Improving Hand Hygiene at Eight Hospitals in the United States by Targeting Specific Causes of Noncompliance

Chassin, Mark R.; Mayer, Carrie; Nether, Klaus

doi:10.1016/s1553-7250(15)41002-5

Cited by 64 publications

(41 citation statements)

References 22 publications

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“…While hand hygiene performance is regarded as a basic procedure, the hand hygiene context is not, as numerous factors influence compliance in busy, complex and dynamic work circumstances (Carter et al., ; Erasmus et al., ; Randle et al., ). Chassin () identified 41 different causes of noncompliance in eight hospitals in the United States. Being busy, high workload, frequent interruptions and acute situations have been reported causes of low compliance rate among nurses (Alsubaie et al., ; Carter et al., ).…”

Section: Discussionmentioning

confidence: 99%

The hand hygiene compliance of student nurses during clinical placements

Sundal

Aune

Storvig

et al. 2017

Journal of Clinical Nursing

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Increasing healthcare workers' compliance with hand hygiene guidelines remains a challenge to the clinical community. In order to reduce healthcare-associated infections, it is important to educate student nurses to comply with the guidelines during clinical placements. Identifying student nurses' hand hygiene performance is the first step towards developing teaching methods to improve and sustain their overall and moment-specific compliance. As a measure to ensure student compliance during clinical placements, mentors should be aware of their influence on students' performance, act as hand hygiene ambassadors, encourage students to comply with established guidelines and provide regular feedback.

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Section: Discussionmentioning

confidence: 99%

The hand hygiene compliance of student nurses during clinical placements

Sundal

Aune

Storvig

et al. 2017

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…Hospital administrators report that the lowest cost, most effective method of increasing hand washing frequency is direct observation of health care workers. Electronic and video surveillance provide significant increases in hand cleansing acts, with lower manpower input than the most effective option: direct observation by Patient Safety Teams [9). The latter have the opportunity to systematically, and in real time, address specific areas for improvement by staff.…”

Section: Hand Hygiene Technology: a Brief Review Of The State Of The mentioning

confidence: 99%

“…The digital recordings, however, provide evidence of hand washing frequency and technique, which has been used in subsequent training and evaluations, but incur increased costs for long term maintenance. The Hawthorne effect ('I do it because I am being watched') is a risk of any surveillance system, but the improvement in infection control has been repeatedly reported [9). Some hospitals employed infection control systems that measured product volume in an effort to encourage hand cleaner use, but this is the least desirable method, as it does not capture flaws in hand wash technique [8).…”

Section: Hand Hygiene Technology: a Brief Review Of The State Of The mentioning

confidence: 99%

Hand Hygiene Technology: A Brief Review of the State of the Art of Microbial Control in the Hospital Setting

Thaxter-Nesbeth¹

2016

West Indian Med J

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“…5 However, it is unlikely to be feasible to sustain 100% compliance with hand hygiene in an enduring fashion; thus, there has been interest in exploring additional interventions to prevent the spread of MDROs, including barrier precautions such as gloves and gowns.…”

mentioning

confidence: 99%

Long-Term Impact of Universal Contact Precautions on Rates of Multidrug-Resistant Organisms in ICUs: A Comparative Effectiveness Study

Furuya

Cohen

Jia

et al. 2018

Infect. Control Hosp. Epidemiol.

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OBJECTIVE To evaluate the impact of universal contact precautions (UCP) on rates of multidrug-resistant organisms (MDROs) in intensive care units (ICUs) over 9 years. DESIGN Retrospective, nonrandomized observational study. SETTING An 800-bed adult academic medical center in New York City. PARTICIPANTS All patients admitted to 6 ICUs, 3 of which instituted UCP in 2007. METHODS Using a comparative effectiveness approach, we studied the longitudinal impact of UCP on MDRO incidence density rates, including methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, and carbapenem-resistant Klebsiella pneumoniae. Data were extracted from a clinical research database for 2006–2014. Monthly MDRO rates were compared between the baseline period and the UCP period, utilizing time series analyses based on generalized linear models. The same models were also used to compare MDRO rates in the 3 UCP units to 3 ICUs without UCPs. RESULTS Overall, MDRO rates decreased over time, but there was no significant decrease in the trend (slope) during the UCP period compared to the baseline period for any of the 3 intervention units. Furthermore, there was no significant difference between UCP units (6.6% decrease in MDRO rates per year) and non-UCP units (6.0% decrease per year; P =.840). CONCLUSION The results of this 9-year study suggest that decreases in MDROs, including multidrug-resistant gram-negative bacilli, were more likely due to hospital-wide improvements in infection prevention during this period and that UCP had no detectable additional impact.

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Improving Hand Hygiene at Eight Hospitals in the United States by Targeting Specific Causes of Noncompliance

Cited by 64 publications

References 22 publications

The hand hygiene compliance of student nurses during clinical placements

The hand hygiene compliance of student nurses during clinical placements

Hand Hygiene Technology: A Brief Review of the State of the Art of Microbial Control in the Hospital Setting

Long-Term Impact of Universal Contact Precautions on Rates of Multidrug-Resistant Organisms in ICUs: A Comparative Effectiveness Study

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