scholarly journals Using a Human Factors Framework to Assess Clinician Perceptions of and Barriers to High Reliability in Hand Hygiene

2020 ◽  
Vol 41 (S1) ◽  
pp. s426-s426
Author(s):  
Ana Maria Vaughan ◽  
Thomas J. Sandora
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Human Factors ◽  
Nurse Practitioners ◽  
High Reliability ◽  
Physician Assistants ◽  
Healthcare Associated Infections ◽  
Medical Specialties ◽  
Healthcare Associated ◽  
Attending Physicians

Background: Hand hygiene is essential to prevent healthcare-associated infections, but adherence among clinicians remains low. Objective: We used a human factors framework to understand clinician perceptions of and barriers to achieving high reliability in hand hygiene. Methods: The Systems Engineering Initiative for Patient Safety 2.0 model was used to develop a 24-item electronic survey. Perceived barriers to hand hygiene were classified into several domains: technology and tools, person, organization, tasks, environment, and care processes. After pilot testing, the survey was distributed to a stratified random sample of attending physicians, nurse practitioners, and physician assistants in medical specialties and surgery-anesthesia at a quaternary-care pediatric hospital. Frequencies, percentages, and descriptive statistics were used to summarize responses. Results: Of 200 clinicians, 61 (31%) responded to the survey: 74% were attending physicians, 18% were nurse practitioners, and 7% were physician assistants. Moreover, 51% of respondents represented medical specialties, and 49% came from surgical disciplines or anesthesia. Respondents had served a median 12 years (IQR, 5–19 years) in their current role. Overall, 70% perceived hand hygiene to be “essential” among patient safety issues at the institution, and 84% agreed that leadership openly promotes hand hygiene. Additionally, 97% believed personal hand hygiene efforts were effective in preventing healthcare-associated infections. The availability of alcohol-based hand rub and being a good example for colleagues were perceived as “very effective” in permanently improving hand hygiene reliability by most respondents (87% and 67%, respectively). Furthermore, 77% of clinicians reported alcohol-based hand rub dispensers to be “sometimes” or “often” empty; 52% cited distractions in the workplace as hindrances to hand hygiene; and 21% reported that peers do not openly promote hand hygiene. One-quarter of the respondents indicated that the layout of patient care areas was not conducive to performing hand hygiene. Staffing shortages and the pace and demands of work precluded hand hygiene for 15% and 11% of respondents, respectively. Conclusions: Most clinicians view hand hygiene as essential to patient safety, but aspects of organizational culture, environment, tasks, and tools were identified as barriers to high performance reliability. These data can inform efforts to use human factors engineering principles to optimize systems and organizations to more effectively promote hand hygiene.Funding: NoneDisclosures: None

scholarly journals National Hand Hygiene Campaigns in Europe, 2000-2009

2009 ◽  
Vol 14 (17) ◽  
Author(s):  
A P Magiorakos ◽  
C Suetens ◽  
L Boyd ◽  
C Costa ◽  
R Cunney ◽  
...  
Keyword(s):  
Patient Safety ◽  
Disease Prevention ◽  
Hand Hygiene ◽  
Prevention And Control ◽  
World Health ◽  
Healthcare Associated Infections ◽  
The World ◽  
Health Organization ◽  
Healthcare Associated ◽  
And Control

Hand hygiene represents the single most effective way to prevent healthcare-associated infections. The World Health Organization, as part of its First Global Patient Safety Challenge, recommends implementation of multi-faceted strategies to increase compliance with hand hygiene. A questionnaire was sent by the European Centre for Disease Prevention and Control to 30 European countries, regarding the availability and organisation of their national hand hygiene campaigns. All countries responded. Thirteen countries had organised at least one national campaign during the period 2000-2009 and three countries were in the process of organising a national campaign. Although the remaining countries did not have a national campaign, several reported regional and local hand hygiene activities or educational resources on national websites.

scholarly journals HADAPI INFEKSI NOSOKOMIAL DENGAN HAND HYGIENE AKIBAT KECELAKAAN KERJA PERAWAT DALAM PEMBERIAN ASUHAN KEPERAWATAN DI RUMAH SAKIT

2020 ◽  
Author(s):  
NOVITA SARI
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Healthcare Associated Infections ◽  
Healthcare Associated

Infeksi nosokomial yang terjadi pada pasien di rumah sakit karena infeksi yang berhubungan dengan pelayanan di fasilitas kesehatan dan juga rumah sakit sebagai fasilitas pelayanan kesehatan mempunyai peranan penting dalam memberikan pelayanan kesehatan yang bermutu, efektif dan efisien yang menjamin patient safety sesuai dengan standar yang telah ditentukan. Salah satu indikator patient safety adalah pengurangan resiko infeksi terkait dengan pelayanan kesehatan. Infeksi nosokomial yang saat ini dikenal sebagai Healthcare Associated Infections (HAIs) adalah infeksi yang berhubungan dengan pelayanan di fasilitas kesehatan. Hand hygiene menjadi salah satu langkah yang efektif untuk memutuskan rantai transmisi infeksi, sehinga insidensi nosokomial dapat berkurang. Pencegahan dan pengendalian infeksi wajib dilakukan oleh perawat, dokter dan seluruh orang yang terlibat dalam perawatan pasien (Fauziah & Rachmawati, 2018). Tujuan penilitian adalah untuk mengetahui pencegahan dan pengendalian infeksi nosokomial di rumah sakit. Metode yang digunakan yaitu dengan menggunakan metode deskriptif dengan pendekatan kualitatif. Adapun sumber yang digunakan dalam literature ini menggunakan sumber dari buku teks dan jurnal yang diterbitkan pada 8 tahun terakhir.

