Monitoring Your Institution (Hand Hygiene Self-Assessment Framework)

The hand hygiene self‐assessment framework (HHASF) is a validated, systematic tool designed to obtain a situation analysis of hand hygiene promotion and practices within an individual healthcare facility (HCF), based upon the key elements of the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. The HHSAF acts as a diagnostic tool, identifying key issues requiring attention and improvement. The HHSAF results and score can be integrated within the campaign communication strategy and used as a social mobilization tool to leverage HCWs' and institutional engagement to achieve the desired targets. Repeated use of the HHSAF allows documentation of progress over time. Several countries and HCFs use the HHSAF as part of their regular hand hygiene campaign evaluation and for monitoring hand hygiene promotion as a key national patient safety and quality of care indicator. Further research is needed to identify appropriate benchmarking variables for comparing facilities of different sizes and complexity.