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D E C E M B E R 2 0 1 4 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E
INFECTION PREVENTION
hygiene compliance will be 90% or better by the end of 2Q 2015, as
measured by 'secret shoppers.'" All goals must be measurable and
have dates associated with them so the following year you can objec-
tively measure your program's impact.
You can also incorporate your objectives into management and
employee objectives, and monitor them as performance goals. In
doing so, you make the goal everyone's and not just "an infection-pre-
vention goal."
Finally, once you've prioritized your risks, it's best not to take on
more than 3 or 4 major goals
to start. But have a few that
are quick fixes — ones that
will require minimal time and
resources but will make a dif-
ference. Those are good for
morale. Don't avoid the big
ones because they seem too
daunting, but if need be, back-
burner them until you cultivate
more support from administra-
tion and staff and gain more
experience as to how your
organization initiates and pro-
ceeds with change. OSM
Ms. Delahanty (
kb oyntondela-
hanty@ucsd.edu
) is administra-
tive director of the infection pre-
vention/clinical epidemiology unit
of the University of California at
San Diego Health System. She lec-
tures on infection prevention for
ASCs as an APIC faculty member.
Hand Hygiene Compliance
Probability
3 (very likely)
Degree of potential harm
2 (permanent harm)
Level of preparedness
1 (well prepared)
TOTAL 6
