Business intelligence software helps improve hand hygiene compliance
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Key takeaways:
- Using business intelligence software, hand hygiene compliance data were shared in real time.
- Compliance rates increased to up to 98% by April 2023.
ORLANDO — Business intelligence software helped improve hand hygiene compliance by making data available and easily accessible in real time, researchers shared at the APIC 2023 meeting.
“University of Michigan Health has focused on measuring and improving hand hygiene compliance for more than 10 years,” Marissa Yee, MPH, CIC, infection preventionist at University of Michigan Health, told Healio. “When I was hired as the Hand Hygiene Data Coordinator in 2016, the institution’s hand hygiene compliance was already near 90%, with a goal of 100% compliance.”
According to Yee, hand hygiene compliance was being measured throughout the month and shared via a static dashboard about a week into the following month as the dashboard and accompanying graphs for every unit and department were manually created.
However, she explained that the delay in providing compliance data meant staff did not know their hand hygiene compliance until it was too late to improve their compliance for the month.
“This study was a continuation of our quality improvement efforts for our hand hygiene program,” said Harry Zhen, MPH, CIC, infection preventionist at University of Michigan Health, told Healio. “Specifically, we wanted to further increase and really sustain hand hygiene compliance to and above 95% by improving access to compliance data and providing important data points about noncompliance to help identify improvement opportunities.”
Yee, Zhen and colleagues created an interactive dashboard using business intelligence (BI) software to provide real-time access and analysis of hand hygiene data to improve and sustain compliance in 2018.
According to the study, key performance indicators were used in the dashboard designs to provide data at a glance that included current monthly compliance, month-over-month comparison and total number of missed hand hygiene opportunities.
Additionally, weekly compliance was also trended to show week-by-week performance, and red color schemes emphasized improvement areas.
One month after the dashboard was made available, 19 units at the University of Michigan Health improved compliance rates to 95% or higher, with at least 12 of those units — many of which had compliance rates already in the high 80s — having a 5% or higher improvement.
From implementation in November 2018 through February 2020, the dashboard had been accessed more than 25,000 times and garnered more than 80 custom views and subscribers. Additionally, institutional hand hygiene compliance was sustained at or above 95%.
According to additional data shared, compliance rates dropped to 86% in March 2021 because the program was paused during the pandemic, but the team reported that compliance rates have since risen to 98% as of April 2023 through reintroduction and use of the dashboards and real-time data sharing.
“Timely feedback or sharing of infection prevention data such as hand hygiene compliance data is important to react and respond,” Zhen said. “Use of BI software for interactive and dynamic data sharing and trending overtime may be useful for other infection prevention data (eg, central line-associated bloodstream infections, catheter-associated UTIs) and process improvement.”
References:
- Press release
- Yee M, et al. Data rather than germs on your fingertips: Leveraging business intelligence to improve and sustain hand hygiene compliance. Presented at: APIC 2023; June 26-28, 2023; Orlando.
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