Volume 7, Number 2—April 2001
THEME ISSUE
4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections
Prevention is Primary
Improving Adherence to Hand Hygiene Practice: A Multidisciplinary Approach
Didier Pittet
Table 3
Strategies for successful promotion of hand hygiene in hospitals
| Parameter | Tool for change | Selected referencesa |
|---|---|---|
| Education | Ea (M, S) | 14,23,63,74,76 |
| Routine observation and feedback | S (E, M) | 6,14,23,63,74,76 |
| Engineering controls | S | 63 |
| Make hand hygiene easy, convenient | S | 63,74,77,78 |
| Make available alcohol-based hand rub | S | 63 |
| Alcohol-based hand rub available in high-demand situations | S | 63,78 |
| Patient education | S (M) | 79 |
| Reminders in the workplace | S | 52,63 |
| Administrative sanctions, rewards | S | 3,20 |
| Change in hand hygiene agent | S (E) | 21,80 |
| Promote, facilitate skin care for HCW hands | S (E) | 17,21,47,63 |
| Obtain active participation at individual and institutional level | E, M, S | 46,63 |
| Ensure institutional safety climate | S (M) | 46,63 |
| Enhance individual and institutional self-efficacy | S (E, M) | 46,63 |
| Avoid overcrowding, understaffing, excessive workload | S | 9,15,63,81,82 |
| Combination of above strategies | E, M, S | 14,23,46,63,74 |
