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Sterilization & Infection Prevention
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with infection control specialists, service
line chiefs, and frontline managers
being vocal advocates and driving the
initiative. Alongside the proposed steering
committee, stakeholders need to
embed hang hygiene into organizational
processes, with consistent messaging
and role modeling from leaders. Regular,
periodic training sessions will also
help reinforce best practices and address
evolving challenges.
This project demonstrates how
small, strategic interventions can yield
significant improvements in adhering to
safety and infection control protocols.
By addressing behavioral and systemic
barriers in a single process-HHC-this
initiative achieved measurable success
and set a foundation for lasting change.
Hand hygiene may seem like a minor
detail in the grand scheme of surgical
care, but as this project shows, its impact
is profound. With sustained leadership
support and a culture of accountability,
healthcare institutions can turn
this simple act into a powerful tool for
improving patient outcomes. ORM
-Fayoke Fatade, DNP,
MSN, RN, NEA-BC, is nurse
manager periop at Hospital
for Special Surgery,
Stamford Health.
References
Croke L. Strategies to improve hand
hygiene compliance. AORN Journal.
2022;116(4):4-6.
Ford E W, Boyer B T, Menachemi
N, et al. Increasing hand washing
compliance with a simple
visual cue. Am J Public Health.
2014;104(10):1851-1856.
Lee T. Hand hygiene in the operating
room it's in your hands. The Dissector.
2019;47(1):16-18.
Nevo I, Fitzpatrick M, Thomas R E, et
al. The efficacy of visual cues to
improve hand hygiene compliance.
Simul Healthc. 2010;5(6):325-
331.
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OR Manager | Mar/Apr 2025
O'Boyle C A, Henly S J, Larson E. Understanding
adherence to hand hygiene
recommendations: the theory
of planned behavior. Am J Infect
Control. 2001;29(6):352-360.
Owings A, Christion L, Gilliam C, et
al. Improving visitors' hand hygiene
compliance in a pediatric
oncology unit. Am J Infect Control.
2022;50(7):724-728.
Paul E T, Kuszajewski M, Davenport
A, et al. Sleep safe in clean hands:
Improving hand hygiene compliance
in the operating room through
education and increased access to
hand hygiene products. Am J Infect
Control. 2019;47(5):504-508.
Pittet D. Improving adherence to hand
hygiene practice: A multidisciplinary
approach. Emerging Infectious Diseases.
2001;7(2):234-240.
Smith F, Lee K, Binnie-McLeod E, et
al. Identifying the World Health Organization's
fifth moment for hand
hygiene: Infection prevention in
the operating room. J Infect Prev.
2020;21(1):28-34.
Speth J. Guidelines in Practice:
Hand Hygiene. AORN Journal.
2023;118(2):101-108.
Voight P, Fuller M, McKean K. The
perioperative steering committee
as an accountable infrastructure to
enable and sustain change. AORN
Journal. 2022;116(1):23-33.
WHO Guidelines on Hand Hygiene in
Health Care: First Global Patient
Safety Challenge Clean Care is
Safer Care. Geneva: World Health
Organization. 2009.
Fatade's poster, The Impact of Visual
Cues to Improve Perioperative Hand
Hygiene Compliance, won first place
among 40+ posters displayed at the
2024 OR Manager Conference. Have
a similar successful quality/process
improvement story to share in 2025?
Visit https://www.ormanagerconference.com/call-for-presentations/
and
get in touch!
www.ormanager.com

https://pubmed.ncbi.nlm.nih.gov/11743481/ https://pubmed.ncbi.nlm.nih.gov/34848293/ https://pubmed.ncbi.nlm.nih.gov/30553542/ https://wwwnc.cdc.gov/eid/article/7/2/70-0234_article# https://pubmed.ncbi.nlm.nih.gov/32030101/ https://aornjournal.onlinelibrary.wiley.com/doi/abs/10.1002/aorn.13964 https://aornjournal.onlinelibrary.wiley.com/doi/10.1002/aorn.13707 https://iris.who.int/bitstream/handle/10665/44102/9789241597906_eng.pdf https://aornjournal.onlinelibrary.wiley.com/doi/10.1002/aorn.13800 https://www.facebook.com/ORManager https://pubmed.ncbi.nlm.nih.gov/24228670/ https://x.com/or_manager https://www.proquest.com/openview/5214d9d2d211a46ca0d06cee27158d0d/1?pq-origsite=gscholar&cbl=2030911 https://www.linkedin.com/company/or-manager/ https://pubmed.ncbi.nlm.nih.gov/21330817/ https://www.ormanagerconference.com/call-for-presentations/ http://www.ormanager.com

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