Successful Implementation of an Electronic Application in Reinvigorating a Healthcare Organization's Hand Hygiene Program

Abstract

<h3>Background</h3> Our organization prioritizes the importance of a comprehensive hand hygiene program in promoting patient safety but found it challenging to meet regulatory requirements and to operationalize an efficient program. Recognizing that manual observations were labor intensive and automated hand hygiene was cost prohibitive, we looked to an innovative, inexpensive electronic application (app) to reinvigorate our hand hygiene program. <h3>Methods</h3> In 2021, our facility's hand hygiene committee, with support from senior leadership, developed and led a strategic plan to develop and implement a meaningful hand hygiene campaign with timeline for completion. This plan included a beta pilot to implement an innovative, affordable electronic app in all licensed inpatient and outpatient departments including nursing units, and surgical services over a five-month time period. Each area is required to submit a minimal number of observations per month which was calculated using regulatory guidelines. Manual tallies are no longer required. Data is submitted and analyzed electronically and available to act upon in real time. The strategic plan included comprehensive training, education, and continued feedback at all levels from bedside staff to administration. <h3>Results</h3> Upon complete implementation of our electronic application our monthly hand hygiene observations went from averaging a few hundred per month to 9000 observations per month. Transitioning from a manual to an electronic program has also resulted in a staggering cost savings of four full time employees for an approximated cost savings of 250,000 dollars annually. Additionally, a survey of all staff observers revealed that ninety three percent found the app to improve their workflow and save them time. <h3>Conclusions</h3> Through development, and implementation of this comprehensive electronic hand hygiene initiative our organization was able to meet all regulatory requirements, engage staff, increase patient safety, and recognize a significant cost savings for our organization. Senior leadership's support was key in the success of this program.