scholarly journals Improving healthcare worker hand hygiene adherence before patient contact: A multimodal intervention of hand hygiene practice in Three Japanese tertiary care centers

2015 ◽  
Vol 11 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Tomoko Sakihama ◽  
Hitoshi Honda ◽  
Sanjay Saint ◽  
Karen E. Fowler ◽  
Toru Kamiya ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Tertiary Care ◽  
Hygiene Practice ◽  
Patient Contact ◽  
Multimodal Intervention ◽  
Tertiary Care Centers

scholarly journals 1510Improving healthcare worker hand hygiene adherence before patient contact: A contest between three Japanese tertiary care centers

2014 ◽  
Vol 1 (suppl_1) ◽  
pp. S400-S400
Author(s):  
Hitoshi Honda ◽  
Tomoko Sakihama ◽  
Sanjay Saint ◽  
Karen Fowler ◽  
Toru Kamiya ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Tertiary Care ◽  
Patient Contact ◽  
Tertiary Care Centers

scholarly journals Insight into the knowledge, attitude and practices of hand hygiene with alcohol based hand rubs in a public sector tertiary care hospital of a developing country

2021 ◽  
Vol 8 (10) ◽  
pp. 4685
Author(s):  
Fizra Balkhi ◽  
Aamna Nasir ◽  
Ayesha Asghar ◽  
Farhan Patel ◽  
Marium Zafar ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Public Sector ◽  
Hand Hygiene ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Hospitals ◽  
Care Hospital ◽  
Patient Contact ◽  
Dirty Hands

Background: Health care worker’s hands are mostly responsible for transmission of healthcare associated infections (HCAI). In such instances, alcohol based hand rubs have been endorsed by WHO as the gold standard for hand hygiene for visibly clean hands; whereas, for visibly dirty hands soap and water is recommended. In developing countries (like Pakistan), affected people frequently exceed 25%. However, limited infrastructure in these countries hinders the performance of hand hygiene, but the use of alcohol-based hand rubs in such adverse situations is a practical solution to these constraints.Methods: In January 2021, we initiated a 12 week cross-sectional study in a public sector tertiary care hospital of Karachi, Pakistan. All participants were given a self-designed questionnaire with a consent form thereby giving us permission to use the data. Data was analyzed using statistical package for the social sciences (SPSS version 23).Results: 84.3% of the participants had received prior instructions on hand hygiene; however 71.7% respondents did not have access to alcohol based hand rubs. When questioned if they followed WHO’s five moments of hand hygiene, only 50.5% use alcohol based hand rubs before patient contact; 88.6% used it after patient contact; 83.2% after body fluid exposure risk; 77% before an aseptic task and 78.6% after contact with patient’s surroundings.Conclusions: There is a dire need for concerned authorities to enforce proper hand hygiene in public hospitals of developing countries in order to curb health care associated infections and prolonged hospital stays.

scholarly journals 1193. Assessing Sustainability of Hand Hygiene Adherence 5 Years after a Contest-Based Intervention in 3 Japanese Hospitals

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S428-S428
Author(s):  
Tomoko Sakihama ◽  
Naomi Kayauchi ◽  
Sanjay Saint ◽  
Karen E Fowler ◽  
David Ratz ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Direct Observation ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
World Health ◽  
Intervention Period ◽  
Post Intervention ◽  
Multimodal Intervention ◽  
Health Organization ◽  
Survey Responses

Abstract Background To evaluate the 5-year sustainability of a multimodal intervention which included a prize to the hospital with the highest overall hand hygiene adherence rates among healthcare workers. Methods Design: An observational study using direct observation of hand hygiene adherence performed by a trained observer coupled with a survey of healthcare workers about their knowledge of hand hygiene practices. Setting: Three Japanese tertiary care hospitals. Study Population: Physicians and nurses working on an inpatient medical or surgical ward, an intensive care unit (ICU), or the emergency department. Outcome Measures: Hand hygiene adherence rates before patient contact using unobtrusive direct observation. Secondary outcomes were survey responses on a World Health Organization (WHO) questionnaire on hand hygiene. Results Data for the current study were collected between September and December 2017 at the 3 participating hospitals. An additional 2,485 observations were conducted during this 5-year post-intervention assessment. These observations were compared with 2,679 observations from the pre-intervention period, and 2,982 observations from the 6-month post-intervention period. Hand hygiene adherence rates had previously improved significantly after the introduction of a multimodal intervention – based on principles recommend by the WHO – in 2012 and 2013 in 3 Japanese hospitals (18.0% pre-intervention to 32.7% 6-months post-intervention; P < 0.001). No significant changes were found in hand hygiene adherence in these hospitals 5 years after the original intervention (31.9% 5-years post-intervention; P = 0.53); however, substantial variability in hand hygiene adherence by unit and healthcare worker type was noted. Conclusion A multimodal hand hygiene initiative achieved sustained improvement in hand hygiene adherence in 3 Japanese hospitals 5 years after the original intervention. Disclosures All authors: No reported disclosures.

