Randomized Crossover Study Evaluating the Effect of a Hand Sanitizer Dispenser on the Frequency of Hand Hygiene among Anesthesiology Staff in the Operating Room

2014 ◽  
Vol 35 (6) ◽  
pp. 717-720 ◽  
Author(s):  
L. Silvia Munoz-Price ◽  
Zalak Patel ◽  
Shawn Banks ◽  
Kristopher Arheart ◽  
Scott Eber ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Crossover Study ◽  
Operating Room ◽  
Anesthesia Machine ◽  
Infect Control Hosp ◽  
Hand Sanitizer ◽  
Anesthesia Providers ◽  
Randomized Crossover Study

Forty anesthesia providers were evaluated with and without hand sanitizer dispensers present on the anesthesia machine. Having a dispenser increased the frequency of hand hygiene only from 0.5 to 0.8 events per hour (P = .01). Other concomitant interventions are needed to further increase hand hygiene frequency among anesthesia providers.Infect Control Hosp Epidemiol 2014;35(6):717–720

scholarly journals Important but Impractical: Hand Hygiene Among Operating Room Anesthesia Providers

2020 ◽  
Vol 41 (S1) ◽  
pp. s285-s286
Author(s):  
Sadie Mae Moseley ◽  
Andrea Ankrum ◽  
Normidaris Jimenez ◽  
Alyssa Guthrie ◽  
Felicia Scaggs Huang ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Operating Room ◽  
Likert Scale ◽  
Nurse Anesthetists ◽  
Individual Interviews ◽  
Anesthesia Providers ◽  
Performance Barriers ◽  
High Adherence ◽  
Suboptimal Adherence ◽  
Inductive Thematic Analysis

Background: Use of the WHO 5 Moments of Hand Hygiene (HH) by operating room (OR) anesthesia personnel has been called by some logistically unfeasible, despite evidence that HH can reduce patients’ risk of pathogen acquisition. We developed and implemented a set of 7 moments based on WHO guidance (Fig 1) with high adherence. We conducted this study 6 months later to determine whether the improvement was sustained. In addition, we sought to understand practices, beliefs, barriers, and perceptions among anesthesia providers regarding HH. Methods: We measured HH adherence by direct observation using locally developed 7 moments tailored to the anesthesia workflow during June–August 2019. Adherence was defined as the percentage of observed HH performed when a moment occurred. We used the theory of planned behavior (TPB) as a framework to conduct 11 individual interviews (8 attending anesthesiologists and 3 certified nurse anesthetists) with a semistructured instrument that included Likert scale and open-ended questions. Interview transcripts were reviewed and a codebook of themes was created through inductive thematic analysis. Resultant themes and Likert scale averages were grouped by the 3 key TPB variables. Results: In total, 294 HH moments were observed for 50 anesthesia providers during 36 cases. The average HH adherence was 21.1% with the highest adherence moment being after patient contact (61.7%). Interview participants stated universally that HH was important for patient care, but acknowledged barriers to performance. Barriers cited included interruption in workflow, a lack of evidence, lack of clarity of HH standard, and limited availability of product. Conclusions: Adherence to the 7 moments of HH for anesthesia providers was not sustained after 6 months. Providers identified numerous barriers to HH, including a lack of knowledge of a standard, as reasons for suboptimal adherence. These data suggest future interventions could be designed to address gaps in knowledge and remove barriers to improve HH adherence among OR anesthesia providers.Funding: NoneDisclosures: None

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

scholarly journals A Randomized Crossover Trial to Decrease Bacterial Contamination on Hospital Scrubs

2014 ◽  
Vol 35 (11) ◽  
pp. 1411-1413 ◽  
Author(s):  
Mallory A. Boutin ◽  
Kerri A. Thom ◽  
Min Zhan ◽  
J. Kristie Johnson
Keyword(s):  
Crossover Study ◽  
Healthcare Worker ◽  
Bacterial Contamination ◽  
Crossover Trial ◽  
Infect Control Hosp ◽  
Control Groups ◽  
Randomized Crossover Trial ◽  
Normal Shift ◽  
And Control ◽  
Randomized Crossover Study

Healthcare worker attire may become contaminated with pathogenic organisms during a normal shift. We performed a randomized crossover study to assess whether treatment with an antimicrobial coating would decrease bacterial contamination on scrubs. Thirty percent of all scrubs were contaminated; there was no difference in the rate of contamination between the intervention and control groupsInfect Control Hosp Epidemiol 2014;35(11):1411–1413

Frequency of Interactions and Hand Disinfections among Anesthesiologists While Providing Anesthesia Care in the Operating Room: Induction versus Maintenance

2014 ◽  
Vol 35 (8) ◽  
pp. 1056-1059 ◽  
Author(s):  
L. Silvia Munoz-Price ◽  
Bobbie Riley ◽  
Shawn Banks ◽  
Scott Eber ◽  
Kristopher Arheart ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Operating Room ◽  
Standard Error ◽  
Infect Control Hosp ◽  
Anesthesia Care

We evaluated the behaviors of anesthesiologists during induction and maintenance of anesthesia. Contacts with surfaces occurred a mean (±standard error) of 154.8 ± 7.7 and 60 ± 3.1 times per hour during induction and maintenance, respectively (P < .0001). Hand hygiene events were 1.8 ± 0.27 per hour during induction versus 1.19 ± 0.27 during maintenance (P = .018).Infect Control Hosp Epidemiol 2014;35(8):1056–1059

scholarly journals Gesture-Controlled Image Management for Operating Room: A Randomized Crossover Study to Compare Interaction Using Gestures, Mouse, and Third Person Relaying

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0153596 ◽  
Author(s):  
Rolf Wipfli ◽  
Victor Dubois-Ferrière ◽  
Sylvain Budry ◽  
Pierre Hoffmeyer ◽  
Christian Lovis
Keyword(s):  
Crossover Study ◽  
Operating Room ◽  
Image Management ◽  
Third Person ◽  
Randomized Crossover Study

755-P: A Plant-Based Meal Stimulates Incretin and Insulin Secretion More than an Energy- and Macronutrient-Matched Standard Meal in Type 2 Diabetes: A Randomized Crossover Study

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 755-P
Author(s):  
HANA KAHLEOVA ◽  
ANDREA TURA ◽  
MARTA KLEMENTOVA ◽  
LENKA BELINOVA ◽  
MARTIN HALUZIK ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Insulin Secretion ◽  
Crossover Study ◽  
Standard Meal ◽  
Randomized Crossover Study
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