Impact of a hospital-wide hand hygiene promotion strategy on healthcare-associated infections

Ling, Moi Lin; How, Kue Bien

doi:10.1186/2047-2994-1-13

Cited by 30 publications

(14 citation statements)

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“…Identifying influential physician and nurse leaders to serve as infection control champions will be important in these teaching hospitals. With only 30% of HCWs stating that clinical supervisors emphasize the importance of hand hygiene, we hope to change the culture of supervision and place a strong emphasis on infection control ownership and leadership which is key for a successful program(18)(19). …”

Section: Discussionmentioning

confidence: 99%

Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia

Tenna

Stenehjem

Margoles

et al. 2013

Infect. Control Hosp. Epidemiol.

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Objective To better understand hospital infection control practices in Ethiopia. Design A cross-sectional evaluation of healthcare worker (HCW) knowledge, attitudes and practices about hand hygiene and tuberculosis (TB) infection control measures. Methods An anonymous, 76-item questionnaire was administered to HCWs at two university hospitals in Addis Ababa, Ethiopia. Knowledge items were scored as correct/incorrect. Attitude and practice items were assessed using a Likert scale. Results 261 surveys were completed by physicians (51%) and nurses (49%). Fifty-one percent of respondents were male; mean age was 30 years. While hand hygiene knowledge was fair, self-reported practice was suboptimal. Physicians reported performing hand hygiene 7% and 48% before and after patient contact, respectively. Barriers for performing hand hygiene included lack of hand hygiene agents (77%), sinks (30%), proper training (50%), and irritation and dryness (67%) caused by hand sanitizer made per WHO formulation. TB infection control knowledge was excellent (>90% correct). Most HCWs felt at high risk for occupational acquisition of TB (71%) and that proper TB infection control can prevent nosocomial transmission (92%). Only 12% of HCWs regularly wore a mask when caring for TB patients. Only 8% of HCWs reported masks were regularly available and 76% cited a lack of infrastructure to isolate suspected/known TB patients. Conclusions Training HCWs about the importance and proper practice of hand hygiene along with improving hand sanitizer options may improve patient safety. Additionally, enhanced infrastructure is needed to improve TB infection control practices and allay HCW concerns about acquiring TB in the hospital.

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Section: Discussionmentioning

confidence: 99%

Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia

Tenna

Stenehjem

Margoles

et al. 2013

Infect. Control Hosp. Epidemiol.

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“…We chose the 3 practices because they are backed by strong evidence, are relatively easy to perform, are inexpensive, are linked to important and common harms, and are generally supported within the patient‐safety community. Improved adherence to hand hygiene significantly reduces infection transmission in healthcare settings . Performing fall risk assessments has been shown to reduce falls in hospitalized patients, and using preoperative checklists, including a surgical time‐out, can reduce mortality and complication risks by approximately 40% …”

Section: Methodsmentioning

confidence: 99%

“…Improved adherence to hand hygiene significantly reduces infection transmission in healthcare settings. [7][8][9][10][11] Performing fall risk assessments has been shown to reduce falls in hospitalized patients, 12 and using preoperative checklists, including a surgical time-out, can reduce mortality and complication risks by approximately 40%. 13 Respondents were asked how many cases of documented nonadherence would be necessary for the penalties to be appropriate (1 time, 2-5 times, 6-10 times, 11-15 times, 161 times, or would never be appropriate).…”

Section: Survey Development and Characteristicsmentioning

confidence: 99%

Responding to clinicians who fail to follow patient safety practices: Perceptions of physicians, nurses, trainees, and patients

