scholarly journals Monitoring Hand hygiene Compliance among Healthcare Workers at a Tertiary Care Center: Use of Secret Observers Is the Way Forward

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S409-S409
Author(s):  
Amar Krishna ◽  
Bhagyashri Navalkele ◽  
Amina Pervaiz ◽  
Aditya Kotecha ◽  
Shahram Maroof ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Performance Feedback ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Medical Center ◽  
Care Center ◽  
Compliance Rate ◽  
Tertiary Care ◽  
Smartphone App ◽  
Hygiene Compliance

Abstract Background Hand-hygiene (HH) is known to be the most effective way to reduce healthcare acquired conditions (HACs). Despite being a simple answer to the complex HAC issue, compliance with HH practice has been abysmal with reported compliance rate of 40% among healthcare workers (HCWs). In 2015, compliance rate with HH at Detroit Medical Center (DMC) was reported to be 100% when direct observers were used to monitor compliance. In order to confirm the previously reported compliance rates, this study used secret observers to audit HH compliance and provide performance feedback to HCWs. Methods A prospective observational study was conducted at DMC from June 2016 to December 2016. Hand hygiene committee was established comprising of Infection Prevention and Hospital leadership members. Trained medical residents were appointed as “secret observers” to provide accurate HH reporting. HH auditing was performed using the smartphone app “Speedy audits” to survey and capture the 5 moments of hand hygiene among HCWs. Compliance reports based on different professions, hospital sites, unit locations and auditors were generated using online web portal and analyzed to determine HH compliance rate. Results During the 7-month study period when secret observers were used, a total of 1229 HCWs were observed. Overall, the HH opportunity compliance rate was 31% (916 complied opportunities /2939 opportunities). Hand hygiene compliance rates drastically fell when secret observers were used (31% compared with 100% in 2015 using direct observers). Based on two major before and after patient contact indications, 1022 compliances were observed from 3343 opportunities (30.5% compliance rate). The other compliance rates were 44% before aseptic procedure, 35% after body fluid exposure and 20% after patient environment contact [Figure 1]. Based on profession, compliance rates were lowest among nurses (613/2058; 30%) and medical students (36/169; 21%) when compared with physicians (445/957; 46%). Conclusion Hand-hygiene monitoring by secret observers with use of smartphone app is a feasible and accurate way for tracking HH compliance. The advantage of generating profession-based and unit-based reports for feedback will help to promote HH awareness and improve adherence rates. Disclosures All authors: No reported disclosures.

scholarly journals Hand Hygiene In and Out: Compliance and Sustainability Are Possible: 90/90 Program in a Mexican Tertiary-Care Center

2020 ◽  
Vol 41 (S1) ◽  
pp. s241-s242
Author(s):  
Roxana Trejo González ◽  
Miguel Ángel García Salcido ◽  
Diana Palami Antunez ◽  
Reyna Yacaman Handal
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Medical Center ◽  
Care Center ◽  
Tertiary Care ◽  
Hospital Staff ◽  
Positive Influence ◽  
Health Providers ◽  
Starting Point ◽  
Hygiene Compliance

Background: The American British Cowdray Medical Center I.A.P., also known as ABC Medical Center, is a highly specialized hospital and private assistance institution located in Mexico City. The ABC Medical Center implemented hand hygiene policies since around 2009, when Mexico committed to patient security. However, hand hygiene compliance remained low. Methods: The objective of the Hand Hygiene 90/90 program was to increase hand hygiene compliance through an integral strategy including a multidisciplinary team with leaders from different areas (nursing, physicians, human resources, quality, and educators). It was named 90/90 because it aimed to accomplish a 90% hand hygiene compliance among all health providers and hospital staff in 90 days (October 1–December 29) upon entering and exiting patient rooms (ie, In & Out). The Hand Hygiene 90/90 program led by the epidemiology area consisted of 5 specific components: management, supplies, education, monitoring, and social marketing (Fig. 1). For a period of 90 days, several permanent actions were implemented; they had a positive influence on the expected outcome (Fig. 2). Results: The starting point at the ABC Medical Center upon launching the program was 70% compliance. With the Hand Hygiene 90/90 program, the first steady change was observed at the end of November 2012 (ie, the sixth measurement point). An 88% compliance was achieved, all compliance was >50% from this point on. The highest compliance was achieved among health providers (doctors and nurses), followed by administrative staff. At the end of December 2012, 91% compliance was achieved by all health providers and hospital staff. Sustainability has been possible over the years through ongoing hand hygiene campaigns. In the 5 years following the implementation of the program, hand hygiene compliance remained mostly below the 90% standard (Fig. 3). Conclusions: An intervention for continuous improvement and hand hygiene compliance using the WHO 5 Moments was implemented throughout 2018, (in addition to the In & Out program). This intervention also incorporated elements of the WHO Multimodal Strategy 1 to develop a comprehensive hand hygiene program together with new indicators. The ABC Medical Center, with the support and leadership of the Ministry of Health, aims to become an example of institutions that achieve national and international benchmarks in the implementation of patient safety programs that are not only successful but also sustainable.Funding: NoneDisclosures: None

scholarly journals Hand Hygiene Compliance Study at a Large Central Hospital in Vietnam

