18 Dec 2014 | Infection Prevention & Control
The Health Quality & Safety Commission, in partnership with Hand Hygiene New Zealand (HHNZ), the Surgical Site Infection Improvement (SSII) Programme and local clinical champions, hosted regional infection prevention and control (IPC) meetings in Auckland, Rotorua, Palmerston North and Dunedin in early December 2014.
For those involved in the SSII Programme, the meetings provided the opportunity to discuss results to-date and to focus on areas for improvement at both regional and national levels. Looking at programme data from a regional perspective stimulated discussion about what individual district health boards (DHBs) are doing to maximise the effectiveness of the SSII Programme. Participants shared stories, ideas and approaches with a focus on how to work together with surgical teams to facilitate improvement. There was a focus on how to present local and regional data in a way that is meaningful to both frontline clinicians and senior management. Discussion also centred on existing national and regional networks, and how to strengthen regional links, so that DHBs are learning from each other and working together regionally to achieve a common goal.
The regional meetings also provided an opportunity to highlight national hand hygiene performance reaching 75 percent and to discuss what is required at a regional level to sustain ongoing improvement. In the October audit period six DHBs achieved 80 percent or greater compared to only two DHBs in June 2014.
Comparing regional data with national hand hygiene performance created opportunities for sharing how co-ordinators and champions have made a difference to their DHB’s performance. A number of participants referenced the HHNZ June 2014 national improvement workshop as a stimulus for learning about the frontline ownership approach and ways to engage clinical staff. This has renewed their energy and commitment for working with individuals, wards and units to find local solutions to local barriers to improvement.
The HHNZ programme team also discussed how the existing HHNZ programme will be transitioned from a centralised approach to a regional approach in 2015. Robust discussion, valid concerns and solutions were raised and offered for how hand hygiene performance could be sustained via a regional approach.