Handwashing Improvement Project—A Resident Run Success

Ghee, Lauren; Kowdley, Gopal C.

doi:10.1177/000313481708301201

Cited by 4 publications

(4 citation statements)

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“…It has been shown that implementing accountability, reward incentives, or goal setting may help sustain high compliance rates [10,14]. However, few studies reported on ownership of hand hygiene surveillance by physicians or nurses, all revealing a significant positive impact on compliance rates [15][16][17][18][19], The sustainability of high compliance rates in our setting may be attributed to the motivated physicians in charge of surveillance who may have felt that it was their responsibility to achieve the set goal. Physicians are the least involved in quality improvement initiatives, mainly because of time constraints and other work priorities.…”

Section: Discussionmentioning

confidence: 92%

“…We found this experience to be useful since it saves on institutional human resources, is reliable, and sensitizes the students to the importance of proper hand hygiene for patient safety early on in their career. Rees et al [ 27 ] and Ghee & Kowdley [ 17 ] also depended on volunteer medical students to implement their hand hygiene initiatives with similar success. A second limitation of our initiative is that some health care workers may be uncomfortable in reporting non-compliant colleagues or supervisors, especially in units with a small number of staff.…”

Section: Discussionmentioning

confidence: 99%

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Sustaining compliance with hand hygiene when resources are low: A quality improvement report

et al. 2020

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Background Sustainability of hand hygiene is challenging in low resource settings. Adding ownership and goal setting to the WHO-5 multimodal intervention may help sustain high compliance. Aim To increase and sustain compliance of nursing and medical staff with hand hygiene in a tertiary referral center with limited resources. Methods A quality improvement initiative was conducted over two years (2016–2018). After determining baseline compliance rates, the WHO-5 multimodal intervention was implemented with staff education and training, system change, hospital reminders, direct observation and feedback, and hospital safety climate. Additionally, the medical staff was responsible for continuous surveillance of compliance ( ownership ) until rates above 90% were achieved and sustained ( goal setting) . Results Of 2987 observations collected between August 2016 and April 2018, 1630 (54.5%) were before, and 1357 (45.5%) were after patient encounters. The average overall compliance with hand hygiene was sustained at 94% for nursing and medical staff. Two instances of drops below 90% were associated with incidence of nosocomial Rotavirus infections. There were no similar infections during intervention periods with compliance rates above the set goal. Analysis using p-charts revealed significant improvement in compliance rates from baseline (χ 2 (1) = 7.94, p = 0.005). Conclusion Adding ownership and goal setting to the WHO-5 multimodal intervention may help achieve, and sustain high rates of compliance with hand hygiene. Involving health care workers in quality improvement initiatives is feasible, durable, reliable, and cheap, especially in settings with limited financial resources.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Sustaining compliance with hand hygiene when resources are low: A quality improvement report

et al. 2020

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“…Fung and Cairncross [21] observed a decline in the practice of this preventative measure. To avoid such a decline and other errors, it is imperative to implement methods that successfully achieve correct preventative handwashing [44].…”

Section: Discussionmentioning

confidence: 99%

Health Literacy of the Inland Population in Mitigation Phase 3.2 of the COVID-19 Pandemic in Portugal: A Descriptive Cross-Sectional Study

Silva¹,

Silva

Alexandre³

et al. 2020

Port J Public Health

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Background: COVID-19 is a respiratory disease transmitted through respiratory droplets and has a high transmission rate. There is still no effective and approved antiretroviral treatment or vaccine, so preventative measures remain the key to contain this pandemic. Portugal is now in phase 3.2 of the mitigation of COVID-19, with it being imperative to understand the health literacy of our country and prevent a lack of information through community empowerment. Material and Methods: A cross-sectional study with a sample from a primary care facility was conducted. We collected demographic and epidemiological data and carried out a questionnaire by phone call. Descriptive statistics and nonparametric tests were used to assess associations between the independent variables and the level of health literacy. The level of significance was set at p < 0.05. Results: Our sample included 222 subjects (median age 62 years), mostly females (n = 131), undergraduates (n = 193), and with at least 1 risk factor for COVID-19 (n = 144). Overall, younger individuals, females, graduates and the nonrisk group appeared to have higher levels of health literacy, with some exceptions. Conclusions: We observed a well-informed population. However, it being a pandemic situation, our intention was to identify and correct outliers/misconceptions. This work allowed a perspective of the current state/pattern of health literacy as well as its possible predictors. Furthermore, it raised awareness of the relevance of specific communication approaches. Further studies to understand the predictors of health literacy are necessary.

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“…In their study, Fung et al also observed a decline of practice of this preventive measure 14 . Therefore, in order to avoid this decline and errors, we must implement methods to successfully achieve a correct preventive handwashing 39 .…”

Section: Discussionmentioning

confidence: 99%

Health literacy of inland population in the mitigation phase 3.2. of COVID-19's pandemic in Portugal - a descriptive cohort study

Silva¹,

Silva

Alexandre³

et al. 2020

Preprint

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Background : COVID-19 is a respiratory disease transmitted through respiratory droplets with a high transmission rate. There's still no effective and approved antiretroviral treatment or vaccine, thus, preventive measures are the main key to contain this pandemic. Portugal is now in phase 3.2 of the mitigation of COVID-19, being imperative to understand the health literacy of our country and how to prevent the lack of information, through community empowerment. Material and methods :A cross-sectional study with a cohort from a primary care facility was conducted. We collected demographic and epidemiological data and carried out a questionnaire by phone call. Descriptive statistics and nonparametric tests were used to assess associations between the independent variables and the level of health literacy. The level of significance was set at p<0.05.Results : Our cohort includes 222 subjects (median age: 62 years old), mostly females (131), undergraduate (193) and with at least one risk factor for . Globally, younger individuals, females, graduates and the Non-Risk Group appear to have higher levels of health literacy, with some exceptions to this pattern.Conclusions : We observe a well-informed population. However, being a pandemic situation, we intend to identify and correct outliers/misconceptions. This work allows a perspective of the current state/pattern of health literacy as well as its possible predictors. Furthermore, this study makes aware of how relevant the specific communication approaches are. Further studies to understand the predictors of health literacy are necessary.

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Handwashing Improvement Project—A Resident Run Success

Cited by 4 publications

References 4 publications

Sustaining compliance with hand hygiene when resources are low: A quality improvement report

Sustaining compliance with hand hygiene when resources are low: A quality improvement report

Health Literacy of the Inland Population in Mitigation Phase 3.2 of the COVID-19 Pandemic in Portugal: A Descriptive Cross-Sectional Study

Health literacy of inland population in the mitigation phase 3.2. of COVID-19's pandemic in Portugal - a descriptive cohort study

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