Impact of 2 different levels of performance feedback on compliance with infection control process measures in 2 intensive care units

Colonoscopy yields fewer polyps as the day progresses despite using social influence theory to reverse the trend

“…For example, Assanasen et al 18 found that hanging informational posters in an intensive care unit led to improved adherence to various performance measures, including timely and frequent hand hygiene. Similarly, Buffington et al 19 found that posters improved adherence with influenza vaccination guidelines in a private-practice setting.…”

“…This may create a sense of discomfort in the provider who will seek to resolve the inconsistency by attempting to achieve best practice. Indeed, data reveal that informational posters are effective in changing behaviors ranging from lifestyle practices (eg, taking the stairs instead of escalators [15][16][17] ) to health care activities (eg, promoting frequent hand washing in intensive care units 18 and increasing influenza vaccinations in primary care 19 ).…”

Educating healthcare workers to optimal hand hygiene practices: addressing the need

“…Tools for data management are available from: http://www.who.int/gpsc/5may/ Instructions_for_Data_Entry_and_Analysis.doc (accessed 14 May 2010). Feedback on practices with specific proposals for improvement is also a form of education [37]. HCAI rates or infection rates with specific multidrugresistant bacteria can be used as outcome measures, and the results obtained should be compared with the baseline values to chart progress.…”

“…Reporting results of local hand hygiene compliance can help raise awareness of the need for practice and knowledge improvement [37][38][39][40] Use of practical educational tools Prepackaged hand hygiene educational tools facilitate implementation and standardization of educational messages [13,67,68] Commitment from healthcare facility administration…”

“…Therefore, the impact of education on hand hygiene compliance is substantial, at least in the short term. For long-term effects, measures such as reminders, audit and feedback are beneficial [37][38][39][40].…”