983. Hand Hygiene not only the Motion but the Moments

Abstract

BackgroundHand hygiene (HH) is a paradigm of infection prevention.Often emphasis has been placed on appropriate motion of hand hygiene.The implementation of the 5 moments of HH in clinical practice hindered by the perceived enormous lift of educating healthcare providers.Hand Hygiene Moments Opportunities MethodsRetrospective evaluation of education on WHO 5 moments of HH implementation. Other data collected CLABSI, CAUTI, MDR Acinetobacter, MRSA, Clostridium difficile LabID. Education occurred between October and December 2018. Data was collected from January 2018 to December 2019. Baseline 5 Moments of HH was obtained for 3 weeks prior to education as this was newly introduced. Statistical analyses using control charts with testing for special cause variations included all data point before and after education of 5 moments of HH. We used Pearson correlation to assess relation between HAI and HH. 5 moments of HH education was done through direct observation with feedback, traditional lecturing, and computer-based education mandatory to all employees and posters placed in strategic locations through the institution. Determination of patient and hospital zone allowed to streamline the education process. Education on different moments was individualized for each discipline in accordance to its involvement with patients.Zones by Lay Out Patient Zone and Hospital Zone ResultsEducation increased HH compliance over the 12 months period post intervention. The number of observations per moment per month ranged between 96 and 351 observations most observation opportunities during moment 1 (M1) and 5 (M5).M1 correlated positively significantly with moment 2 (M2) (P=0.001) moment 3 (M3) (p < 0.001) moment 4 (M4) (p =0,001) but not moment 5 (M5)M2 correlated positively with M3 (p < 0.001), M4 (p< 0.001) Not M5. M3 correlated positively with M4(p< 0.001) Not M5No Correlations between CLABSI, CAUTI, CDI, MRSA and M1-M5 or Hand Hygiene.There is a correlation between the decrease in MDR Acinetobacter incidence and point prevalence and compliance with M1 (p 0.04), M2 (p < 0.001), M3 (p 0.002) and M4 (p 0.028).ConclusionEducation of 5 moments of HH in a combined effort between infection prevention and front-line staff to identify patient and hospital zone showed an increased adherence to Hand hygiene overtime. Compliance with M 1 was associated with increased compliance with M2, M3 and M4.Disclosures Raquel Nahra, MD, Medline sponsored the study (Other Financial or Material Support, Supported financially and provided material)