Table 2.
process | Potential Mechanisms for Process Measurement | Practice Interventions Associated with Improved Compliance |
---|---|---|
Handwashing [79,80] | Direct observation [150,151] | Patient, caregiver, and hospital staff handwashing education initiatives [153] |
Physician and staff financial incentives [153] | ||
Frequent reminders [152] | ||
Timely and frequent audits [154] | ||
Individual feedback to promote accountability [154] | ||
Amount of soap used [152] | ||
Screen patients and visitors for symptoms of acute respiratory illness[79] | Direct assessment for all persons entering the transplantation unit | Consider highly reliable interventions 155, 156, 157, 158 |
Screening station at entry of unit | ||
Unit door locks for entry to limit entry onto unit without screening | ||
Encourage sick or at-risk employees to stay home [78,79] | Number of employees self-reporting | Staff education of when self-reporting should be completed [159] Adoption of a just culture for self-reporting [160]; self-reporting is encouraged and rewarded and focuses not on individual blame, but on improving health |