At William Osler Health System (Osler), the Infection Prevention and Control (IPAC) Program conducts regular audits of hand hygiene and the use of appropriate personal protective equipment (PPE). In the past, audit tools were paper based as provided by the MOHLTC and the majority of the data entry, collection and analysis were manual; the result was static reporting.
The IPAC auditors transcribed data into an electronic database which lead to duplication of tasks, non-adherence to monthly quotas and deadlines, which lead to possible issues with data accuracy and completeness. Our solution to this was to create our own application together with IPAC and our Business Intelligence and Innovation team called "Hands App". Hands App is compatible with a variety of mobile devices and can also be accessed from various web browser interfaces. Built upon client server multi-tier architecture, the fully automated application has an electronic form acting as an interface for data capture. This application allows for accurate and timely collection of data with the capability of online and interactive reporting. The app is designed such that:
1) Consistent data is captured using pre-set values
2) Real-time reporting generates valuable information
3) Auditors and managers are able to view reports directly and customize graphs
4) Creates an enabling environment for more health research
During the first month of implementation in October 2014, the IPAC team collected the hand hygiene data using both paper and electronic methods. Results from both methods of data collection were compared. Although, the compliance rates were the same at the end of the month when the methods were compared, Hands App provided the opportunity for staff to view their results in real time. Real time reporting was generated to provide valuable information that assisted in making informed decisions which is very important in outbreak situations and also for assessing performance.
Hands App has increased efficiency by reducing the number of hours the ICP spends capturing information and with the analysis. The information is automatically generated into a variety of bar graphs and can be tailored to healthcare provider up to a corporate perspective. The IPAC Team was able to target areas that experienced decreases in hand hygiene rates with control measures such as increased education, discussion at safety huddles and increased number of audits.
Title:Manager Infection Prevention and Control