title: Using Workflow Diagrams to Address Hand Hygiene in Pediatric Long-Term Care Facilities.
abstract: Hand hygiene (HH) in pediatric long-term care settings has been found to be sub-optimal. Multidisciplinary teams at three pediatric long-term care facilities developed step-by-step workflow diagrams of commonly performed tasks highlighting HH opportunities. Diagrams were validated through observation of tasks and concurrent diagram assessment. Facility teams developed six workflow diagrams that underwent 22 validation observations. Four main themes emerged: 1) diagram specificity, 2) wording and layout, 3) timing of HH indications, and 4) environmental hygiene. The development of workflow diagrams is an opportunity to identify and address the complexity of HH in pediatric long-term care facilities.
authors.affiliation: Jonas Nurse Scholar, Columbia University School of Nursing, New York, NY. Electronic address: em2473@columbia.edu.
authors.forename: Eileen J
authors.initials: EJ
authors.lastname: Carter
authors.affiliation: Program Director, Center for Interdisciplinary Research to Prevent Infections (CIRI), Columbia University School of Nursing, New York, NY.
authors.forename: Bevin
authors.initials: B
authors.lastname: Cohen
authors.affiliation: Surveillance Officer, Columbia University School of Nursing, New York, NY.
authors.forename: Meghan T
authors.initials: MT
authors.lastname: Murray
authors.affiliation: Professor of Pediatrics, Columbia University Medical Center, Division of Pediatric Infectious Diseases, New York, NY; Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York NY.
authors.forename: Lisa
authors.initials: L
authors.lastname: Saiman
authors.affiliation: Professor of Pharmaceutical & Therapeutic Research, Associate Dean for Research, Columbia University School of Nursing, New York, NY.
authors.forename: Elaine L
authors.initials: EL
authors.lastname: Larson
mesh_terms: D002648:Child; D003428:Cross Infection / Q000517:prevention & control; D005260:Female; D019983:Guideline Adherence; D063373:Hand Hygiene / Q000592:standards*; D006801:Humans; D008134:Long-Term Care / Q000592:standards*; D008297:Male; D009519:New York City; D010348:Patient Care Team; D010371:Pediatric Nursing; D057188:Workflow
keywords: Hand hygiene; Pediatric long-term care; Workflow diagrams