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Dear All,
There was a debate in the UK parliament, Westminster Hall on 15/5/2018 in
relation to hand hygiene compliance.The parliament was told that actual hand hygiene compliance is only 18% –
44% in the UK and that direct observation is grossly overestimating HH
compliance rates (Hawthorn effect).The discussion has implications for direct observation of hand hygiene
compliance programs in Australian healthcare settings.It is time to review our direct observation HH compliance strategies and the
significant infection control resources committed to such programs across
Australia.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
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Thank you Glenys
This needs to be escalated and appropriate action taken in Australia because
I would strongly suggest that our rates are debatable!I will be interested to hear how others view this
Thank you
MichelleMichelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au
http://www.infectionprevention.com.auGlenys Harrington
Dear All,
There was a debate in the UK parliament, Westminster Hall on 15/5/2018 in
relation to hand hygiene compliance.The parliament was told that actual hand hygiene compliance is only 18% –
44% in the UK and that direct observation is grossly overestimating HH
compliance rates (Hawthorn effect).The discussion has implications for direct observation of hand hygiene
compliance programs in Australian healthcare settings.It is time to review our direct observation HH compliance strategies and the
significant infection control resources committed to such programs across
Australia.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.Archive of all messages are available at http://aicalist.org.au/archives –
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message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Glenys
I’m not sure I’d agree that the current Australian HH audit system is broke and parliamentary records are not necessarily representative of what is really going on ! We should remember what we had before HHA came into existence. In fact the load on infection control services has been minimised by training auditors who are link nurses etc. We now have such a brace of auditors that the main problem is keeping them credentialed. Our audits go across a large number of facilities each time and work pretty well like clockwork. We all have invested a lot of work in getting things to where they are and we have seen measurable gains in terms of SAB reduction etc. I think we should focus not on revolution but rather tinkering with the system.
A huge issue to me is that we medicos are still largely allowed to operate in a parallel universe, with no real accountability system ensuring that we (in NSW at least) have even completed 5 moments training or shock/horror been competency assessed for HH, PPE or aseptic technique. Aside from the College of Surgeons, it seems that the other colleges are dodging and weaving still and that is where ACIPC and ASID should be pushing +++. For instance our medical advanced trainees still have no explicit expectation put on them by the RACP concerning expectations of inf control practice during exams etc. We allow doctors to get about in all sorts of gear (suits, coats etc) or theatre scrubs and no-one wants to say boo. Why can’t we adopt a bare below elbow standard nationally? Can we hear more about the Cognitive Institute’s recent aust. pilot into Vanderbilt style accountability systems please? Royal Melb Hosp has been part of that pilot.
Other possible improvements:
a) At one of our sites, we’ve had the experience of a well credentialed external auditor conducting most of the HH audits for the past two audits. We have seen compliance there fall considerably indicating to me that all locations should adopt an approach to auditing whereby auditors are always drawn from a different ward or hospital (proper independent auditing).
b) We know also that the initial audit figures from a session are more indicative of actual practice and so, we should not allow for auditing at any site to go on for more than say 30 mins max.
c) We should ensure that audits occur more frequently than thrice yearly and across all shifts with at least monthly feedback of data to cadres and managers
d) Integrating HH auditing with AT audits
e) More careful operational research – what is working , what is not, how valid are results, what effects are improvements in HH having, why are medicos not getting engaged with the system? etc
Best wishes
JohnDr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | HNE Local Health District
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]Dear All,
There was a debate in the UK parliament, Westminster Hall on 15/5/2018 in relation to hand hygiene compliance.
The parliament was told that actual hand hygiene compliance is only 18% – 44% in the UK and that direct observation is grossly overestimating HH compliance rates (Hawthorn effect).
The discussion has implications for direct observation of hand hygiene compliance programs in Australian healthcare settings.
It is time to review our direct observation HH compliance strategies and the significant infection control resources committed to such programs across Australia.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales Government..
________________________________MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Glenys
There is a question that impacts our understanding of this reported data: Is the measurement of hand hygiene compliance undertaken in the UK and Australia in the same structural environment?
The Cleanyourhands campaign with 5 moments auditing was introduced in the UK in 2006(?) but has not been maintained in recent years. As far as I know there is no centralised data reporting and no framework to ensure auditing compliance. (I’m happy to be informed on this!)
This means we can’t be sure the reported data would be measured to be the same here. It might be.
That also doesn’t mean we shouldn’t try to develop and use automated monitoring. After all, not every healthcare organisation has invested in decentralising hh audits.
CheersLincoln Fowler
Infection Prevention Nurse ConsultantBairnsdale Regional Health Service
http://www.brhs.com.auThink Green, read it from the screen.
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Dear All,
There was a debate in the UK parliament, Westminster Hall on 15/5/2018 in relation to hand hygiene compliance.
The parliament was told that actual hand hygiene compliance is only 18% – 44% in the UK and that direct observation is grossly overestimating HH compliance rates (Hawthorn effect).
The discussion has implications for direct observation of hand hygiene compliance programs in Australian healthcare settings.
It is time to review our direct observation HH compliance strategies and the significant infection control resources committed to such programs across Australia.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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