Hand hygiene opportunities on Canadian acute-care inpatient units: A multicenter observational study

2018 ◽  
Vol 39 (11) ◽  
pp. 1378-1380 ◽  
Author(s):  
Dhruv Nayyar ◽  
Christine Moore ◽  
Liz McCreight ◽  
Chiana Garvida ◽  
Emily Xu ◽  
...  
Keyword(s):  
Observational Study ◽  
Hand Hygiene ◽  
Acute Care ◽  
Direct Observation ◽  
Monitoring Systems ◽  
Multicenter Observational Study ◽  
Surgical Units ◽  
To Receive ◽  
Inpatient Units ◽  
Multivariable Adjustment

AbstractIn this multicenter observational study, medical and surgical inpatient rooms were randomized to receive 1 hour of continuous direct observation to determine hand hygiene opportunities (HHOs). After multivariable adjustment, HHOs were similar across inpatient units and hospitals. This estimate could serve to calibrate electronic hand hygiene monitoring systems for Canadian medical and surgical units.

Hand hygiene practices and adherence determinants in surgical wards across Europe and Israel: A multicenter observational study

2011 ◽  
Vol 39 (6) ◽  
pp. 517-520 ◽  
Author(s):  
Andie Lee ◽  
Annie Chalfine ◽  
George L. Daikos ◽  
Silvia Garilli ◽  
Biljana Jovanovic ◽  
...  
Keyword(s):  
Observational Study ◽  
Hand Hygiene ◽  
Multicenter Observational Study ◽  
Hygiene Practices

scholarly journals Functional Changes during Hospital Stay in Older Patients Admitted to an Acute Care Ward: A Multicenter Observational Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e96398 ◽  
Author(s):  
Stefanie L. De Buyser ◽  
Mirko Petrovic ◽  
Youri E. Taes ◽  
Davide L. Vetrano ◽  
Andrea Corsonello ◽  
...  
Keyword(s):  
Observational Study ◽  
Hospital Stay ◽  
Acute Care ◽  
Older Patients ◽  
Multicenter Observational Study ◽  
Functional Changes ◽  
Care Ward

Unit-Specific Rates of Hand Hygiene Opportunities in an Acute-Care Hospital

2016 ◽  
Vol 38 (4) ◽  
pp. 411-416 ◽  
Author(s):  
Angela Han ◽  
Laurie J. Conway ◽  
Christine Moore ◽  
Liz McCreight ◽  
Kelsey Ragan ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Temporal Variations ◽  
Time Of Day ◽  
Care Hospital ◽  
Adult Intensive Care Unit ◽  
Surgical Units ◽  
Wide Range ◽  
Step Down

OBJECTIVETo explore the frequency of hand hygiene opportunities (HHOs) in multiple units of an acute-care hospital.DESIGNProspective observational study.SETTINGThe adult intensive care unit (ICU), medical and surgical step-down units, medical and surgical units, and the postpartum mother–baby unit (MBU) of an academic acute-care hospital during May–August 2013, May–July 2014, and June–August 2015.PARTICIPANTSHealthcare workers (HCWs).METHODSHHOs were recorded using direct observation in 1-hour intervals following Public Health Ontario guidelines. The frequency and distribution of HHOs per patient hour were determined for each unit according to time of day, indication, and profession.RESULTSIn total, 3,422 HHOs were identified during 586 hours of observation. The mean numbers of HHOs per patient hour in the ICU were similar to those in the medical and surgical step-down units during the day and night, which were higher than the rates observed in medical and surgical units and the MBU. The rate of HHOs during the night significantly decreased compared with day (P<.0001). HHOs before an aseptic procedure comprised 13% of HHOs in the ICU compared with 4%–9% in other units. Nurses contributed >92% of HHOs on medical and surgical units, compared to 67% of HHOs on the MBU.CONCLUSIONSAssessment of hand hygiene compliance using product utilization data requires knowledge of the appropriate opportunities for hand hygiene. We have provided a detailed characterization of these estimates across a wide range of inpatient settings as well as an examination of temporal variations in HHOs.Infect Control Hosp Epidemiol2017;38:411–416

scholarly journals Hand Hygiene in Acute Care Hospitals—Evaluation of 12 Years National Hand Hygiene Campaign in Germany

2020 ◽  
Vol 41 (S1) ◽  
pp. s242-s243
Author(s):  
Tobias Kramer ◽  
Karin Bunte ◽  
Janine Walter ◽  
Christin Schroeder ◽  
Michael Behnke ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Acute Care ◽  
Direct Observation ◽  
Surveillance System ◽  
Intervention Strategy ◽  
Acute Care Hospitals ◽  
Annual Data ◽  
Healthcare Settings ◽  
German Healthcare System ◽  
Hand Hygiene Campaign

