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Hand Hygiene Toolkit

The resources in this toolkit may only be used for internal improvement and education efforts. They may not be used for commercial purposes.

Hand hygiene reduces the risk of healthcare associated infections. Clean hands are the single most important factor in preventing the spread of pathogens and antibiotic resistance in healthcare settings.

The ASC Quality Collaboration has assembled a variety of resources and information that may be used to supplement your current processes to improve hand hygiene practices.

The BASIC Hand Hygiene Toolkit includes four essential resources:

The EXPANDED Hand Hygiene Toolkit contains both essential resources and a broader array of materials, including:

Comments and other feedback may be directed to Executive Director, ASC Quality Collaboration.

Assessment Tools

Implementation Aids

  • How-to-Guide: Improving Hand Hygiene (IHI)
    This guide from the Institute for Healthcare Improvement provides a framework for projects aimed at improving hand hygiene and the use of gloves among health care workers. The guide also includes a hand hygiene knowledge assessment questionnaire.
  • Leadership Letter Template
    This sample letter from clinical leaders in the ASC may be used to share plans for a hand hygiene improvement initiative with other staff in the center. The template should be adapted to fit the unique circumstances of each center.
  • Hand Hygiene Policy and Procedure Template
    This sample hand hygiene policy and procedure is based on the Centers for Disease Control and Prevention (CDC) guidelines. It should be adapted as needed for use in each facility.
  • Selecting the Right Alcohol-Based Hand Rub for Your Healthcare Facility (HHRC)
    This guide from the Hand Hygiene Resource Center (HHRC) lists and explains factors to be considered when selecting an alcohol-based hand rub for facility use.

Training Materials

  • Interactive Hand Hygiene Training Course (CDC)
    This 10 to 15 minute interactive course from the Centers for Disease Control and Prevention (CDC) reviews key concepts of hand hygiene and other standard precautions to prevent healthcare-associated infections.
  • Improving Hand Hygiene Practices (HHRC)
    This PowerPoint presentation from the Hand Hygiene Resource Center regarding hand hygiene practices may be customized to your center for educational purposes.
  • Hand Hygiene Technical Reference Manual (WHO)
    This manual from the World Health Organization presents detailed hand hygiene information and is aimed at health-care workers, trainers and observers. It focuses on understanding, practicing and teaching hand hygiene concepts.
  • Hand Hygiene Why, How and When Brochure (WHO)
    This brochure from the World Health Organization for health care workers summarizes why, how and when to perform hand hygiene.
  • Glove Use Information Leaflet (WHO)
    This leaflet from the World Health Organization discusses the appropriate use of gloves with respect to hand hygiene.

Monitoring Tools

Workplace Reminders

Hand Hygiene How-To Posters (WHO)
These posters from the World Health Organization designed for display in a healthcare facility demonstrate how to handwash and handrub and explain the Your 5 Moments for Hand Hygiene approach.

Hand Hygiene Posters (CDC)
These posters from the Centers for Disease Control and Prevention (CDC) promote recommended hand hygiene practices in healthcare facilities.

Hand Hygiene Screen Saver (CDC)
This screen saver is available from the Centers for Disease Control and Prevention (CDC) website. Download the .zip file, extract the .exe file and run (double click) to install.

Guidelines from Leading Authorities

Guideline for Hand Hygiene in Health-Care Settings (CDC)
These hand hygiene guidelines were developed by the Centers for Disease Control and Prevention (CDC) in collaboration with the Society for Healthcare Epidemiology of America (SHEA), the Association of Professionals in Infection Control and Epidemiology (APIC) and the Infectious Disease Society of America (IDSA).