1 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION B Evidence-Based Practice Proposal – Section B: Problem Description Dana Gill Grand Canyon University February 26, 2019
2 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION B Evidence-Based Practice Proposal – Section B: Problem Description Introduction and Background In healthcare organizations around the world “hospital acquired infections (HAIs) are the most common complication of hospital care in the United States, resulting in 1.7 million infections and 99,000 deaths each year” (AHRQ, 2017, p. 1). The Centers for Disease Control and Prevention (2018, p. 1) estimates “that at any given time, one of every 25 hospitalized patients in the United States has a HAI, meaning that nearly 650,000 patients contract a HAI annually.” An extraordinary financial burden has been placed on the healthcare system from HAIs that has led to an increased cost for patients, hospitals and insurance companies (Kingston, O’Connell, & Dunne, 2015). The average cost of HAIs annually in the United States is approximately $28 to $45 billion (Kingston, O’Connell, & Dunne, 2015). PICOT Will the staff and Baylor Emergency Medical Center in Burleson, Texas improve hand hygiene compliance using multi-modal interventions for proper hand hygiene compared to current practices and thereby reduce the risk of HAIs in patients over a twelve-week period. Purpose and Objectives The purpose of this EBP is to introduce a multimodal hand hygiene intervention (MHHI) into BEMC to improve compliance and reduce the risk of HAIs to patients. Literature supports a multimodal approach hand hygiene compliance improvement among healthcare professionals. Staff members at BEMC have expressed their willingness to participate in this initiative.
3 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION B Objectives are aimed at improving and maintaining hand hygiene practices in order to improve compliance and reduce the risk of HAIs. The MHHI includes five components retrieved from the WHO-5 (2018): visual cues, education, feedback, leadership and accountability, and adequate hand hygiene products. The objectives included: Identifying current knowledge and perception of hand hygiene and HAI transmission at BEMC;
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