D implementation model46 e timeline47 f resource

Conceptual Model……………………………………………………………...45
d) Implementation Model…………………………………………………………46
e) Timeline………………………………………………………………………..47
f) Resource List…………………………………………………………………..48
g) Proposal Instruments…………………………………………………………..49
G(a). Hand Hygiene Knowledge Assessment…………………………49
G(b). Pre-Implementation Survey……………………………………..51
h) Data Collection Tool…………………………………………………………..54
i) Budget…………………………………………………………………………56
j) Approval Forms……………………………………………………………….57
k) Handouts………………………………………………………………………58
l) Evaluation Tools…………………………………………………………… .... 60
1. Post-Implementation Survey……………………………………...60

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Running Head: EVIDENCE-BASED PRACTICE PROPOSAL
Abstract
Healthcare 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 efforts
to 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.

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Running Head: EVIDENCE-BASED PRACTICE PROPOSAL
Implementation of a Multi-modal Hand Hygiene Intervention
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) 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