St. Mark's Hospital - May 11, 2017

Hospital-acquired infections are an issue of patient safety. Effective hand hygiene is a key component in prevention.

In order to reduce our hospital nosocomial infection rates, a hospital-wide training program in proper handwashing technique is in progress. A standard method for handwashing is being deployed through 1:1 training, using the Training within Industry (TWI) methodology proven to be effective during World War II in training new workers in manufacturing. Universal use of this method at Virginia Mason Medical Center beginning in 2009 resulted in 98% reliability of hand hygiene. Interestingly, patients noticed when everyone entering their room washed their hands in exactly the same way. VMMC attributes standardized, reliable service to raising their patient satisfaction scores by 10-15%.

The TWI training methodology is similar to the familiar “see one-do one – teach one” methodology, with the addition of the requirement that the trainee learn, repeat and teach the reason “why” for every step in the process. If you are interested in better understanding the power of using TWI methodology to train your staff in standardized procedures, please read: Getting to Standard Work in Health Care: Using TWI to Create a Foundation for Quality Care, by Patrick Graupp and Martha Purrier RN, 2013, CRC Press.

At this time, about 50% of St. Mark’s nursing staff have been trained. The training will continue until all nurses are trained, then will be expanded to other staff.


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