Impact of a hand hygiene audit on hand hygiene compliance in a tertiary care public sector teaching hospital in South India

2017 ◽  
Vol 45 (5) ◽  
pp. 498-501 ◽  
Author(s):  
Apurba Sankar Sastry ◽  
Deepashree R ◽  
Prasanna Bhat
Keyword(s):  
Public Sector ◽  
Hand Hygiene ◽  
Teaching Hospital ◽  
Hand Hygiene Compliance ◽  
South India ◽  
Tertiary Care ◽  
Hygiene Compliance

Factors Associated with Hand Hygiene Compliance at a Tertiary Care Teaching Hospital

2013 ◽  
Vol 34 (11) ◽  
pp. 1146-1152 ◽  
Author(s):  
Benjamin Kowitt ◽  
Julie Jefferson ◽  
Leonard A. Mermel
Keyword(s):  
Hand Hygiene ◽  
Teaching Hospital ◽  
Hand Hygiene Compliance ◽  
Tertiary Care ◽  
Support Staff ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Factors Associated ◽  
Contact Precautions ◽  
Hygiene Compliance

Objective.To identify factors associated with hand hygiene compliance during a multiyear period of intervention.Design.Observational study.Setting.A 719-bed tertiary care teaching hospital.Participants.Nursing, physician, technical, and support staff.Methods.Light-duty staff performed hand hygiene observations during the period July 2008-December 2012. Infection control implemented hospital-wide hand hygiene initiatives, including education modules; posters and table tents; feedback to units, medical directors and the executive board; and an increased number of automated alcohol hand hygiene product dispensers.Results.There were 161,526 unique observations; overall compliance was 83%. Significant differences in compliance were observed between physician staff (78%) and support staff (69%) compared with nursing staff (84%). Pediatric units (84%) and intensive care units (84%) had higher compliance than did medical (82%) and surgical units (81%). These findings persisted in the controlled multivariate model for noncompliance. Additional factors found to be significant in the model included greater compliance when healthcare workers were leaving patient rooms, when the patient was under contact precautions, and during the evening shift. The overall rate of compliance increased from 60% in the first year of observation to a peak of 96% in the fourth year, and it decreased to 89% in the final year, with significant improvements occurring in each of the 4 professional categories.Conclusions.A multipronged hand hygiene initiative is effective in increasing compliance rates among all categories of hospital workers. We identified a variety of factors associated with increased compliance. Additionally, we note the importance of continuous interventions in maintaining high compliance rates.

Hand hygiene promotion delivered by change agents—Two attitudes, similar outcome

2020 ◽  
Vol 41 (3) ◽  
pp. 273-279 ◽  
Author(s):  
Yew Fong Lee ◽  
Mary-Louise McLaws ◽  
Loke Meng Ong ◽  
Suraya Amir Husin ◽  
Hock Hin Chua ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Tertiary Care ◽  
Change Agents ◽  
Controlled Study ◽  
Care Hospital ◽  
Hand Hygiene Improvement ◽  
Significant Difference ◽  
Hygiene Promotion ◽  
Hygiene Compliance

AbstractObjective:To assess the effect of peer-identified change agents (PICAs) compared to management-selected change agents (MSCAs) on hand hygiene behavior in acute care.Design:Randomized-controlled study.Setting:Two internal medicine wards of a public, university-affiliated, tertiary-care hospital in Malaysia.Methods:We randomly allocated 2 wards to hand hygiene promotion delivered either by PICAs (study arm 1) or by MSCAs (study arm 2). The primary outcome was hand hygiene compliance using direct observation by validated auditors. Secondary outcomes were hand hygiene knowledge and observations from ward tours.Results:Mean hand hygiene compliance in study arm 1 and study arm 2 improved from 48% (95% confidence interval [CI], 44%–53%) and 50% (95% CI, 44%–55%) in the preintervention period to 66% (63%–69%) and 65% (60%–69%) in the intervention period, respectively. We detected no statistically significant difference in hand hygiene improvement between the 2 study arms. Knowledge scores on hand hygiene in study arm 1 and study arm 2 improved from 60% and 63% to 98% and 93%, respectively. Staff in study arm 1 improved hand hygiene because they did not want to disappoint the efforts taken by the PICAs. Staff in study arm 2 felt pressured by the MSCAs to comply with hand hygiene to obtain good overall performance appraisals.Conclusion:Although the attitude of PICAs and MSCAs in terms of leadership, mode of action and perception of their task by staff were very different, or even opposed, both PICAs and MSCAs effectively changed behavior of staff toward improved hand hygiene to comparable levels.

scholarly journals The effect of hand hygiene compliance on hospital-acquired infections in an ICU setting in a Kuwaiti teaching hospital

2013 ◽  
Vol 6 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Mona F. Salama ◽  
Wafaa Y. Jamal ◽  
Haifa Al Mousa ◽  
Khaled A. Al-AbdulGhani ◽  
Vincent O. Rotimi
Keyword(s):  
Hand Hygiene ◽  
Teaching Hospital ◽  
Hand Hygiene Compliance ◽  
Hospital Acquired Infections ◽  
Hygiene Compliance ◽  
Hospital Acquired

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 HAND HYGIENE COMPLIANCE, KNOWLEDGE AND PERCEPTION AMONG HEALTHCARE WORKERS IN A TERTIARY CARE CENTER IN SOUTH INDIA

2021 ◽  
Vol 9 (07) ◽  
pp. 545-548
Author(s):  
G. Swetha ◽  
◽  
V.V. Shailaja ◽  
S. Rajeshwar Rao ◽  
K. Nagamani ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Hand Hygiene Compliance ◽  
Role Model ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Care Workers ◽  
Hygiene Compliance

Aim and objective of the study: To assess the compliance, knowledge and perception among health care workers regarding hand hygiene by conducting regular surveillance and educational programs. This surveillance program objective is to evaluate the effect of three different educational programs on improving hand hygiene compliance, knowledge and perception among health care workers in a tertiary care center in South India Materials and Methods: It is an observational and knowledge perception study conducted ina tertiary care center, over a period of 6 months (Jan 2018 to June 2018) using WHO tools. Questionnaires were distributed to 180 participants which included Doctors, Nurses, technicians, Residents & Medical students in 5 units of the hospital (3 ICUs and 2 post-operative wards) The study is divided into Pre interventional, Interventional and Post interventional phase. The interventions included.1. Role model training. 2. Lectures with PowerPoint presentations, 3. Posters and charts representing hand hygiene protocols & motivational messages Results: Hand hygiene compliance was observed during 2153 hand hygiene opportunities and knowledge perception was assessed among 180 participants in the pre intervention and 180 participants in the post interventional period. After intervention the Hand hygiene compliance rate significantly improved in two post-operative wards and two ICUs (total four out of five units targeted). In the perception survey improvement in knowledge was observed. Strong smell of alcoholic hand rub was mentioned as a common reason for noncompliance in one ICUs. Some wrong practices like using hand rub over the glove were corrected. Conclusion: The surveillance and training program improved the hand hygiene compliance and knowledge among health care workers in four out of five units intertiary care center. Role model training had the most impact. However consistent and continuous educational and training programs are necessary to further improve and maintain the compliance rates of hand hygiene.

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