The recommendations include developing a multidisciplinary
team in which representatives from administrative and unit-level leadership
work together to establish a hand hygiene program that best fits each
institution. The program should include clear performance targets and an action
plan for improving adherence, according to the guidelines.
An INQRI-funded study published last year in Critical
Care Medicine found that a nurse-led intervention combining a “bundle” of
evidence-based practices with a comprehensive safety program dramatically
reduced the mean rate of health care-associated infections. The study was
conducted by David Thompson and Jill Marsteller associate professors at Johns Hopkins University in the School
of Medicine and Bloomberg School of Public Health, respectively, and by J.
Bryan Sexton now at the Duke University Health System Patient Safety Center.
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