title: A lean Six Sigma team increases hand hygiene compliance and reduces hospital-acquired MRSA infections by 51%.
abstract: A low hand hygiene compliance rate by healthcare workers increases hospital-acquired infections to patients. At Presbyterian Healthcare Services in Albuquerque, New Mexico a Lean Six Sigma team identified the reasons for noncompliance were multifaceted. The team followed the DMAIC process and completed the methodology in 12 months. They implemented multiple solutions in the three areas: Education, Culture, and Environment. Based on methicillin-resistant Staphylococcus aureus (MRSA) mortality research the team's results included an estimated 2.5 lives saved by reducing MRSA infections by 51%. Subsequently this 51% decrease in MRSA saved the hospital US$276,500. For those readers tasked with increasing hand hygiene compliance this article will provide the knowledge and insight needed to overcome multifaceted barriers to noncompliance.
authors.affiliation: ccarbonea@phs.org
authors.forename: Clark
authors.initials: C
authors.lastname: Carboneau
authors.forename: Eddie
authors.initials: E
authors.lastname: Benge
authors.forename: Mary T
authors.initials: MT
authors.lastname: Jaco
authors.forename: Mary
authors.initials: M
authors.lastname: Robinson
mesh_terms: D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control* / Q000635:transmission; D019983:Guideline Adherence; D006235:Hand Disinfection / Q000379:methods / Q000592:standards*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007318:Inservice Training; D055624:Methicillin-Resistant Staphylococcus aureus; D011785:Quality Assurance, Health Care; D013203:Staphylococcal Infections / Q000382:microbiology / Q000517:prevention & control* / Q000635:transmission