Sustained High Level of Healthcare Worker Adherence With Hand Hygiene Practice Recommendations Using the Patient-as-Observer Approach in the Ambulatory Setting

2016 ◽  
Vol 37 (12) ◽  
pp. 1496-1498 ◽  
Author(s):  
Rachael A. Lee ◽  
Gary R. Cutter ◽  
Janet L. Pate ◽  
Emily Boohaker ◽  
Bernard C. Camins
Keyword(s):  
Quality Improvement ◽  
Hand Hygiene ◽  
Healthcare Worker ◽  
Infect Control Hosp ◽  
Ambulatory Setting ◽  
Quality Improvement Initiative ◽  
Hygiene Practice ◽  
Hand Sanitizer ◽  
Practice Recommendations ◽  
High Level

We report on a quality improvement initiative for hand hygiene adherence using the patient-as-observer method in the ambulatory setting. There were 604,661 observations recorded with improvement of adherence from 88% to 95% or greater; alcohol-based hand sanitizer purchasing correlated with this increase. This sustainable method effectively ensures hand hygiene adherence.Infect Control Hosp Epidemiol 2016;1496–1498

The Effect of Leadership on Hand Hygiene: Assessing Hand Hygiene Adherence prior to Patient Contact in 2 Infectious Disease Units in Tuscany

2014 ◽  
Vol 35 (3) ◽  
pp. 313-316 ◽  
Author(s):  
Sarah R. Lieber ◽  
Elisabetta Mantengoli ◽  
Sanjay Saint ◽  
Karen E. Fowler ◽  
Carlo Fumagalli ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Hand Hygiene ◽  
Patient Contact ◽  
Improve Hand Hygiene ◽  
Multimodal Intervention ◽  
Intervention Adherence

We assessed hand hygiene adherence in 2 infectious disease units. In one unit, adherence declined slightly from year 1 (84.2%) to year 4 (71.0%) after a multimodal intervention but remained much higher than before intervention. Adherence dropped in the second unit after a loss of leadership (from 50.7% to 5.7%). Strong leadership presence may improve hand hygiene adherence.

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

Improvement of Adherence to Hand Hygiene Practice Using a Multimodal Intervention Program in a Neonatal Intensive Care

2011 ◽  
Vol 26 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Agnes van den Hoogen ◽  
Annemieke J. Brouwer ◽  
Malgorzata A. Verboon-Maciolek ◽  
Leo J. Gerards ◽  
André Fleer ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care ◽  
Intervention Program ◽  
Hygiene Practice ◽  
Multimodal Intervention

Improving Hand Hygiene Adherence in Healthcare Workers Before Patient Contact: A Multimodal Intervention in Four Tertiary Care Hospitals in Japan

2020 ◽  
Vol 15 (2020-05) ◽  
pp. 262-267 ◽  
Author(s):  
Akihiko Saitoh ◽  
Kiyomi Sato ◽  
Yoko Magara ◽  
Kakuei Osaki ◽  
Kiyoko Narita ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Tertiary Care ◽  
Hospital Setting ◽  
World Health ◽  
Multimodal Intervention ◽  
Percentage Points ◽  
Hygiene Intervention ◽  
Before And After ◽  
Tertiary Hospitals ◽  
Health Organization

OBJECTIVES: Our objectives were to evaluate hand hygiene adherence among physicians and nurses before touching hospitalized patients and to evaluate changes in hand hygiene adherence after a multimodal intervention was implemented. DESIGN, SETTING, AND PARTICIPANTS: We conducted a pre- and postintervention study with HCWs at four tertiary hospitals in Niigata, Japan. Hand hygiene observations were conducted from June to August 2018 (preintervention) and February to March 2019 (postintervention). INTERVENTION: The multimodal hand hygiene intervention recommended by the World Health Organization was tailored to each hospital and implemented from September 2018 to February 2019. MAIN OUTCOMES AND MEASURES: We observed hand hygiene adherence before touching patients in each hospital and compared rates before and after intervention. Intervention components were also evaluated. RESULTS: There were 2,018 patient observations preintervention and 1,630 postintervention. Overall, hand hygiene adherence improved from 453 of 2,018 preintervention observations (22.4%) to 548 of 1,630 postintervention observations (33.6%; P < .001). Rates improved more among nurses (13.9 percentage points) than among doctors (5.7 percentage points). Improvement varied among the hospitals: Hospital B (18.4 percentage points) was highest, followed by Hospitals D (11.4 percentage points), C (11.3 percentage points), and Hospital A (6.5 percentage points). CONCLUSIONS: A multimodal intervention improved hand hygiene adherence rates in physicians and nurses in Niigata, Japan; however, further improvement is necessary. Given the current suboptimal hand hygiene adherence rates in Japanese hospitals, the spread of COVID-19 within the hospital setting is a concern.

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