What’s Your Hand In It? is a Dragon’s Den-style competition where healthcare organizations submit their brilliant idea for evidenced-based hand hygiene improvement. We selected five entries who will be invited to pitch their ideas via WebEx to our panel of judges. The pitch to our panel of judges will take place virtually on STOP! Clean Your Hands Day - May 5, 2014. The panel of judges will provide instant feedback on your pitch and the winner will be announced live after all three pitches have been made. Watch all the hand hygiene idea pitches to our judges: http://bit.ly/10cZ7SZ

1. Patient as observer to
promote hand hygiene
In an ambulatory care setting
Valérie Dubois-Desroches, Clinical Manager
Philippe Fournier, Infection control RN

2. Continuous quality improvement
04/2011 09/2011 04/2012 09/2012 04/2013 09/2013
Série1 51,8 59,5 82,5 84,7 78,6 91,8
0
10
20
30
40
50
60
70
80
90
100
Inpatient hand hygiene
compliance rate
In ambulatory care unit?

3. Bittle, M. J., & LaMarche, S. (2009). Engaging the
patient as observer to promote hand hygiene
compliance in ambulatory care. The Joint
Commission Journal on Quality and Patient Safety,
35(10), 519-525.

5. Results
• 69 surveys given
• 84% participation rate
• 8 different clinics
• 7 RN assessed
• 1 student assessed
• 43 doctors assessed

6. Results
Health care
professionnals
Compliance %
RN 7/7 100%
MD 26/43 60,5%
Student 1/1 100%
Total 34/51 75,3%

7. Goals achieved
• Raise awarness
– Health care professionnals
– Doctors
– Patients and families
• Change in practice
• News ideas on AHBR dispensors location

8. Next steps
• Re measure
• Others clinics
– Orthopedics
– Day medecine unit
• Keep hand hygiene compliance as a
priority for patient safety