Research on Healthcare Worker Behavior To Increase Hand Hygiene Compliance in a Japanese Hospital

2007 ◽  
Vol 35 (5) ◽  
pp. E116
Author(s):  
K. Inuzuka ◽  
M. Hyodo
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Hand Hygiene Compliance ◽  
Worker Behavior ◽  
Hygiene Compliance

scholarly journals Improving Healthcare Worker Hand Hygiene Compliance: The Role of Behavior Change Theories

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Kimberly Corace ◽  
Jeffrey Smith ◽  
Tara Macdonald ◽  
Leandre Fabrigar ◽  
Andrea Chambers ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Behavior Change ◽  
Healthcare Worker ◽  
Hand Hygiene Compliance ◽  
Hygiene Compliance ◽  
Behavior Change Theories

scholarly journals A spatiotemporal simulation study on the transmission of harmful microorganisms through connected healthcare workers in a hospital ward setting

2020 ◽  
Author(s):  
Magnus J. M. van Niekerk ◽  
Alfred A. Stein ◽  
Edwina M. H. E. Doting ◽  
Mariëtte M. Lokate ◽  
Annemarie L. M. A. Braakman-Jansen ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Radio Frequency Identification ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Infection Prevention And Control ◽  
Transmission Potential ◽  
Occupation Group ◽  
Frequency Identification ◽  
Hygiene Compliance

Abstract Background: Transmission of harmful microorganisms may lead to infections and poses a major threat to patients and healthcare workers in healthcare settings. The most effective countermeasure against the transmission and spread of harmful microorganisms is the adherence to spatiotemporal hand hygiene policies, but adherence rates are relatively low and vary over space and time. The spatiotemporal effects on the transmission and spread of harmful microorganisms for varying levels of hand hygiene compliance are unknown. The objectives of this study are to (1) identify a healthcare worker occupancy group of potential super-spreaders and (2) quantify spatiotemporal effects on the transmission and spread of harmful microorganisms for varying levels of hand hygiene compliance caused by this group.Methods: Spatiotemporal data were collected in a ward of an academic hospital using radio frequency identification technology for seven days. A potential super-spreader healthcare worker occupation group was identified using the contact data derived from the frequency identification sensors. The effects of five probability distributions of hand hygiene compliance and three rates of harmful microorganism transmission were simulated using a dynamic agent-based simulation model. The effects of initial simulation assumptions on the simulation results were quantified using five risk factors.Results: Nurses, doctors and patients are together responsible for 78.8% of all contacts. Nurses made up 57% of all contacts, which is more than five times that of doctors (11.1%). This identifies nurses as the potential super-spreader healthcare worker occupation group. For initial simulation conditions of extreme lack of hand hygiene compliance (5%) and high transmission rates (5% per contact moment), a colonized nurse can transfer microbes to three of the 17 healthcare worker or patients encountered during the 87 minutes of visiting 22 rooms while colonized. The harmful microorganism transmission potential for nurses is higher during weeknights (5 pm – 7 am) and weekends as compared to weekdays (7 am – 5 pm). Conclusion: Spatiotemporal behaviour and social mixing patterns of healthcare can change the expected number of transmissions and spread of harmful microorganism by super-spreaders in a closed healthcare setting. These insights can be used to develop better-informed infection prevention and control strategies.

scholarly journals A spatiotemporal simulation study on the transmission of harmful microorganisms through connected healthcare workers in a hospital ward setting

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. M. van Niekerk ◽  
A. Stein ◽  
M. H. E. Doting ◽  
M. Lokate ◽  
L. M. A. Braakman-Jansen ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Hospital Ward ◽  
Infection Prevention And Control ◽  
Transmission Rates ◽  
Occupation Group ◽  
Frequency Identification ◽  
Hygiene Compliance

Abstract Background Hand transmission of harmful microorganisms may lead to infections and poses a major threat to patients and healthcare workers in healthcare settings. The most effective countermeasure against these transmissions is the adherence to spatiotemporal hand hygiene policies, but adherence rates are relatively low and vary over space and time. The spatiotemporal effects on hand transmission and spread of these microorganisms for varying hand hygiene compliance levels are unknown. This study aims to (1) identify a healthcare worker occupancy group of potential super-spreaders and (2) quantify spatiotemporal effects on the hand transmission and spread of harmful microorganisms for varying levels of hand hygiene compliance caused by this group. Methods Spatiotemporal data were collected in a hospital ward of an academic hospital using radio frequency identification technology for 7 days. A potential super-spreader healthcare worker occupation group was identified using the frequency identification sensors’ contact data. The effects of five probability distributions of hand hygiene compliance and three harmful microorganism transmission rates were simulated using a dynamic agent-based simulation model. The effects of initial simulation assumptions on the simulation results were quantified using five risk outcomes. Results Nurses, doctors and patients are together responsible for 81.13% of all contacts. Nurses made up 70.68% of all contacts, which is more than five times that of doctors (10.44%). This identifies nurses as the potential super-spreader healthcare worker occupation group. For initial simulation conditions of extreme lack of hand hygiene compliance (5%) and high transmission rates (5% per contact moment), a colonised nurse can transfer microbes to three of the 17 healthcare worker or patients encountered during the 98.4 min of visiting 23 rooms while colonised. The harmful microorganism transmission potential for nurses is higher during weeknights (5 pm – 7 am) and weekends as compared to weekdays (7 am – 5 pm). Conclusion Spatiotemporal behaviour and social mixing patterns of healthcare can change the expected number of hand transmissions and spread of harmful microorganisms by super-spreaders in a closed healthcare setting. These insights can be used to evaluate spatiotemporal safety behaviours and develop infection prevention and control strategies.

