., electronic motion-activated audible hand hygiene reminders)

Radio frequency identification (RFID) tracking systems

Operations/Process

Workload that balances healthcare quality, safety, and efficiency

Process design (incorporate hand hygiene into workflow)

People

Personal habit (e.g., cleaning hands before entering a patient room)