Multicenter Intervention Program to Increase Adherence to Hand Hygiene Recommendations and Glove Use and to Reduce the Incidence of Antimicrobial Resistance

Trick, William E.; Vernon, Michael O.; Welbel, Sharon F.; Demarais, Patricia; Hayden, Mary K.; Weinstein, Robert A.

doi:10.1086/510809

Cited by 116 publications

(92 citation statements)

References 33 publications

(16 reference statements)

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“…One multimodal program in several Chicago hospitals led to modest improvements in the hand hygiene compliance rate. 32 A survey of 40 National Healthcare Safety Network hospitals reported low hand hygiene compliance rates, despite the presence of policies consistent with the Centers for Disease Control and Prevention hand hygiene guidelines; although most staff were aware of the guidelines and had access to alcohol sanitizer product, multidisciplinary promotion activities were lacking in almost half of these hospitals. 33 Our program was multidimensional.…”

Section: Discussionmentioning

confidence: 99%

Dissemination and Sustainability of a Hospital-Wide Hand Hygiene Program Emphasizing Positive Reinforcement

Mayer

Mooney

Gundlapalli

et al. 2011

Infect. Control Hosp. Epidemiol.

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Objective.To increase and sustain hospital-wide compliance with hand hygiene through a long-term ongoing multidimensional improvement program emphasizing behavioral factors.Design.Quasi-experimental short study (August 2000-November 2001) and descriptive time series (April 2003-December 2006).Setting.A 450-bed teaching tertiary-care hospital.Interventions.An initial intervention bundle was introduced in pilot locations that addressed cognitive behavioral factors, which included access to alcohol sanitizer, education, and ongoing audit and feedback. The bundle was subsequently disseminated hospital-wide, along with a novel approach focused on behavior modification through positive reinforcement and annually changing incentives.Results.A total of 36,123 hand hygiene opportunities involving all categories of healthcare workers from 12 inpatient units were observed from October 2000 to October 2006. The rate of compliance with hand hygiene significantly improved after the intervention in 2 cohorts over the first year (from 40% to 64% of opportunities and from 34% to 49% of opportunities;P< .001, compared with the control group). Mean compliance rates ranged from 19% to 41% of 4174 opportunities (at baseline), increased to the highest levels of 73%–84% of 6,420 opportunities 2 years after hospital-wide dissemination, and remained improved at 59%–81% of 4,990 opportunities during year 6 of the program.Conclusion.This interventional cohort study used a behavioral change approach and is one of the earliest and largest institution-wide programs promoting alcohol sanitizer from the United States that has shown significant and sustained improvements in hand hygiene compliance. This creative campaign used ongoing frequent audit and feedback with novel use of immediate positive reinforcement at an acceptable cost to the institution.

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Section: Discussionmentioning

confidence: 99%

Dissemination and Sustainability of a Hospital-Wide Hand Hygiene Program Emphasizing Positive Reinforcement

Mayer

Mooney

Gundlapalli

et al. 2011

Infect. Control Hosp. Epidemiol.

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“…705,809 HCWs' attitudes and compliance with hand hygiene are extremely complex and multifactorial, 738,750,789,810,811 and studies indicate that a successful programme would have to be multidisciplinary and multifaceted. 684,701,750,767 Education is important and critical for success and represents one of the cornerstones for improvement of hand hygiene practices. 812 It is therefore an essential component of the WHO multimodal Hand Hygiene Improvement Strategy together with other elements, in particular, the building of a strong and genuine institutional safety culture which is inherently linked to education.…”

Section: Organizing An Educational Programme To Promote Hand Hygienementioning

confidence: 99%

“…666,705,740,809 It is important to emphasize that educational programmes alone are inadequate for long-lasting improvement, and other behaviourmodifying strategies must be included in a multifaceted approach in order to achieve change. 657,684,701,750,767,809,815,816 There is also clear evidence that adequate physical facilities for hand cleansing could affect the success of the programme itself and must certainly be in place. 335,810,817 However, these considerations do not negate the critical role of the formal education programme for achieving better adherence to hand hygiene.…”

