How to use handwashing as the trigger
Culture change. The food safety culture. The culture of cleanliness. The Renaissance impact. Many books have been written and seminars given. Yes, corporate culture for centuries has guided progress on a path of continuous improvement. Culture change is regularly embraced by food and patient safety leaders as a noble and needed solution to their woes but their advocacy comes without an implementation manual.
There are many causes of the deaths attributed to infections acquired away from home - in restaurants, hospitals and nursing homes. Respectfully, those annual statistics are 3,000, 99,000 and 380,000. These numbers scream out for transformation to a culture of caring. The CDC reminds us that "Handwashing is the single-most important means of preventing the spread of infection." Poor hand hygiene is the most frequently cited contributing factor in outbreak studies.
Some historians go back to the Renaissance in Italy, where the risk of the plagues of the Middle Ages called for a large-scale culture change. Leaders stepped forward to define corrective actions. Replacing feudalism with capitalism was a key component. Cleanliness emerged as a popular differentiator, supported by sweeping changes in art and architecture.