scholarly journals Factors Associated with Hand Hygiene Compliance among Critical Care Nurses

2014 ◽  
Vol 35 (3) ◽  
pp. 329-330 ◽  
Author(s):  
Hsin-Lan Lin ◽  
Li-Yu Yang ◽  
Chih-Cheng Lai
Keyword(s):  
Critical Care ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Critical Care Nurses ◽  
Factors Associated ◽  
Hygiene Compliance

Hand hygiene compliance in the critical care setting: A comparative study of 2 different alcohol handrub formulations

2013 ◽  
Vol 41 (2) ◽  
pp. 136-139 ◽  
Author(s):  
Alexandre R. Marra ◽  
Thiago Zinsly S. Camargo ◽  
Vanessa Jonas Cardoso ◽  
Denis Faria Moura ◽  
Emerson Casemiro de Andrade ◽  
...  
Keyword(s):  
Critical Care ◽  
Hand Hygiene ◽  
Comparative Study ◽  
Hand Hygiene Compliance ◽  
Care Setting ◽  
Critical Care Setting ◽  
Hygiene Compliance

scholarly journals Prevention of Nosocomial Infection & role of Hand Hygiene Compliance in a Private Hospital of Bangladesh

2017 ◽  
Vol 5 (2) ◽  
pp. 83-87 ◽  
Author(s):  
Afsana Begum ◽  
Md Shafiqul Bari ◽  
Md Abul Kalam Azad ◽  
Md Iqbal Hossain ◽  
Pradip Ranjan Saha
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Nosocomial Infection ◽  
Hand Hygiene Compliance ◽  
High Dependency Unit ◽  
High Dependency ◽  
Hygiene Compliance

Background: Nosocomial infection (NI) is a major cause of morbidity and mortality of patients attending the healthcare facilities all over the world. Only a few studies regarding this issue have been conducted in Bangladesh.Objective: To describe the load of NI and to assess role of hand hygiene compliance of doctors and nurses regarding its prevention.Method: In this cross-sectional study, medical records of all patients admitted from January 2014 to June 2014 were reviewed and data were collected from patients who had diagnosis of NI. Collected data includes month wise number of NI patients, types of NI, organism responsible for NI and hand hygiene compliance of doctors and nurses. Regarding hand hygiene compliance only critical care areas were considered.Results: During the study period, a total of 8769 patients were admitted in all inpatient departments and critical care areas (cardiac intensive care unit, neonatal intensive care unit, general intensive care unit, coronary care unit, general high dependency unit and cardiac high dependency unit) of the hospital and number of NI was 201 (2.29%). The highest NI was respiratory tract infection (63%) and the lowest was skin & soft tissue infection (2%). Predominant organisms responsible were E. coli (16%), acinetobacter species (15%), Pseudomonas species (14%), Klebsiella species (13%), Serratia species (13%) and Candida species (13%). The highest average hand hygiene compliance (67.67%) and lowest NI (1.14%) was observed in June 2014.Conclusion: In this study, NI rate was the lowest when the hand hygiene compliance was the highest. So, it is obvious that implementation of hand hygiene may be one of the important measures to prevent NI. So, hospitals should have strict guidelines and review measures to prevent this man made phenomenon. All these efforts will not only reduce patient morbidity, but will also reduce the use of antibiotics and healthcare costs of the country.Bangladesh Crit Care J September 2017; 5(2): 83-87

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.

scholarly journals 1501Inpatient Unit-Based Safety Culture Factors Associated with Sustained Hand Hygiene Compliance

2014 ◽  
Vol 1 (suppl_1) ◽  
pp. S397-S397
Author(s):  
Jonathan Wolfe ◽  
Henry Domenico ◽  
Gerald Hickson ◽  
Deede Wang ◽  
Marilyn Dubree ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Safety Culture ◽  
Hand Hygiene Compliance ◽  
Factors Associated ◽  
Hygiene Compliance

scholarly journals A Decade in Trying to Increase Hand Hygiene—Finally Success

2020 ◽  
Vol 41 (S1) ◽  
pp. s93-s94
Author(s):  
Linda Huddleston ◽  
Sheila Bennett ◽  
Christopher Hermann
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Bloodstream Infections ◽  
Central Line ◽  
Second Phase ◽  
Two Phase ◽  
Hygiene Compliance ◽  
Tract Infections ◽  
The Voice

Background: Over the past 10 years, a rural health system has tried 10 different interventions to reduce hospital-associated infections (HAIs), and only 1 intervention has led to a reduction in HAIs. Reducing HAIs is a goal of nearly all hospitals, and improper hand hygiene is widely accepted as the main cause of HAIs. Even so, improving hand hygiene compliance is a challenge. Methods: Our facility implemented a two-phase longitudinal study to utilize an electronic hand hygiene reminder system to reduce HAIs. In the first phase, we implemented an intervention in 2 high-risk clinical units. The second phase of the study consisted of expanding the system to 3 additional clinical areas that had a lower incidence of HAIs. The hand hygiene baseline was established at 45% for these units prior to the voice reminder being turned on. Results: The system gathered baseline data prior to being turned on, and our average hand hygiene compliance rate was 49%. Once the voice reminder was turned on, hand hygiene improved nearly 35% within 6 months. During the first phase, there was a statistically significant 62% reduction in the average number of HAIs (catheter associated urinary tract infections (CAUTI), central-line–acquired bloodstream infections (CLABSIs), methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant organisms (MDROs), and Clostridiodes difficile experienced in the preliminary units, comparing 12 months prior to 12 months after turning on the voice reminder. In the second phase, hand hygiene compliance increased to >65% in the following 6 months. During the second phase, all HAIs fell by a statistically significant 60%. This was determined by comparing the HAI rates 6 months prior to the voice reminder being turned on to 6 months after the voice reminder was turned on. Conclusions: The HAI data from both phases were aggregated, and there was a statistically significant reduction in MDROs by 90%, CAUTIs by 60%, and C. difficile by 64%. This resulted in annual savings >$1 million in direct costs of nonreimbursed HAIs.Funding: NoneDisclosures: None

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