ISO 23447:2023

Healthcare organization management — Hand hygiene performance

This document specifies hand hygiene training, compliance benchmarking, performance/feedback, and facility requirements for healthcare facilities that operate hand hygiene systems. This document covers facility readiness, hand hygiene education and training, monitoring, performance, promotion and identifying key issues that require attention for improvement. Procedures for surgical hand preparation are not addressed in this document. Furthermore, this document does not take into consideration, surface disinfection, instrument disinfection, ultraviolet irradiation (UV-C), heat sterilization, room fogging or electrostatic spraying devices and any other methods typically not designed or suitable for human hand hygiene purposes. Excluding surgical hand preparation, this document applies specifically to clinical healthcare workers, patients and visitors.

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General Information

• Status: Published
• Publication Date: 23-Oct-2023
• ICS: 11.020.01 - Quality and environmental management in health care
• Technical Committee: ISO/TC 304 - Healthcare organization management
• Drafting Committee: ISO/TC 304/WG 3 - Infection prevention management
• Current Stage: 6060 - International Standard published
• Start Date: 24-Oct-2023
• Completion Date: 24-Oct-2023

Standards Content (Sample)

INTERNATIONAL ISO
STANDARD 23447
First edition
2023-10
Healthcare organization
management — Hand hygiene
performance
Reference number
ISO 23447:2023(E)
© ISO 2023

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ISO 23447:2023(E)
COPYRIGHT PROTECTED DOCUMENT
© ISO 2023
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: [phone]
Email: [e-mail]
Website: www.iso.org
Published in Switzerland
ii
  © ISO 2023 – All rights reserved

---------------------- Page: 2 ----------------------
ISO 23447:2023(E)
Contents Page
Foreword .v
Introduction . vi
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Hand hygiene quality policy and requirements . 4
4.1 General . 4
4.1.1 Conformity . 4
4.1.2 Prerequisites for the use of this document . 5
4.1.3 How to use this document . 5
4.2 Hand hygiene quality policy . 6
4.3 Hand hygiene quality policy requirements . 7
4.3.1 Evaluating hand hygiene products for potential use in healthcare facilities. 7
4.3.2 Towel dispensing systems requirements . 9
4.3.3 How to perform hand hygiene . 9
4.3.4 Indications for hand hygiene performance . 10
4.3.5 Assessing hand hygiene performance .12
4.3.6 ABHR products and glove use . .12
5 Hand hygiene program . .13
5.1 General .13
5.2 Hand hygiene quality policy requirements . 13
5.3 Healthcare organization requirements .
...

FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 23447
ISO/TC 304
Healthcare organization
Secretariat: ANSI
management — Hand hygiene
Voting begins on:
2023-07-20 performance
Voting terminates on:
2023-09-14
RECIPIENTS OF THIS DRAFT ARE INVITED TO
SUBMIT, WITH THEIR COMMENTS, NOTIFICATION
OF ANY RELEVANT PATENT RIGHTS OF WHICH
THEY ARE AWARE AND TO PROVIDE SUPPOR TING
DOCUMENTATION.
IN ADDITION TO THEIR EVALUATION AS
Reference number
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO-
ISO/FDIS 23447:2023(E)
LOGICAL, COMMERCIAL AND USER PURPOSES,
DRAFT INTERNATIONAL STANDARDS MAY ON
OCCASION HAVE TO BE CONSIDERED IN THE
LIGHT OF THEIR POTENTIAL TO BECOME STAN-
DARDS TO WHICH REFERENCE MAY BE MADE IN
NATIONAL REGULATIONS. © ISO 2023

---------------------- Page: 1 ----------------------
ISO/FDIS 23447:2023(E)
FINAL
INTERNATIONAL ISO/FDIS
DRAFT
STANDARD 23447
ISO/TC 304
Healthcare organization
Secretariat: ANSI
management — Hand hygiene
Voting begins on:
performance
Voting terminates on:
COPYRIGHT PROTECTED DOCUMENT
© ISO 2023
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
or ISO’s member body in the country of the requester.
RECIPIENTS OF THIS DRAFT ARE INVITED TO
ISO copyright office
SUBMIT, WITH THEIR COMMENTS, NOTIFICATION
OF ANY RELEVANT PATENT RIGHTS OF WHICH
CP 401 • Ch. de Blandonnet 8
THEY ARE AWARE AND TO PROVIDE SUPPOR TING
CH-1214 Vernier, Geneva
DOCUMENTATION.
Phone: [phone]
IN ADDITION TO THEIR EVALUATION AS
Reference number
Email: [e-mail]
BEING ACCEPTABLE FOR INDUSTRIAL, TECHNO­
ISO/FDIS 23447:2023(E)
Website: www.iso.org
LOGICAL, COMMERCIAL AND USER PURPOSES,
DRAFT INTERNATIONAL STANDARDS MAY ON
Published in Switzerland
OCCASION HAVE TO BE CONSIDERED IN THE
LIGHT OF THEIR POTENTIAL TO BECOME STAN­
DARDS TO WHICH REFERENCE MAY BE MADE IN
ii
  © ISO 2023 – All rights reserved
NATIONAL REGULATIONS. © ISO 2023

---------------------- Page: 2 ----------------------
ISO/FDIS 23447:2023(E)
Contents Page
Foreword .v
Introduction . vi
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Hand hygiene quality policy and requirements . 4
4.1 General . 4
4.1.1 Conformity . 4
4.1.2 Prerequisites for the use of this document . 5
4.1.3 How to use this document . 5
4.2 Hand hygiene quality policy . 6
4.3 Hand hygiene quality policy requirements . 7
4.3.1 Evaluating hand hygiene products for potential use in healthcare facilities. 7
4.3.2 Towel dispensing systems requirements . 9
4.3.3 How to perform hand hygiene .
...

ISO/DIS FDIS 23447:2022(E)
2022-11-21
ISO/TC 304/ WG 3
Secretariat: ANSI
Date: 2023-07-06
Healthcare organization management — Hand hygiene
performance
FDIS stage

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DRAFT INTERNATIONAL STANDARD ISO/DIS 23447:2022(E)

© ISO 20222023
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this
publication may be reproduced or utilized otherwise in any form or by any means, electronic or mechanical,
including photocopying, or posting on the internet or an intranet, without prior written permission. Permission can
be requested from either ISO at the address below or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: + 41 22 749 01 11
EmailE-mail: [e-mail]
Website: www.iso.org
Published in Switzerland
© ISO 2022 – All rights reserved 2

---------------------- Page: 2 ----------------------
ISO/FDIS 23447:2023(E)
Contents
Foreword . v
Introduction . vi
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Hand hygiene quality policy and requirements . 5
4.1 General . 5
4.1.1 Conformity . 5
4.1.2 Prerequisites for the use of this document . 5
4.1.3 How to use this document . 5
4.2 Hand hygiene quality policy . 8
4.3 Hand hygiene quality policy requirements . 8
4.3.1 Evaluating hand hygiene products for potential use in healthcare facilities . 8
4.3.2 Towel dispensing systems requirements . 10
4.3.3 How to perform hand hygiene . 11
4.3.4 Indications for hand hygiene performance . 12
4.3.5 Assessing hand hygiene performance . 13
4.3.6 ABHR products and glove use . 15
5 Hand hygiene program . 15
5.1 General . 15
5.2 Hand hygiene quality policy requirements . 16
5.3 Healthcare organization requirements . 16
5.3.1 General . 16
5.3
...