scholarly journals Effects of a 4-year intervention on hand hygiene compliance and incidence of healthcare associated infections: a longitudinal study

Infection ◽  
2021 ◽  
Author(s):  
Chengyi Han ◽  
Qing Song ◽  
Xin Meng ◽  
Ying Lv ◽  
Dongsheng Hu ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Healthcare Associated Infections ◽  
Hygiene Compliance ◽  
Healthcare Associated

scholarly journals Reduction in Intraoperative Bacterial Contamination of Peripheral Intravenous Tubing Through the Use of a Novel Device

2009 ◽  
Vol 110 (5) ◽  
pp. 978-985 ◽  
Author(s):  
Matthew D. Koff ◽  
Randy W. Loftus ◽  
Corey C. Burchman ◽  
Joseph D. Schwartzman ◽  
Megan E. Read ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Hand Hygiene ◽  
Odds Ratio ◽  
Hand Hygiene Compliance ◽  
Group Versus ◽  
Control Group ◽  
Healthcare Associated Infections ◽  
Intravenous Tubing ◽  
Hygiene Compliance ◽  
Healthcare Associated

Background Hand hygiene is a vital intervention to reduce health-care associated infections, but compliance remains low. The authors hypothesized that improvements in intraoperative hand hygiene compliance would reduce transmission of bacteria to surgical patients and reduce the incidence of postsurgical healthcare-associated infections. Methods The authors performed a controlled before-and-after study over 2 consecutive months. One hundred fourteen operative cases were enrolled. Two predesignated sites on the anesthesia machine were selected, decontaminated, and cultured via aseptic technique. These sites and the peripheral intravenous stopcock were cultured again after completion of the surgery. The treatment phase used a novel personal hand-decontamination device capable of recording hand-decontamination events. Results There were no significant differences in patient location, age, or case duration and procedure type between groups. Use of the Sprixx GJ device (Harbor Medical Inc., Santa Barbara, CA) increased hourly hand decontamination events by 27-fold as compared with baseline rates (P < 0.002; 95% confidence interval, 3.3-13.4). Use of the device was associated with a reduction in contamination in the anesthesia work area and peripheral intravenous tubing. Intravenous tubing contamination was identified in 32.8% of cases in the control group versus 7.5% in the treatment group (odds ratio, 0.17; 95% confidence interval, 0.06-0.51; P < 0.01). Healthcare-associated infections rates were reduced in the device group (3.8%) as compared with the control group (17.2%) (odds ratio, 0.19; 95% confidence interval, 0.00-0.81; P = 0.02). Conclusions Improved hand hygiene compliance through the use of a novel hand sanitation strategy reduces the risk of intraoperative bacterial transmission. The intervention was associated with a reduction in healthcare-associated infections.

Usability of Hand Hygiene Observation Apps

2019 ◽  
Vol 8 (1) ◽  
pp. 275-278
Author(s):  
Amanda Sivek ◽  
Erin Sparnon ◽  
Patrice D Tremoulet
Keyword(s):  
Antibiotic Resistance ◽  
Hand Hygiene ◽  
Mobile Devices ◽  
Clinical Training ◽  
Hand Hygiene Compliance ◽  
Healthcare Associated Infections ◽  
Targeted Interventions ◽  
Hygiene Compliance ◽  
Healthcare Associated ◽  
The U.S

Effective hand hygiene among clinicians decreases the incidence of healthcare-associated infections and helps slow the rate of antibiotic resistance, but hand hygiene compliance (HHC) rates among clinicians is often low. Facility-wide HHC monitoring is required by the U.S. Centers for Medicare & Medicaid Services. In general, HHC monitoring is important to identify facility care areas, units or departments that have low HHC rates so that targeted interventions can be implemented. Recently several hand hygiene observation apps (HHOA), which enable observers to use mobile devices to record HHC data, have become available. The overall goal of our effort was to evaluate how helpful five different HHOAs were in supporting users in collecting and aggregating HHC data. Overall our participants, which included nine individuals with clinical training, and eight biomedical engineers found that all five HHOAs were fairly hard to use given that they have a relatively simple and straightforward function. There was an interesting interaction, however, with the biomedical engineers rating highest the HHOAs that the clinically-trained users rated lowest.

