Hand hygiene improvement program in the Canary Islands, Spain

Results Alcohol-based hand rub products were made available at each centre. 1730 dispensers accounted for the 3861 available beds (44,8%). Seven out of ten hospitals implemented training about HH, but just four centers trained about the concept of “My Five Moments for Hand Hygiene”. Medical doctors had the lowest level of attendance. Eight out of ten hospitals have performed direct observation of compliance. Overall rate: 33,3%, (29,7% the first period; 35,9% for the second (p<0,05)). Alcoholbased products were used in 49,6% of occasions in which actions of HH occurred. The consumption ranged from 18,1 to 39,2 L/ 1000 patient-days (average 27,3 mL/1000 patient-days). Reminders were used and a local guide was performed and released. The core team met in four occasions. Each facility was required to address a clear plan of activities for 5 may 2010. All centers have had registered to the 2009 WHO initiative “Save Lives: Clean your hands”.