Section: Organizing An Educational Programme To Promote Hand Hygienementioning

confidence: 99%

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

103

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“…Para atenuar tal viés, alguns estudos utilizaram como observadores estudantes de graduação, ao invés de profissionais da instituição, e a equipe que estava sendo observada desconhecia a realização da pesquisa (7,21) .…”

Section: Observação Direta Das Oportunidades De Higienização Das Mãosunclassified

“…Estudos realizados com base nesta técnica encontraram taxas de adesão entre 7,6% -91,3% (2)(3)(4)(7)(8)(9)14,(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) . Vale lembrar ainda que mesmo se tratando de estudos observacionais os critérios utilizados em cada estudo variaram consideravelmente, sendo que, em alguns trabalhos, foram observadas as lavagens das mãos apenas antes do contato com o paciente; enquanto outros estudos foram além, observando a adesão durante a assistência inclusive de um mesmo paciente, diferenciando atenção nas áreas mais contaminadas para áreas menos contaminadas do corpo.…”

Section: Observação Direta Das Oportunidades De Higienização Das Mãosunclassified

Monitoração da adesão à higienização das mãos: uma revisão de literatura

Oliveira

Paula

2011

Acta paul. enferm.

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RESUMOPesquisas realizadas demonstram falta de padronização dos métodos de avaliação da aderência dos profissionais de saúde à prática da higienização das mãos. Assim, este estudo de revisão objetivou identificar os diferentes métodos utilizados para avaliação da aderência a essa prática, referendados na literatura por meio de consulta às seguintes bases de dados -Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Analysis Retrieval System Online e Scientific Eletronic Library Online nas quais foram identificados 210 estudos, dentre os quais foram selecionados 34 artigos divulgados entre os anos de 2001 a 2010. O estudo apresenta os diferentes métodos adotados para realizar a avaliação da aderência aos procedimentos de higienização das mãos e aponta seus pontos fortes e fragilidades, a fim de subsidiar uma análise crítica por parte dos profissionais de saúde, com o intuito de favorecer a escolha do método mais adequado a cada instituição e realidade. Descritores: Lavagem de mãos; Monitoramento; Precauções universais; Fidelidade a diretrizes ABSTRACTSurveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. Therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases -Latin American and Caribbean Health Sciences, Medical Analysis Retrieval System Online Scientific Electronic Library Online. A total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. The study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality. Keywords: Handwashing; Monitoring; Universal precautions; Guideline adherence RESUMENInvestigaciones realizadas demuestran falta de patronización de los métodos de evaluación de la adherencia de los profesionales de salud a la práctica de la higiene de las manos. Así, este estudio de revisión tuvo como objetivo identificar los diferentes métodos utilizados para la evaluación de la adherencia a esa práctica, refrendados en la literatura por medio de consulta a las siguientes bases de datos -Literatura Latino-Americana y del Caribe en Ciencias de la Salud, Medical Analysis Retrieval System Online e Scientific Eletronic Library Online en las cuales fueron identificados 210 estudios, de los cuales fueron seleccionados 34 artículos difundidos entre los años de 2001 a 2010. El estudio presenta los diferentes métodos adoptados para realizar la evaluación de la adherencia a los procedimientos de higiene de las manos y señala sus puntos fuertes y fragilidades, a fin de subsidiar un análisis crítico por parte de los profesionales de salud, con la intención de favorecer la elección de...

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Multicenter Intervention Program to Increase Adherence to Hand Hygiene Recommendations and Glove Use and to Reduce the Incidence of Antimicrobial Resistance

Cited by 116 publications

References 33 publications

Dissemination and Sustainability of a Hospital-Wide Hand Hygiene Program Emphasizing Positive Reinforcement

Dissemination and Sustainability of a Hospital-Wide Hand Hygiene Program Emphasizing Positive Reinforcement

Hand Hygiene

Monitoração da adesão à higienização das mãos: uma revisão de literatura

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