5Running Head: EVIDENCE-BASED PRACTICE PROPOSALAbstractHealthcare acquired infections are the most common complication of hospital care in the United States, with subsequent negative implications on the healthcare system. While hand hygiene has long been considered the single most important and cost-effective way of reducing healthcare-acquired infections, compliance among healthcare professionals is low, and most effortsto improve fail. When compared to single-component hand hygiene interventions, research demonstrates that tailored multi-modal interventions are an effective way to improve compliance with hand hygiene practices among healthcare professionals. Dana Gill, this project’s director, in affiliation with Baylor Emergency Medical Center, will focus on implementing a multi-modal hand hygiene intervention, tailored to fit the specific needs of Baylor Emergency Medical Center, to determine its effect on compliance and sustainability of hand hygiene practices among healthcare professionals. Results demonstrate an increase in organization-wide hand hygiene compliance and improved reporting from multiple departments following project implementation.
6Running Head: EVIDENCE-BASED PRACTICE PROPOSALImplementation of a Multi-modal Hand Hygiene InterventionIn 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 infectionsand 99,000 deaths each year” (AHRQ, 2017, p. 1). The Centers for Disease Control and Prevention (2018) estimates “at any given time, one in 25 hospitalized patients has a HAI, meaning that almost 650,000 patients contract a HAI annually” (p. 1). 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). This project focused on hand hygiene compliance and the perceptions among healthcare professionals on hand hygiene and its impact on HAIs at Baylor Emergency Medical Center (BEMC) in Burleson, Texas. In addition to an organizational assessment, a thorough appraisal of current hand hygiene literature was undertaken to identify effective hand hygiene compliance strategies. Over the past year, BEMC has made efforts to improve low rates of hand hygiene compliance throughout the organization with limited success. Therefore, the focus of this project