Inverse Correlation Between Level of Professional Education and Rate of Handwashing Compliance in a Teaching Hospital

2008 ◽  
Vol 29 (6) ◽  
pp. 534-538 ◽  
Author(s):  
Joan M. Duggan ◽  
Sandra Hensley ◽  
Sadik Khuder ◽  
Thomas J. Papadimos ◽  
Lloyd Jacobs
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Teaching Hospital ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Inverse Correlation ◽  
Hand Washing ◽  
Surgical Intensive Care Unit ◽  
Hygiene Compliance ◽  
Attending Physicians

Objective.To evaluate educational level as a contributing factor in handwashing compliance.Design.Observation of hand washing opportunities was performed for approximately 12 weeks before an announced Joint Commission on Accreditation of Healthcare Organizations (JCAHO) visit and for approximately 10 weeks after the visit. Trained observers recorded the date, time, and location of the observation; the type of healthcare worker or hospital employee observed; and the type of hand hygiene opportunity observed.Setting.University of Toledo Medical Center, a 319-bed teaching hospital.Results.A total of 2,373 observations were performed. The rate of hand washing compliance among nurses was 91.3% overall. Medical attending physicians had the lowest observed rate of compliance (72.4%; P < .001). Nurses showed statistically significant improvement in their rate of hand hygiene compliance after the JCAHO visit (P = .001), but no improvement was seen for attending physicians (P = .117). The compliance rate in the surgical intensive care unit was more than 90%, greater than that in other hospital units (P = .001). Statistically, the compliance rate was better during the first part of the week (Monday, Tuesday, and Wednesday) than during the latter part of the week (Thursday and Friday) (P = .002), and the compliance rate was better during the 3 PM-1 1 PM shift, compared with the 7 AM-3 PM shift (P < .001). When evaluated by logistic regression analysis, non-physician healthcare worker status and observation after the JCAHO accreditation visit were associated with an increased rate of hand hygiene compliance.Conclusion.An inverse correlation existed between the level of professional educational and the rate of compliance. Future research initiatives may need to address the different motivating factors for hand hygiene among nurses and physicians to increase compliance.

scholarly journals A spatiotemporal simulation study on the transmission of harmful microorganisms through connected healthcare workers in a hospital ward setting

2020 ◽  
Author(s):  
Magnus J. M. van Niekerk ◽  
Alfred A. Stein ◽  
Edwina M. H. E. Doting ◽  
Martiëtte M. Lokate ◽  
Annemarie L. M. A. Braakman-Jansen ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Radio Frequency Identification ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Infection Prevention And Control ◽  
Transmission Potential ◽  
Occupation Group ◽  
Frequency Identification ◽  
Hygiene Compliance

Abstract Background Transmission of harmful microorganisms may lead to infections and poses a major threat to patients and healthcare workers in healthcare settings. The most effective countermeasure against the transmission and spread of harmful microorganisms is the adherence to spatiotemporal hand hygiene policies, but adherence rates are relatively low and vary over space and time. The spatiotemporal effects on the transmission and spread of harmful microorganisms for varying levels of hand hygiene compliance are unknown. The objectives of this study are to (1) identify a healthcare worker occupancy group of potential super-spreaders and (2) quantify spatiotemporal effects on the transmission and spread of harmful microorganisms for varying levels of hand hygiene compliance caused by this group. Methods Spatiotemporal data were collected in a ward of an academic hospital using radio frequency identification technology over a period of seven days. A potential super-spreader healthcare worker occupation group was identified using the contact data derived from the frequency identification sensors. The effects of five probability distributions of hand hygiene compliance and three rates of harmful microorganism transmission were simulated using a dynamic agent-based simulation model. The effects of initial simulation assumptions on the simulation results were quantified using five risk factors. Results Nurses, doctors and patients are together responsible for 78.8% of all contacts. Nurses made up 57% of all contacts, which is more than five times that of doctors (11.1%). This identifies nurses as the potential super-spreader healthcare worker occupation group. For initial simulation conditions of extreme lack of hand hygiene compliance (5%) and high transmission rates (5% per contact moment), a colonized nurse can transfer microbes to three of the 17 healthcare worker or patients encountered during the 87 minutes of visiting 22 rooms while colonized. The harmful microorganism transmission potential for nurses is higher during weeknights (5 pm – 7am) and weekends as compared to weekdays (7am – 5 pm). Conclusion Spatiotemporal behaviour and social mixing patterns of healthcare can change the expected number of transmissions and spread of harmful microorganism by super-spreaders in a closed healthcare setting. These insights can be used to develop better informed infection prevention and control strategies.

Impact of an Automated Hand Hygiene Reminder Alert on Healthcare Worker Hand Hygiene Compliance

2020 ◽  
Vol 48 (8) ◽  
pp. S54
Author(s):  
Sarah M. Bishop ◽  
Crystal Heishman ◽  
Leah Oppy ◽  
LaShawn Scott
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Hand Hygiene Compliance ◽  
Hygiene Compliance

scholarly journals The impact of workload on hand hygiene compliance: Is 100% compliance achievable?

2021 ◽  
pp. 1-3
Author(s):  
Nai-Chung N. Chang ◽  
Marin L. Schweizer ◽  
Heather Schacht Reisinger ◽  
Michael Jones ◽  
Elizabeth Chrischilles ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Hygiene Compliance ◽  
The Impact

Abstract Hand hygiene compliance decreased significantly when opportunities exceeded 30 per hour. At higher workloads, the number of healthcare worker types involved and the proportion of hand hygiene opportunities for which physicians and other healthcare workers were responsible increased. Thus, care complexity and risk to patients may both increase with workload.

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