scholarly journals Everybody hands-on to avoid ESKAPE: effect of sustained hand hygiene compliance on healthcare-associated infections and multidrug resistance in a paediatric hospital

2018 ◽  
Vol 67 (12) ◽  
pp. 1761-1771 ◽  
Author(s):  
Daniela De la Rosa-Zamboni ◽  
Sara A. Ochoa ◽  
Almudena Laris-González ◽  
Ariadnna Cruz-Córdova ◽  
Gerardo Escalona-Venegas ◽  
...  
Keyword(s):  
Multidrug Resistance ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Healthcare Associated Infections ◽  
Paediatric Hospital ◽  
Hands On ◽  
Hygiene Compliance ◽  
Healthcare Associated

scholarly journals Observational Study of Hand Hygiene Compliance at a Trauma Hospital in Iraqi Kurdistan

J ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 794-802
Author(s):  
Ines Moued ◽  
Rawand M. Haweizy ◽  
Lawand S. Miran ◽  
Mustafa G. Mohammed ◽  
Johan von Schreeb ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Healthcare Systems ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Iraqi Kurdistan ◽  
Resource Limited ◽  
Hygiene Compliance ◽  
Healthcare Associated

Healthcare-associated infections, commonly caused by poor hand hygiene, represent a significant source of disease and economic burden for healthcare systems, especially those in resource-limited settings. The few existing studies on hand hygiene compliance in resource-limited hospital settings suggest that compliance is insufficient. The difference in compliance rates between units in resource-limited trauma hospitals is largely unknown. We aimed to assess hand hygiene compliance rates among healthcare workers at a trauma hospital in Iraqi Kurdistan and compare the levels of compliance between the emergency room (ER), the intensive care unit (ICU), and the acute care ward (ACW). We carried out overt observations in 2018 using the validated World Health Organization ‘five moments for hand hygiene’ observational tool. We observed a total of 622 hand hygiene opportunities performed by 149 healthcare workers. Hand hygiene compliance was defined as handwashing with soap and water or the use of alcohol-based hand rub, in accordance with the ‘five moments for hand hygiene’ concept. Overall, the hand hygiene compliance rate was found to be 6.8% (95% confidence interval 5.0–9.1). Compliance was significantly lower in the ER (1.0%), compared with the ICU (8.1%) (p = 0.0012), and the ACW (11.1%) (p < 0.0001). In all three units, the availability of alcohol-based hand rub and handwashing sinks was insufficient in relation to the number of patient beds. We conclude that the overall level of hand hygiene compliance was low, with the lowest level of compliance in the ER. Our findings call for improved resource allocation and strengthened hand hygiene routines. These relatively simple measures could potentially lower the incidence of healthcare-associated infections and improve the mortality and morbidity of patients in already overburdened healthcare systems.

scholarly journals The evaluation of a multimodal hand hygiene improvement strategy in Cambodian hospitals

2020 ◽  
Vol 14 (09) ◽  
pp. 1047-1053
Author(s):  
Bomi An ◽  
Sook Ja Yang
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Large City ◽  
Healthcare Associated Infections ◽  
Assessment Framework ◽  
Improvement Strategy ◽  
Self Assessment ◽  
Hand Hygiene Improvement ◽  
Hygiene Compliance ◽  
Healthcare Associated

Introduction: Hand hygiene is the most effective method of preventing healthcare-associated infections. Healthcare-associated infections are considered serious in developing countries, and there are few reports on the hand-hygiene status of these countries. Thus, we evaluated hand-hygiene status in eight hospitals in Cambodia to understand and identify factors hindering effective infection control. Methodology: Eight infection-management instructors working in one of the eight Cambodian government hospitals in a large city were interviewed with the WHO Hand Hygiene Self-Assessment Framework. Results: The mean Hand Hygiene Self-Assessment Framework score across the eight hospitals was 177.81 ± 56.73. The overall level of compliance with the multimodal hand hygiene improvement strategy across these eight hospitals was basic-two hospitals scored inadequate and six hospitals scored basic. The scores for the 5 factors of the Hand Hygiene Self-Assessment Framework were as follows: 45.63 ± 15.45 for system change, 33.13 ± 16.89 for education and training, 27.81 ± 21.65 for evaluation and feedback, 58.13 ± 5.30 for reminders in the workplace, and 13.13 ± 11.00 for institutional safety climate for hand hygiene Conclusions: The promotion of hand hygiene compliance requires the establishment of a basic infrastructure, reinforcement of the hand hygiene education system, and provision of diverse educational materials, as well as the fostering of a professional workforce for education. Hospitals should also bolster their management systems for hand hygiene compliance.