2019 ◽  
Vol 16 (4) ◽  
pp. 607 ◽  
Author(s):  
Cam Le ◽  
Erik Lehman ◽  
Thanh Nguyen ◽  
Timothy Craig
Keyword(s):  
Quality Assurance ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Medical Center ◽  
Compliance Rate ◽  
World Health ◽  
Limiting Factors ◽  
Cultural Attitudes ◽  
Knowledge And Attitude ◽  
Hygiene Compliance

Lack of proper hand hygiene among healthcare workers has been identified as a core facilitator of hospital-acquired infections. Although the concept of hand hygiene quality assurance was introduced to Vietnam relatively recently, it has now become a national focus in an effort to improve the quality of care. Nonetheless, barriers such as resources, lack of education, and cultural norms may be limiting factors for this concept to be properly practiced. Our study aimed to assess the knowledge and attitude of healthcare workers toward hand hygiene and to identify barriers to compliance, as per the World Health Organization’s guidelines, through surveys at a large medical center in Vietnam. In addition, we aimed to evaluate the compliance rate across different hospital departments and the roles of healthcare workers through direct observation. Results showed that, in general, healthcare workers had good knowledge of hand hygiene guidelines, but not all believed in receiving reminders from patients. The barriers to compliance were identified as: limited resources, patient overcrowding, shortage of staff, allergic reactions to hand sanitizers, and lack of awareness. The overall compliance was 31%; physicians had the lowest rate of compliance at 15%, while nurses had the highest rate at 39%; internal medicine had the lowest rate at 16%, while the intensive care unit had the highest rate at 40%. In summary, it appears that addressing cultural attitudes in addition to enforcing repetitive quality assurance and assessment programs are needed to ensure adherence to safe hand washing.

scholarly journals The effect of education on improving hand hygiene compliance among healthcare workers

2019 ◽  
Vol 3 (2) ◽  
pp. 66-71
Author(s):  
Abigail Mitchell ◽  
Christian Schadt ◽  
Shamarra Johnson ◽  
Mary Thisbe Quilab
Keyword(s):  
Interventional Radiology ◽  
Hand Hygiene ◽  
Cardiac Catheterization ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Statistical Significance ◽  
Compliance Rate ◽  
Observation Data ◽  
Cardiac Catheterization Laboratory ◽  
Hygiene Compliance

Background: Proper hand hygiene is the most effective way to reduce healthcare-associated infections (HAI). Hand hygiene compliance rates among healthcare workers remain unsatisfactory. This study investigated the effects of unit in-service education on hand hygiene compliance in an Interventional Radiology and Cardiac Catheterization Laboratory department in a tertiary hospital in Florida. Methods: An observational study was conducted for five weeks. A total of 120 participants, consisting of 40 physicians, 40 registered nurses, 40 technologists were observed by a secret shopper pre-education and post education. A pre-education baseline compliance rate was established for each group. Pre-education observation occurred for two weeks before the intervention, one week for the implementation of unit in-service education, another two weeks for post education observation. The hand hygiene audit tool was utilized to record the observation data. Data analysis: Quantitative data were analyzed using a one-tailed T-test to determine P values for each group. Results: Results showed a 20 % increase among physicians, 15% among nurses and 5% among technologists. There was a statistical significance for the physician and nurse groups. Conclusion: The study implies that education is an effective intervention in improving hand hygiene compliance rates among the staff in the interventional radiology and cardiac catheterization department.

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.

