ISO 23447:2023

Overview

ISO 23447:2023 - Healthcare organization management - Hand hygiene performance - provides a comprehensive, evidence‑based framework for establishing, maintaining and improving hand hygiene systems in healthcare facilities. The standard addresses facility readiness, training and education, monitoring and benchmarking, performance feedback, product and dispenser requirements, and cultural / communication strategies to raise hand hygiene adherence and protect patient safety. It excludes surgical hand preparation and methods not intended for human hand hygiene (e.g., UV‑C, heat sterilization, room fogging).

Keywords: ISO 23447:2023, hand hygiene, healthcare facilities, hand hygiene training, compliance benchmarking, hand hygiene performance, infection prevention.

Key topics and technical requirements

ISO 23447:2023 organizes hand hygiene management into actionable areas:

• Hand hygiene quality policy
  • Establish institutional hand hygiene goals, governance and conformity considerations.
  • Evaluate hand hygiene products for suitability in clinical settings.
• Facility readiness and supplies
  • Requirements for towels, dispenser systems and infrastructure to support hand hygiene at point of care.
  • Dispenser maintenance recommendations and operational plans.
• Hand hygiene program design
  • Program structure, benchmarking, documentation, self‑assessment forms and facility assessments.
  • Procedures for monitoring, data collection and feedback loops to drive improvement.
• Training and education
  • Core concepts and learning objectives for healthcare workers, trainers and observers.
  • Selection, validation and competence requirements for observers using direct observation methods.
  • Patient and visitor education components.
• Monitoring, performance and feedback
  • Methods for assessing hand hygiene adherence (compliance) and measuring program outcomes.
  • Data analysis, quality control and use of observation tools.
• Cultural and communication aspects
  • Strategies for communication, recognition, surveys and embedding hand hygiene behaviors in organizational culture.

Practical applications - who uses this standard

ISO 23447:2023 is intended for any organization providing healthcare services and can be adapted for related settings. Typical users include:

• Hospital and clinic administrators establishing hand hygiene systems
• Infection prevention and control (IPC) teams and quality managers
• Clinical educators and trainer/observer programs
• Facilities and supply managers (dispensers, towel systems, ABHR products)
• Auditors, accreditation bodies and public health agencies seeking benchmarks for hand hygiene performance
• Manufacturers evaluating product suitability against healthcare requirements

Practical benefits include standardized training curricula, more reliable monitoring and benchmarking, improved dispenser and supply management, and clearer pathways for performance feedback and continuous improvement.

Related standards

• ISO 22886 - Healthcare organization management - Vocabulary (referenced by ISO 23447:2023)

Note: Implementers should align ISO 23447 with applicable national regulations, accreditation requirements and other infection prevention standards when developing local hand hygiene policies.