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The
single most common transmission of health care-associated
infections (HAIs) in a health care setting is via transiently
colonized hands of health care workers who acquire it from
contact with colonized or infected patients, or after handling
contaminated material or equipment. Monitoring hand hygiene
practices and the provision of timely feedback are vital to
improving compliance and, in turn, reducing HAIs.
Public reporting of hand hygiene compliance is about transparency
and establishing a baseline for our facility. TBRHSC is participating
in education provided by RICN and Public Health Units, as
well as providing on-site education to front line staff. We
are currently midway through our roll out of the "Just
Clean Your Hands” Ministry of Health initiative.
This is about a change in culture for our organization, including
point of care hand hygiene and education, in addition to when
and how to wash hands.
Hand hygiene compliance rates will be posted annually to
ensure enough data is collected to be statistically valid.
The reported rates provide a starting point to measure improvement
resulting from our hand hygiene initiatives and education
for the staff and users of the facility.

The Hand Hygiene Program at TBRHSC is aimed at reducing health
care-acquired infections. In addition, there is a strong collaboration
among Ontario hospitals, the provincial government and the
OHA to continually improve system performance.
Elements of the TBRHSC Hand Hygiene Program:
- Environmental changes and system supports
- Education for health care providers about when and how to
clean hands
- Senior management support and commitment to make hand hygiene
and organizational priority
- Patient engagement
- Opinion leaders and champions modeling the right behaviour
- Ongoing monitoring and observation of hand hygiene practices
with feedback to health care providers
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Provincially, hospitals are participating in the Ministry
infection prevention and control core competency education
program, using PIDAC’s best practice guidance documents.
They are implementing the provincial “Just
Clean Your Hands” campaign, as well as attending
educational sessions held by the OHA and the Regional Infection
Control Networks on a variety of infection prevention and
control topics.
Click here for
TBRHSC Patient Safety Indicators
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