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[Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
Thanks, Moderator]One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.
This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.
I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.
I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .
Concerned experienced Infection Prevention and Control Professional.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.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 there,
I too was asked to do something similar.
The approach my facility undertook was to conduct an ongoing Quality Improvement Activity – “modified audit” as an educational training program for the last 4 years.
The intern group are allocated to a HH auditor for an hour and follow other teams, it usually takes 2 weeks to rotate through the interns. The focus is on Medical staff (and was initiated by the DMS in response to disappointing hand hygiene rates) and they are named in the modified tool. ALL teams are aware of the activity and the results are collated only by the Medical Education/DMS team and then privately discussed with any individuals whose performance is lower than benchmark. The generic results of Surgeons vs Medical vs Paeds etc. and Consultant vs Reg vs Interns are displayed during Grand Rounds.
This has resulted in a lot of healthy competition between streams and a MARKED sustained improvement in compliance rates. It also gives the interns a really thorough understanding of WHEN and WHY hand hygiene moments are required.I would suggest that you approach your executive and suggest a targeted “Quality Improvement Activity” of short duration, rather than a systemic, ongoing, “name and shame” approach.
I’m more than happy to share the presentation I delivered at the ACIPC conference in Melbourne if the question author wants to correspond with me directly.
Debra Lee
Clinical Nurse Consultant
Infection Management and Prevention Service
West Block – Ground floor
Redcliffe Hospital
Redcliffe, Qld 4020
debra.lee@health.qld.gov.au
metronorth.health.qld.gov.au
(Make Prevention Your Intention)
[Values in Action]
[Facebook]
[Twitter]
[LinkedIn]
follow us on social mediaMetro North Hospital and Health Service
[Description: Putting people first][Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
Thanks, Moderator]One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.
This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.
I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.
I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .
Concerned experienced Infection Prevention and Control Professional.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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 acipclist@acipc.org.au
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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 acipclist@acipc.org.au
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Can I add these audits are not submitted to HHA (or NHHI) as the interns are not accredited auditors!
Cheers,
Deb(Make Prevention Your Intention)
IMPS – Redcliffe
P: (07) 3883 7300
debra_lee@health.qld.gov.auHi there,
I too was asked to do something similar.
The approach my facility undertook was to conduct an ongoing Quality Improvement Activity – “modified audit” as an educational training program for the last 4 years.
The intern group are allocated to a HH auditor for an hour and follow other teams, it usually takes 2 weeks to rotate through the interns. The focus is on Medical staff (and was initiated by the DMS in response to disappointing hand hygiene rates) and they are named in the modified tool. ALL teams are aware of the activity and the results are collated only by the Medical Education/DMS team and then privately discussed with any individuals whose performance is lower than benchmark. The generic results of Surgeons vs Medical vs Paeds etc. and Consultant vs Reg vs Interns are displayed during Grand Rounds.
This has resulted in a lot of healthy competition between streams and a MARKED sustained improvement in compliance rates. It also gives the interns a really thorough understanding of WHEN and WHY hand hygiene moments are required.I would suggest that you approach your executive and suggest a targeted “Quality Improvement Activity” of short duration, rather than a systemic, ongoing, “name and shame” approach.
I’m more than happy to share the presentation I delivered at the ACIPC conference in Melbourne if the question author wants to correspond with me directly.
Debra Lee
Clinical Nurse Consultant
Infection Management and Prevention Service
West Block – Ground floor
Redcliffe Hospital
Redcliffe, Qld 4020
debra.lee@health.qld.gov.au
metronorth.health.qld.gov.au
(Make Prevention Your Intention)
[Values in Action]
[Facebook]
[Twitter]
[LinkedIn]
follow us on social mediaMetro North Hospital and Health Service
[Description: Putting people first][Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
Thanks, Moderator]One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.
This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.
I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.
I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .
Concerned experienced Infection Prevention and Control Professional.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland 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.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Our organization has continued to use the LOCAL Audit within the Audit program in parallel with our National schedule. When undertaking a “local” audit we will step in as appropriate and with discretion (rather than name and shame) immediately the issue has been identified. We will discuss the missed opportunity and perhaps troubleshoot the clinical practice issue at the time.
