Quality Improvement Initiative

Purpose of the Quality Improvement Initiative

The state of cleanliness in the institution is impeccable, and that would be even better with the inclusion of hand washing points within the organization. The hand washing initiative will reinforce the cleanliness standard within the organization to match the set standards for the health centers. Moreover, hand washing has been a significant contribution to the spread of diseases from the nurses to the patients.  Organization solving the problem would reduce the effects of the viral and bacterial infections within the organization. Mothers and newborn babies are the most vulnerable. The situation is even worse in the cases of the infection of nurses. The nurses continuously have

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Target Population

The initiative targets the whole organization from the healthcare providers, administrative staff and the ancillary staff. The nurses are at the risk of having the infection from the condition. They have the highest exposure to the various pathogens that makes them susceptible to infections. When one nurse misses for their duty, it becomes difficult to manage the hospital and the workload of the patients. The other people with the highest risk of getting infections are the visiting relatives or friends of the patients. They may easily carry the pathogens out of the hospital or maybe transfer a different pathogen to the patients. It is appropriate to care for the visitors and educate them on the essence of taking care of their hands. The patients’ movement around the hospital facilities like the lavatories requires a proper hand washing setting that would allow the patients to clean after visiting. These are some areas in which the patients have the infection that they had never come to the hospital.

The program will also influence the ancillary workers within the organization. In a hospital environment, the objects are infected or are open to infection. Special cleaners may gather the materials used in the hospital. After handling the materials or before giving the materials in case of the suppliers, they should wash their hands. It is also recommended for the people working within the maternity section to have continuous cleaning off their hands to ensure that they do not pass the pathogens to the mothers and the children who are prone to infection.


Hand washing has been noted as the main contributing factor to various diseases. The hospital and the surrounding hold the population that suffers from different ailments. Reaching out to the patients and the staff within the organization to use the various hand washing points would help reduce the rate of the disease spread. Hand washing initiative, therefore, acts as the avenue to help protect the institution against the spread of the diseases or the disease-causing pathogens.

The initiative also offers an avenue to maintain the cleanliness of the materials and the environment. The cleanliness acts in compliance with WHO guidelines on hand washing and the prevention of disease spread within the organization. Studies by WHO indicate that healthcare givers clean their hands almost half less the number of times they should. Cleanliness within the organization acts as a boost for a better recuperation for the patients.

Inter professional collaboration required for the Implementation of the Initiative

The initiative will deal with the team building inter professional collaboration to implement the initiative. As stated earlier, the key stakeholders to the initiative are the healthcare providers, administrative staff, and the ancillary staff members. Every part of the health care system is needed in the implementation of the initiative. The professionals will have to help each other by forming the team building in the implementation of the project. Hand hygiene does not increase healthcare-associated infection through nurses only. However, it occurs through others who handle the patients or the equipment used by the patients and the environment. Coming together for the professionals to help each other achieve the best result for the organization would be better for the project. Besides, healthcare-associated infections occur from the simple act of kindness in greetings.  From the social worker to the physician, all need to be the constant guide for the other. The slightest change in the hand hygiene of the professionals will have a more significant impact on the daily workflow within the organization.

Cost or Budget Justification

Healthcare-associated infections are still the most significant complications in the hospital. They impose cost burdens on patients and healthcare facilities and the fifth death-causing in healthcare. Research indicates that infections can be prevented by at least one third. The hands of the health care providers act as the transmission vectors of the pathogens between patients and are also the primary reservoirs for the pathogens, hand hygiene, therefore, acts as a significant strategy for the reduction of healthcare-associated infections.  The economic implications of hand hygiene can, therefore by examined through the reduction of the cases with healthcare-associated infection. Though terms on the economic implication on having the projects have no prior determination, there is a confirmation that the project would help save on the cost and standardize the practice.

Evaluation of the Initiative

The best evaluation method for hand hygiene would be observation. It will be appropriate for the observation to be made to account for the effective use of the hand washing points.  If the project was to be accounted for like any other, it might not account for the full compliance with the project. The project needs compliance from all the people and observing each personal interaction with the project accounts for an accurate evaluation. Where the interaction with the project is positive in all sectors, it will reflect on the conformation. When some sectors still have problems adjusting to the change, it will need continuous reminders and education on the importance of compliance. 


Bridges, D., Davidson, R. A., Soule Odegard, P., Maki, I. V., & Tomkowiak, J. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Medical education online16(1), 6035.

Graves, N., Page, K., Martin, E., Brain, D., Hall, L., Campbell, M., … & Barnett, A. G. (2016). Cost-effectiveness of a national initiative to improve hand hygiene compliance using the outcome of healthcare associated Staphylococcus aureus bacteraemia. PLoS One11(2), e0148190.Mathur, P. (2011). Hand hygiene: back to the basics of infection control. The Indian journal of medical research134(5), 611.

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