A multimodal intervention to improve hand hygiene compliance in a tertiary care center

2018 ◽  
Vol 46 (7) ◽  
pp. 775-780 ◽  
Author(s):  
Abdul Mannan Laskar ◽  
Deepashree R ◽  
Prasanna Bhat ◽  
Biju Pottakkat ◽  
Sunil Narayan ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Improve Hand Hygiene ◽  
Multimodal Intervention ◽  
Hygiene Compliance

scholarly journals Hand hygiene compliance among healthcare workers in a tertiary care academic health care organization

2020 ◽  
Vol 8 (3) ◽  
pp. 878
Author(s):  
Varun Goel ◽  
Savita Gupta ◽  
Dakshina Bisht ◽  
Rashmi Sharma
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Tertiary Care ◽  
High Morbidity ◽  
Care Organization ◽  
Who Guidelines ◽  
Surgical Icu ◽  
Hygiene Compliance

Background: Healthcare Associated Infections (HAIs) are a major cause of high morbidity, disability, mortality and rising costs for health systems. Preventing the HAI risk by planning and implementing effective preventive strategies is important to safeguard patient health. Handwashing is one of the fundamental measures for preventing transmission of hospital-acquired infections.Methods: This cross-sectional observational study was conducted in the surgical ICU from January to February 2018 to evaluate the presence of adhesion to the different aspects of HH. Inclusion criteria included all nurses and allied healthcare workers of surgical ICU while all other HCWs were excluded. Two observers collected all HH data. During this analysis, 3000 HH opportunities were observed. HH compliance was tested for all 5 moments as per WHO guidelines. Data thus collected were entered into a computer-based spreadsheet for analysis using SPSS statistical software (version 20) (IBM Corp., NY, USA).Results: Overall hand hygiene compliance observed as per WHO Guidelines was 79.8%. Nurses had an adherence rate of 77.8%; allied staff adherence was 81.8%. Nurses’ compliance after touching patient surroundings was lowest at 60.7%. 96% staff was aware of the facts like diseases prevented by hand washing, ideal duration of HH, reduction of health care associated infections.Conclusions: Overall, the involved ICUs showed low levels of adherence to best hygiene practices with overall compliance of 79.2%. This suggests the need to implement immediate strategies for infection control in the ICUs. A multidisciplinary intervention could be effective in preventing and control the HAI risk.

scholarly journals The Process of Developing and Implementing a Simplified Guideline for Hand Hygiene in the Operating Room

2020 ◽  
Vol 41 (S1) ◽  
pp. s410-s410
Author(s):  
Manon van Dijk ◽  
Mieke Waltmans-den Breejen ◽  
Joke Vermeeren ◽  
Sonja van den Berg ◽  
Ed van Beeck ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Operating Room ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Medical Center ◽  
Outpatient Setting ◽  
Pilot Test ◽  
Policy Document ◽  
Time Points ◽  
Hygiene Compliance

Background: Most studies on improving hand hygiene compliance (HHC) focus on clinical wards. The 5 Moments of Hand Hygiene, as stated by the WHO, are less easy to identify in an outpatient setting or procedure rooms. Therefore, observing compliance of these moments in an outpatient clinic or among healthcare workers (HCWs) in the operating room (OR), is far more difficult. Nonetheless, proper hand hygiene in the OR is of utmost importance to prevent postoperative wound infection. Objective: We developed and implement a scoring instrument with simplified moments of hand hygiene for nonsterile HCWs in the OR. Methods: All 13 hospitals of the Antibiotic Resistance Network Southwest Netherlands were asked to submit their guidelines on hand hygiene in the OR. These guidelines were, after discussion, combined into 1 guideline, describing different hand hygiene areas for different groups of nonsterile HCWs in the OR. After asking for feedback and incorporating these adjustments, the guideline was converted into a policy document. Based on this document, a paper scoring instrument was developed to observe HHC in the OR in a uniform way across all hospitals. The Erasmus University Medical Center Rotterdam, the Netherlands (Erasmus MC) acted as a pilot hospital where the implementation of the scoring instrument was studied. Results: The policy document has been approved by the infection committees of all 13 hospitals. The preliminary data of the pilot in the Erasmus MC, although still ongoing, are as follows. Hand hygiene in the OR was observed at 4 different time points. The anesthetist was observed once during 4 procedures in 3 different ORs. At the other 3 time points, the OR assistants (ie, OR nurses and circulating nurses) were observed during 4 procedures in 4 different ORs. Hand hygiene moments were easy to identify; the paper scoring instrument could be used to record observations of HHC in the OR. Conclusions: The guideline with the simplified moments of hand hygiene for nonsterile HCWs in the OR has been successfully implemented. The pilot test in the Erasmus MC already showed that, after defining the hand hygiene moments in the OR, the HHC in the OR is easier to observe and record using the scoring instrument. Moreover, the instrument has provided clarity for HCWs regarding the moments ate which they should disinfect their hands.Funding: NoneDisclosures: None

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