These audits are not counted in our National data and allow us to give instant feed back to the individual when a missed opportunity has been observed. This has been well received across the range of health professional and as feedback is given in real time appears to have had an impact on compliance.
Regards
CoralieCoralie Tyrrell | Manager Infection Prevention & Control Monday-Thursday| P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au”WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community”
[cid:image001.jpg@01CEB51E.65D9EC30]
WGHG is committed to achieving culturally safe health practices for Aboriginal and Torres Strait Islander people.
We acknowledge the traditional owners of the land on which our services are located, and we pay our respects to Elders past, present and future.
Please consider the environment before printing this email[Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
Thanks, Moderator]One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.
This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.
I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.
I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .
Concerned experienced Infection Prevention and Control Professional.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Hi All,
Sorry to revive an oldish thread, I was on leave and pondering this while there.The National Audit data for period 2 2019 has overall compliance at 85.7%. This is an improvement from where we started and a lot of resources, locally and nationally, have been used to get to this point. While there are arguments as to the value for money this represents what this data and initiative does do is set an expectation for practice. This is internally at the local level, and externally both nationally (from government) and professionally (through health care worker registration standards).
If a health care worker does not meet the standard of practice expected why shouldn’t they be called out on it? What Coralie presents below is a form of doing this. If that worker continues to not meet the standard required what are the next steps? If we consider hand hygiene important for patient safety why shouldn’t we “name and shame” those that continue to not meet these professional expectations by reporting them to their registering body?
There are systematic barriers to hand hygiene so this reporting of individuals is not palatable. What are we doing to overcome these? Are we setting evidence based expectations (compliance rates) if we can’t overcome all obstacles to being compliant? Should these vary between settings, hospitals, wards etc.? At what point to we name and shame organisations for putting patients at risk for not responding requests to enable better hand hygiene?
One of the criticisms of Infection Prevention is that we are often seen to enforce arbitrary and non-evidenced based policy and procedures (no water bottles for staff, you can have a therapy pony in ICU but not reusable theatre caps). I personally think that hand hygiene risks falling into that area. We know it is important but we are not really sure how important enough to set hard limits. We have a lot of compliance data but we can’t use that to really set a benchmark for practice because of systematic differences and barriers. This is why we can’t name and shame health care workers/organisations. If we were so sure that a repeatedly poorly compliant health care worker was putting patients at risk we would have to report them to their registering body, just like we would if we saw them risking patients by practising poorly in another way and not responding to other interventions.
I certainly don’t have answers for this but given the importance placed on hand hygiene, and the resources used, I think we as a specialisation need to work on setting hard benchmarks that can be used to call out individuals/organisations. If we can’t do that then maybe we should be rethinking what we are doing with hand hygiene.
Cheers Matt
Lecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auOur organization has continued to use the LOCAL Audit within the Audit program in parallel with our National schedule. When undertaking a “local” audit we will step in as appropriate and with discretion (rather than name and shame) immediately the issue has been identified. We will discuss the missed opportunity and perhaps troubleshoot the clinical practice issue at the time.
These audits are not counted in our National data and allow us to give instant feed back to the individual when a missed opportunity has been observed. This has been well received across the range of health professional and as feedback is given in real time appears to have had an impact on compliance.
Regards
CoralieCoralie Tyrrell | Manager Infection Prevention & Control Monday-Thursday| P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au”WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community”
[cid:image001.jpg@01CEB51E.65D9EC30]
WGHG is committed to achieving culturally safe health practices for Aboriginal and Torres Strait Islander people.
We acknowledge the traditional owners of the land on which our services are located, and we pay our respects to Elders past, present and future.
Please consider the environment before printing this email[Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
Thanks, Moderator]One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.
This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.
I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.
I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .
Concerned experienced Infection Prevention and Control Professional.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
Please consider the environment before printing this email.
This email is confidential. If received in error, please delete it from your system.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 acipclist@acipc.org.au
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