scholarly journals Impact of an automated hand hygiene monitoring system and additional promotional activities on hand hygiene performance rates and healthcare-associated infections

2019 ◽  
Vol 40 (7) ◽  
pp. 741-747 ◽  
Author(s):  
John M. Boyce ◽  
Jennifer A. Laughman ◽  
Michael H. Ader ◽  
Pamela T. Wagner ◽  
Albert E. Parker ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Monitoring System ◽  
Hand Hygiene Compliance ◽  
Healthcare Personnel ◽  
Incidence Density ◽  
Healthcare Associated Infections ◽  
Improve Hand Hygiene ◽  
Hygiene Compliance ◽  
Healthcare Associated ◽  
The Impact

AbstractObjective:Determine the impact of an automated hand hygiene monitoring system (AHHMS) plus complementary strategies on hand hygiene performance rates and healthcare-associated infections (HAIs).Design:Retrospective, nonrandomized, observational, quasi-experimental study.Setting:Single, 93-bed nonprofit hospital.Methods:Hand hygiene compliance rates were estimated using direct observations. An AHHMS, installed on 4 nursing units in a sequential manner, determined hand hygiene performance rates, expressed as the number of hand hygiene events performed upon entering and exiting patient rooms divided by the number of room entries and exits. Additional strategies implemented to improve hand hygiene included goal setting, hospital leadership support, feeding AHHMS data back to healthcare personnel, and use of Toyota Kata performance improvement methods. HAIs were defined using National Healthcare Safety Network criteria.Results:Hand hygiene compliance rates generated by direct observation were substantially higher than performance rates generated by the AHHMS. Installation of the AHHMS without supplementary activities did not yield sustained improvement in hand hygiene performance rates. Implementing several supplementary strategies resulted in a statistically significant 85% increase in hand hygiene performance rates (P < .0001). The incidence density of non–Clostridioies difficile HAIs decreased by 56% (P = .0841), while C. difficile infections increased by 60% (P = .0533) driven by 2 of the 4 study units.Conclusion:Implementation of an AHHMS, when combined with several supplementary strategies as part of a multimodal program, resulted in significantly improved hand hygiene performance rates. Reductions in non–C. difficile HAIs occurred but were not statistically significant.

scholarly journals Compliance with Hand Hygiene Among Healthcare Workers in Preventing Healthcare Associated Infections

2021 ◽  
Vol 7 (1) ◽  
pp. 57-69
Author(s):  
Ema Buković ◽  
Damir Važanić ◽  
Adriano Friganović ◽  
Vesna Svirčević ◽  
Cecilija Rotim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Review Of Literature ◽  
Hand Hygiene Improvement ◽  
Hygiene Compliance ◽  
Healthcare Associated

Introduction: Healthcare associated infections (HCAIs) represent a major public health issue. In Europe, 37 000 patients are affected annually by some sort of HCAI. HCAIs are preventable, and hand hygiene is an important measure in their prevention. During daily clinical practice, hands of healthcare workers (HCWs) are exposed to surfaces, various substances and objects; therefore, proper hand hygiene is the first step in preventing microorganism transmission. Aim: To determine the HCWs hand hygiene compliance with the guidelines of the World Health Organization through a systematic review of literature. Methods: A systematic review of literature based on the PRISMA statement guidelines using the PubMed database in a search for articles that evaluate the hand hygiene compliance among HCWs. Results: Six articles were taken into consideration by the availability of full-text articles and years of publication between 2010 and 2020. Results showed that compliance rate was the highest in studies that implemented World Health Organisation’s Multimodal Hand Hygiene Improvement Strategy or its modifications. Conclusion: The multimodal approach, as World Health Organisation’s multimodal strategy or its local modifications, has been shown as the best approach addressing the problem of hand hygiene compliance. Further areas for research include finding a better method of measuring compliance, technology-driven solutions for both delivery of alcohol-based handrub and monitoring of its use, a greater focus on evaluating proper hand hygiene techniques, and insuring longer-term programs of training and education to achieve the best effectiveness of hand hygiene compliance among HCWs.

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