Percent Hand Hygiene Compliance by Day (Observational Audit)

0

20

40

60

80

100

% compliance 45 32 43 55 67 44 54 65 89 90 94 92 76 54 56 67 98 88 90 88 90 91 94 94 92

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Case Study 1

The Infection Control team collected data for 25 days in a row. The first week they did a poster campaign and made hand sanitizer available outside every room. The goal of the campaign is to have 95% compliance.

Avg Surgical Suite TAT

0

5

10

15

20

Day

Min

utes

TAT 12 2 14 3 15 3 14 13 4 15 2 15 2 13 4 14 2 14 18 3 18 14 4 14 13

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Case Study 2

The VP of Surgery has asked the Ortho Dept to reduce turnaround time. This is the data they collected over 25 days. What would you advise?

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Percent of cases with checklist 56 57 54 65 67 56 67 88 67 43 66 54 65 76 54 65 76 65 88 65 64 84 90 87 90

0102030405060708090

100

Percent of Cases with Checklist Complete

Target 85%

Case Study 3

This department has been working to implement the surgical checklist and has an aim that 85% of surgeries will have the checklist completed. You have been working with the team and have been collecting data weekly for the last 25 weeks. What does this data show and what are next steps?

Percent of Cases with Checklist Complete

0

20

40

60

80

100

Percent of cases w ith checklist 33 54 34 54 34 44 45 47 55 44 56 57 60 64 65 68 69 70 74 75 76 75 76 77 79

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Target 85%

Case Study 4

This department has been working to implement the surgical checklist and has an aim that 85% of surgeries will have the checklist completed. You have been working with the team and have been collecting data weekly for the last 25 weeks. What does this data show and what are next steps?