et al. 2013

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BACKGROUND The field of patient safety grapples with the tension between a “no‐blame” systems approach and the need to hold providers accountable for substandard performance. Attitudes of clinicians and patients regarding methods of promoting adherence to safety practices have not been described. METHODS We surveyed attending and resident physicians in the University of California, San Francisco (UCSF) Department of Medicine, nurses and inpatients at the UCSF Medical Center, and UCSF medical students regarding attitudes toward violations of 3 safety protocols: hand hygiene, fall risk assessment, and preoperative time‐out. RESULTS Responses to protocol lapses were grouped into 3 categories: feedback (universally endorsed and thus excluded from the analysis), public reporting, and penalty (fines, suspension, firing). We examined group differences regarding whether public reporting and penalties were ever appropriate and the number of transgressions at which public reporting and penalties were favored. Respondents favored both public reporting and penalties more frequently for not conducting a preoperative time‐out or fall risk assessment than for hand‐hygiene lapses (public reporting: time‐out, odds ratio [OR]: 2.82 [95% confidence interval {CI}: 2.03‐3.91]; fall, OR: 1.47 [95% CI: 1.09‐1.98]. Penalty: time‐out, OR: 4.29 [95% CI: 2.97‐6.20]; fall, OR: 1.74 [95% CI: 1.27‐2.37]). Penalties were endorsed more frequently than public reporting for all groups and scenarios. Attending physicians and patients expressed similar attitudes regarding public reporting and penalties, but patients favored penalties after significantly fewer transgressions (P < 0.05). CONCLUSION After a decade emphasizing no‐blame responses to patient safety hazards, both healthcare providers and patients now believe clinicians should be held accountable for following basic safety protocols. Journal of Hospital Medicine 2014;9:99–105. © 2013 Society of Hospital Medicine

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“…Es así, como una adecuada higiene de manos es considerada una medida central para reducir la incidencia de IAAS, ya que las manos son responsables del 80% de las infecciones hospitalarias 9,10 . Por lo anterior, esta práctica es una de las medidas de prevención más estudiada, efectiva y promovida globalmente [11][12][13] , a través del desarrollo de innovadoras campañas multimodales, y la permanente vigilancia de potenciales factores que podrían reducir su efectividad [14][15][16] .…”

Section: Wwwrevinfclunclassified

Impacto del uso de anillos y uñas esmaltadas en la calidad de la higiene de manos en el personal de salud

Vergara

Véliz

et al. 2020

Rev. chil. infectol.

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Introducción: Las infecciones asociadas a la atención de salud son un problema frecuente en el ambiente hospitalario. La higiene de manos es la medida más efectiva para su prevención. El uso de ciertos accesorios en las manos podría disminuir su efectividad y favorecer la transmisión horizontal de agentes infecciosos. Objetivo: Revisar los estudios publicados que evalúan el impacto del uso de anillos y uñas esmaltadas en la calidad de la higiene de manos en trabajadores de la salud. Métodos: Búsqueda no sistemática en base de datos PUBMED/ MEDLINE (1978-2018) de estudios en los cuales se mide la calidad de la higiene de manos o lavado quirúrgico, mediante cultivos cuantitativos o tinciones fluorescentes. Resultados: Uso de anillos: Trece de 51 artículos cumplían los criterios de inclusión. Siete fueron realizados en unidades clínicas, y en todos ellos éste se asoció a menor calidad de la higiene de manos (la mayoría de baja calidad). Contrariamente, en tres de cuatro estudios primarios realizados en pabellón (de baja calidad), su uso no impactó en la calidad del lavado quirúrgico. Igualmente, dos revisiones sistemáticas obtuvieron similares conclusiones. Uñas esmaltadas: siete de 54 artículos fueron incluidos. En cuatro hubo resultados discordantes (la mayoría de baja calidad). En un estudio controlado se observó reducción en la calidad del lavado quirúrgico sólo cuando el esmalte estaba dañado. El esmalte gel se asoció a menor calidad de la higiene de manos en dos estudios experimentales. Conclusiones: No existe evidencia de calidad suficiente para asociar el uso de estos accesorios con reducción en la calidad de la higiene de manos. Tampoco queda demostrada su inocuidad. En base a la evidencia disponible (la mayoría de baja calidad), se observó un impacto negativo del uso de anillos en unidades clínicas y también de uñas con esmalte dañado en pabellones quirúrgicos. Se requieren estudios de mejor calidad para abordar estos relevantes tópicos. Palabras clave: Higiene de manos; infección de herida operatoria; infección del sitio quirúrgico; anillo; uñas; gel de uñas.

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Impact of a hospital-wide hand hygiene promotion strategy on healthcare-associated infections

Abstract: Background: During the Severe

Cited by 30 publications

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Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia

Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia

Responding to clinicians who fail to follow patient safety practices: Perceptions of physicians, nurses, trainees, and patients

Impacto del uso de anillos y uñas esmaltadas en la calidad de la higiene de manos en el personal de salud

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