Using the six sigma process to implement the centers for disease control and prevention guideline for hand hygiene in 4 intensive care units

Abstract

The Six Sigma process was effective for organizing the knowledge, opinions, and actions of a group of professionals to implement the CDC's evidence-based hand hygiene practices in 4 ICUs. Several tools were developed for widespread use.

Standardizing Umbilical Catheter Usage in Preterm Infants

“…Published evidence indicates that reducing the incidence of sepsis and CLABSI requires a multifaceted approach including adoption of best practices in skin preparation, hand hygiene, 20,21 IV hub cleansing, 22,23 standardized processes for inserting and maintaining central lines, 24 early feeding and standardized advancement schedules, 25 changing staff perceptions 26,27 of infection prevention, and increasing family engagement. 28 Our results are consistent with those of others who have reported improvements in process outcomes through systematic implementation and evaluation of QI interventions.…”

Hand Hygiene

“…in particular through alcohol-based handrubbing, could help improve adherence, 615,656,720 Three recent publications evaluating the implementation of the CDC hand hygiene guidelines 58 in the USA tend to concur with these results and considerations. [726][727][728] Various other studies have confirmed an inverse relation between intensity of patient care and adherence to hand hygiene. Perceived barriers to adherence with hand hygiene practice recommendations include skin irritation caused by hand hygiene agents, inaccessible hand hygiene supplies, interference with HCW-patient relationships, patient needs perceived as a priority over hand hygiene, wearing of gloves, forgetfulness, lack of knowledge of guidelines, insufficient time for hand hygiene, high workload and understaffing, and the lack of scientific information showing a definitive impact of improved hand hygiene on HCAI rates.…”

“…Educate HCWs about the type of patient-care activities that can result in hand contamination and about the advantages and disadvantages of various methods used to clean their hands (II). 60,657,663,666,670,715,716,727,814,939,1022 C. Monitor HCWs' adherence to recommended hand hygiene practices and provide them with performance feedback (IA). 60,633,651,657,663,666,670,676,686,687,715,939 D. Encourage partnerships between patients, their families, and HCWs to promote hand hygiene in health care settings (II).…”

Diminishing Complications in Continuous Ambulatory Peritoneal Dialysis Process via Six Sigma Methodology

“…automative, food, software, financial, education, textile and construction industries (Bilgen and Sen;2012;Hung and Sung, 2011;Antony and Fergusson, 2004;Heckl et al, 2010;Jenicke et al, 2008;Taner, 2012a;Taner, 2013). In healthcare, it was implemented in the processes of stent insertion (Taner et al, 2013), ophthalmological surgeries (Ozturker et al, 2014;Sahbaz et al, 2014a;Sahbaz et al, 2014b;Sahbaz et al, 2014c;Sahbaz et al, 2014d;Sahbaz et al, 2014e;Sahbaz et al, 2014f;Taner, 2012b;Taner et al, 2014a;Taner et al, 2014b), diagnostic imaging , emergency room (Miller et al, 2003), intensive care (Eldridge et al, 2006), paramedic backup (Taner and Sezen, 2009), laboratory (Nevalainen et al, 2000), radiology (Cherry and Seshadri, 2000), pharmacy (Arafeh et al, 2014), hemodialysis (Ekinci et al, 2015) and surgical site infections (Pexton and Young, 2004).…”