Joint Commission Now Citing Any Hand Hygiene Failure

By on 10:11 AM

The Joint Commission recently announced that as of January 1, 2018, surveyors witnessing any failure of healthcare personnel to perform hand hygiene while providing direct patient care will be cited as a deficiency.

The new requirement applies to all accreditation programs. The citation will result in a requirement for improvement under the Joint Commission's infection prevention and control chapter, specifically Standard IC.02.01.01, element of performance 2, which states, "The [organization] uses standard precautions, including the use of personal protective equipment, to reduce the risk of infection."

The Joint Commission noted that, except for home care and ambulatory care accreditation programs, observations of individual failure to perform hand hygiene were not previously cited as deficiencies as long there was a progressive program of increased compliance.

For assistance with accreditation survey preparation, including surveys performed by The Joint Commission, contact ICCS today.

Phenelle Segal, RN, CIC, FAPIC

Phenelle Segal, RN, CIC, FAPIC, is the founder and president of Infection Control Consulting Services LLC (ICCS). Phenelle has more than 30 years' experience providing customized comprehensive infection control and prevention services to healthcare facilities nationwide. Her services focus on assisting hospitals, ambulatory surgery centers, dental office and oral surgery practices, doctor's offices, nursing homes and other organizations with implementing and maintaining an infection control program that: complies with The Joint Commission, AAAHC, Centers for Medicaid and Medicare Services (CMS) and other regulatory agencies; respond to situations of noncompliance; and improve the processes for reducing risk.