Integrating the SEEV Model with Performance Improvement Methods to Increase Hand Hygiene in the Operating Room

摘要

The Main Hospital operating rooms at Children’s Hospital of Philadelphia identified a decrease in handhygiene compliance during the second half of fiscal year (FY) 2017. To address this, a combined approachof Human Factors and process improvement methodologies was used to increase compliance, with a globalaim of achieving 100% compliance by the end of FY 2018. The Human Factors and PerformanceImprovement team relied upon a combined approached of methodologies and tools including: the SEEVmodel (Saliency, Effort, Expectancy, and Value), in-person observation, spaghetti diagrams, link analyses,and a survey to gain qualitative and quantitative data to drive the improvement work. Targetedinterventions increased hand hygiene compliance in two pilot rooms by nearly 23%; following spread to therest of the operating rooms, overall compliance was measured at 100%.