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hygiene compliance at BEMC. Lastly, BEMC will see a decrease the rate of HAIs during the three-month course of this study.Strategies to Achieve OutcomesPowell et al. (2015) provide 73 evidence-based implementation strategies that can be used individually or in combination during the implementation process. For this project, seven ofthese strategies were utilized: 1.Assess for Readiness and Identify Barriers and Facilitators. The organizational assessment of BEMC was completed in February 2019 and showed they were indeed ready for implementation of a multi-modal hand hygiene intervention. 2.Stakeholder Engagement. Administrative support and stakeholder buy-in are critical for the success of an improvement project. 3.Audit and Feedback. Collecting data provides a means of monitoring through direct observation, evaluation, and opportunities to modify behavior related to hand hygiene practices at BEMC. The goal for the number of hand hygiene observation audits per month was 20. Feedback was provided by displaying compliance data in the staff break rooms each month. 5.Workflow Modifications. To meet this objective an evaluation of ABHR placement was performed at BEMC and concluded that more were needed for compliance to improve.6.Dynamic Training. Education was provided prior to and during the project period from February to April 2019. An educational booth on hand hygiene was provided at BEMC’s annual Skills Fair on February 22ndand 25th2019. Included were handouts and a station
4Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION Dfor staff utilizing the GlitterBuddyTM hand washing kit to demonstrate areas commonly missed during hand washing.7.Reminder Systems. This provides visual reminders to prompt staff on hand hygiene. This includes wash in/wash out signs by patient rooms and posters placed throughout the facility. LimitationsTime is a major limitation as there are only three months to implement strategies. This narrow window did not allow time to determine trends, impacts or sustainability of the project. Itis also a relatively small project and tailored for the specific needs of BEMC. As a result, it may prove difficult to apply the results to a larger organization with similar goals.