scholarly journals Increase in consumption of alcohol-based hand rub in German acute care hospitals over a 12 year period

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tobias Siegfried Kramer ◽  
Janine Walter ◽  
Christin Schröder ◽  
Michael Behnke ◽  
Jörg Clausmeyer ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Healthcare Associated Infections ◽  
Medical Specialties ◽  
Local Staff ◽  
The Past ◽  
Benchmark Data ◽  
Hygiene Compliance ◽  
Healthcare Associated

Abstract Background Hand hygiene plays a crucial role in the transmission of pathogens and the prevention of healthcare-associated infections. In 2007, a voluntary national electronic surveillance tool for the documentation of consumption of alcohol-based hand rub (AHC) was introduced as a surrogate for hand hygiene compliance (HAND-KISS) and for the provision of benchmark data as feedback. The aim of the study was to determine the trend in alcohol-based hand rub consumption between 2007 and 2018. Materials and methods In this cohort study, AHC and patient days (PD) were documented on every ward in participating hospitals by trained local staff. Data was collected and validated in HAND-KISS. Intensive care units (ICU), intermediate care units (IMC), and regular wards (RW) that provided data during the study period between 2007 until 2018 were included into the study. Results In 2018, 75.2% of acute care hospitals in Germany (n = 1.460) participated. On ICUs (n = 1998) mean AHC increased 1.74 fold (95%CI 1.71, 1.76; p < .0001) from 79.2 ml/PD to 137.4 ml/PD. On IMCs (n = 475) AHC increased 1.69 fold (95%CI 1.60, 1.79; p < .0001) from 41.4 ml/PD to 70.6 ml /PD..On RWs (n = 14,857) AHC was 19.0 ml/PD in 2007 and increased 1.71 fold (95%CI 1.70, 1.73; p < .0001) to 32.6 ml/PD in 2018. Conclusions AHC in German hospitals increased on all types of wards during the past 12 years. Surveillance of AHC is widely established in German hospitals. Large differences among medical specialties exist and warrant further investigation.

scholarly journals Enhancing Patient Safety by Reducing Healthcare-Associated Infections: The Role of Discovery and Dissemination

2010 ◽  
Vol 31 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Keyword(s):  
Patient Safety ◽  
Healthcare System ◽  
Research Agenda ◽  
Position Paper ◽  
Public Confidence ◽  
Healthcare Associated Infections ◽  
Science Base ◽  
Healthcare Associated ◽  
National Approach

Healthcare-associated infections (HAIs) take a major human toll on society and reduce public confidence in the healthcare system. The current convergence of scientific, public, and legislative interest in reducing rates of HAI can provide the necessary momentum to address and answer important questions in HAI research. This position paper outlines priorities for a national approach to HAIs: scrutinizing the science base, developing a prioritized research agenda, conducting studies that address the questions that have been identified, creating and deploying guidelines that are based on the outcomes of these studies, and then initiating new studies that assess the efficacy of the interventions.

scholarly journals The financial impact of improved hand hygiene on healthcare-associated infections in the UK

2020 ◽  
pp. 117-122
Author(s):  
Katie-Rose Cawthorne Cawthorne ◽  
Jason Dean ◽  
Richard PD Cooke
Keyword(s):  
Hand Hygiene ◽  
Financial Analysis ◽  
Cost Savings ◽  
Direct Costs ◽  
Healthcare Associated Infections ◽  
Financial Assessment ◽  
Paediatric Hospital ◽  
The Uk ◽  
Healthcare Associated ◽  
The Impact

Background: Though high hand hygiene (HH) levels significantly reduce the risk of healthcare-associated infections (HCAIs), the current cost of HCAIs and the impact of optimal HH practices on HCAIs are poorly defined. The last NHS England financial assessment was in 2009. Methods: The number of HCAIs per bed per year for NHS England were calculated and average costs were attributed using data from three sources; National Audit Office report, a commercially available calculator, and a financial analysis by a specialist paediatric hospital in England. Improved HH compliance for NHS England was based on a sustained rise in compliance rates from 50 to 80% combined with an HCAI reduction of at least 20%. The cost savings based on such improvements were then calculated. Results: In 2020, it is estimated that the number of HCAIs per bed per year ranges from 3.0 to 9.3, with a midpoint of 5.1. The direct costs of HCAI to NHS England were found to lie between £1.6 and £5 billion. Based on a 20% reduction in HCAI rates, this could lead to cost savings of between £322 million and £1 billion per year. Conclusion: Current direct costs of HCAIs consume approximately 1.3% to 4.1% of NHS England’s annual budget. Improving HH compliance among healthcare workers can lead to significant cost savings. There appears to be a strong financial argument for investment into innovative HH compliance technologies that have been historically perceived as too expensive.

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