Monitoring adherence with hand hygiene and providing staff with feedback on their performance is strongly recommended and frequently suggested in recent literature. There are a range of tools available for assisting staff in calculating hand hygiene compliance and a number are currently under development. The hand hygiene audit tool is the authors choice and has been successfully used at Lewisham Hospital and is adapted from the NPSA (2004) clean your hands campaign.
85% of hospital infections are caused by contamination of hands and this costs the Trusts between 1.2-1.9 billion pounds a year. (DOH 2008).
Hand washing is widely acknowledged to be the single most important activity for reducing the spread of infection, yet evidence suggests that many healthcare professionals do not use the correct technique. This means that areas of the hands can be missed. The author feels that this is crucial in preventing and controlling infection and this is why the particular audit has been used. (See appendix 1)
The local Trust has implemented ‘bare below the elbows policy’ so the author has adapted the hand hygiene audit slightly to reflect this. It was implemented