Background: Hand hygiene is one of the most effective measures to prevent healthcare-associated infections and transmission of multidrug-resistant organisms in healthcare settings. The WHO proposes a multimodal intervention strategy to improve hand hygiene in healthcare settings. In 2008, a voluntary national campaign for hand hygiene was implemented in the German healthcare system. The objective of this study was to evaluate participation, practices, and performance of hand hygiene in German acute-care hospitals. Methods: In 2008 a national hand hygiene campaign began in Germany. Based on voluntary participation, the campaign’s goal was to implement the WHO 5 Moments model, to establish a national surveillance system for compliance to hand hygiene, to improve availability of alcohol-based hand-rub (ABHR) dispensers at points of care, and to implement interdisciplinary executive boards at each hospital to ensure sustainable implementation. Annual data on ABHR consumption and patient days (PD) were collected within the national surveillance system (HAND-KISS) on the individual ward level and were validated. Direct observation of compliance was performed according the recommendations of the WHO. Results: Overall, 1,047 of 1,942 acute-care hospitals in Germany participated in the national hand hygiene campaign in 2018, covering 81,571,917 patient days. Moreover, 9,360 regular wards (RWs), 338 intermediate care units (IMCs) and 1,342 intensive care units (ICUs) provided data on ABHR consumption. Between 2007 and 2018 in the ICU, ABHR consumption increased continuously from 70 mL/PD (IQR, 52–98) to 129 mL/PD (IQR, 102–162). In intermediate care units, ABHR consumption increased from 40 mL/PD (IQR, 15–54) to 67 mL/PD (IQR, 46–95), and on regular wards, ABHR consumption increased from 14 mL/PD (IQR, 10–21) to 29 mL/PD (IQR, 22–39). These increases were especially pronounced in wards that continuously provided annual data for ABHR consumption over the past 12 years. In 2014, electronic documentation for direct observation of compliance to hand hygiene was established. From 2014 until 2018, 1,598,209 opportunities were observed on 1,907 wards of 422 hospitals. The median directly observed compliance in 2018 was 76% (IQR, 66%–84%). Median compliance to the 5 Moments was 71% (IQR, 57%–82%) before touching a patient, 68% (IQR, 51%–85%) before clean or aseptic procedures, 83% (IQR, 72%–92%) after body fluid exposure or risk, 84% (IQR, 75%–90%) after touching a patient, and 74% (IQR, 61%–84%) after touching patient surroundings. Conclusions: The WHO multimodal intervention strategy has been successfully established in German acute-care hospitals. A surveillance system for ABHR consumption and direct observation of compliance to hand hygiene are widely used by hospitals in Germany. Hand hygiene practices have significantly improved in the German healthcare system.Funding: NoneDisclosures: None

Introduction of Group Electronic Monitoring of Hand Hygiene on Inpatient Units: A Multicenter Cluster Randomized Quality Improvement Study

2020 ◽  
Vol 71 (10) ◽  
pp. e680-e685
Author(s):  
Jerome A Leis ◽  
Jeff E Powis ◽  
Allison McGeer ◽  
Daniel R Ricciuto ◽  
Tanya Agnihotri ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Hand Hygiene ◽  
Electronic Monitoring ◽  
Current Approach ◽  
Antibiotic Resistant ◽  
Guide Unit ◽  
Surgical Units ◽  
Cluster Randomized ◽  
Healthcare Associated ◽  
Inpatient Units

Abstract Background The current approach to measuring hand hygiene (HH) relies on human auditors who capture &lt;1% of HH opportunities and rapidly become recognized by staff, resulting in inflation in performance. Group electronic monitoring is a validated method of measuring HH adherence, but data demonstrating the clinical impact of this technology are lacking. Methods A stepped-wedge cluster randomized quality improvement study was performed on 26 inpatient medical and surgical units across 5 acute care hospitals in Ontario, Canada. The intervention involved daily HH reporting as measured by group electronic monitoring to guide unit-led improvement strategies. The primary outcome was monthly HH adherence (percentage) between baseline and intervention. Secondary outcomes included transmission of antibiotic-resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) and other healthcare-associated infections. Results After adjusting for the correlation within inpatient units and hospitals, there was a significant overall improvement in HH adherence associated with the intervention (incidence rate ratio [IRR], 1.73 [95% confidence interval {CI}, 1.47–1.99]; P &lt; .0001). Monthly HH adherence relative to the intervention increased from 29% (1 395 450/4 544 144) to 37% (598 035/1 536 643) within 1 month, followed by consecutive incremental increases up to 53% (804 108/1 515 537) by 10 months (P &lt; .0001). There was a trend toward reduced healthcare-associated transmission of MRSA (IRR, 0.74 [95% CI, .53–1.04]; P = .08). Conclusions The introduction of a system for group electronic monitoring led to rapid, significant improvements in HH performance within a 2-year period. This method offers significant advantages over direct observation for measurement and improvement of HH.

ENDOSCOPIC PAPILLECTOMY IN A LARGE MULTICENTER OBSERVATIONAL STUDY: STILL WAY FOR IMPROVEMENT

2020 ◽  
Author(s):  
H Gondran ◽  
E Coron ◽  
N Musquer ◽  
EPC Robles ◽  
P Dreprez ◽  
...  
Keyword(s):  
Observational Study ◽  
Multicenter Observational Study ◽  
Endoscopic Papillectomy

Nédemax® Mese (Leucoselect®, Lymphaselect®, Bromelain) in the treatment of chronic venous disease: a multicenter, observational study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Rino Albrigo ◽  
Cinzia Andreoni ◽  
Gaetano Anello ◽  
Maria G. Barboni ◽  
Elena Barzaghi ◽  
...  
Keyword(s):  
Observational Study ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Multicenter Observational Study
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