Sleep safe in clean hands: Improving hand hygiene compliance in the operating room through education and increased access to hand hygiene products

Paul, Elizabeth T.; Kuszajewski, Michele L.; Davenport, Ashley; Thompson, Julie; Morgan, Brett

doi:10.1016/j.ajic.2018.10.021

Cited by 12 publications

(15 citation statements)

References 17 publications

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“…The chance of pathogens in the environment infecting patients will be greatly increased. The abuse and overuse of antibiotics have also increased the rate of nosocomial infection, especially in recent years, bacterial drug resistance has become more serious [ 17 ]. It has been reported that stress response factors can also bring about a decline in immune function, increase susceptibility to infection and reduce resistance [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

[Retracted] Analysis of the Effect of Holistic Nursing in the Operating Room Based on PDCA and Evidence‐Based Nursing in the Otorhinolaryngology Operating Room: Based on a Retrospective Case‐Control Study

Bian

et al. 2022

Contrast Media & Molecular Imaging

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Objective. Based on a retrospective case-control study, this study aims to explore the effect of holistic nursing in operating room based on PDCA (plan, do, check, and action) process and evidence-based nursing (EBN) in a ear, nose, and throat operating room. Methods. About 200 patients who underwent otorhinolaryngology surgery in our hospital from January 2019 to September 2021 were enrolled. According to the difference of nursing mode, patients were assigned into a control group and study group; holistic nursing in operating room was included in control group, and holistic nursing in the operating room based on PDCA and EBN was included in study group. Nursing satisfaction, hypothermia, chills, restlessness, related indexes of operating room, nursing quality scores of operating room, and individual quality control scores were compared. Results. First of all, we compared the nursing satisfaction, the study group was very satisfied in 69 cases, satisfactory in 30 cases, general in 1 case, the satisfaction rate was 100.00%, while in the control group, 46 cases were very satisfied, 34 cases were satisfied, 13 cases were general, and 7 cases were dissatisfied, the satisfaction rate was 93.00%. The nursing satisfaction of the study group was higher compared to the control group ( P < 0.05 ). Second, we compared the incidence of hypothermia, chills and restlessness. The incidence of hypothermia, chills, and restlessness in the study group was lower compared to the control group ( P < 0.05 ). The time of tracheal tube extubation, PACU stay time, postoperative hospitalization time, hospitalization cost, and operation time in the study group was significantly lower compared to the control group ( P < 0.05 ). In terms of the scores of nursing quality in the operating room, the instruments and equipment management, equipment preparation, nurses’ cooperation skills, disinfection and isolation quality, and total score in the study group were higher compared to the control group ( P < 0.05 ). Finally, we compared the scores of individual quality control examination. The scores of ward management, rescue, therapeutic articles, drug management, first-level nursing, nursing documents, and head nurse management in the study group were higher compared to the control group ( P < 0.05 ). Conclusion. Incorporating the concepts of PDCA and EBN into the overall care of the operating theatre is effective for patients in the ENT operating theatre. Our results show that this care can be effective in improving patients’ surgical indicators, reducing the incidence of postoperative infections, shortening postoperative resuscitation and length of stay, reducing hospital costs, and promoting surgical patient satisfaction. While further multicenter studies are necessary, this series of nursing interventions remains worthy of replication in the clinical setting.

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Section: Discussionmentioning

confidence: 99%

[Retracted] Analysis of the Effect of Holistic Nursing in the Operating Room Based on PDCA and Evidence‐Based Nursing in the Otorhinolaryngology Operating Room: Based on a Retrospective Case‐Control Study

Bian

et al. 2022

Contrast Media & Molecular Imaging

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“…Phones are a significant challenge in the OR setting, as teams rely on their devices to communicate about patient needs between and across rooms; while there is guidance around how to perform hand hygiene appropriately following phone use, this is a clear opportunity for human factors intervention to ensure that phone use is as safe and effortless as possible. Similarly, anesthesia's role in the OR is an area that deserves individualized attention -as others have noted, there are constraints with their work area due to the equipment needed and the workflow required (Andersson et al, 2018;Paul et al, 2019), and our team has identified this as a future direction of the work. Furthermore, studying whether or not OR staff have formed new habits around hand hygiene will help glean long-term dependencies on visual cues to reinforce behavioral change.…”

Section: Sustaining Improvement and Lessons Learnedmentioning

confidence: 94%

“…In 2005, the WHO launched a comprehensive initiative to improve hand hygiene compliance, outlining the Five Moments of Hand Hygiene and providing comprehensive guidelines for implementation (WHO, 2009). Despite this, published hand hygiene rates typically average between 30% to 50% compliance (Erasmus et al, 2010), with the OR averaging between 2% and 18% (Andersson et al, 2018;Paul et al, 2019).…”

Section: Hand Hygiene and Infection Preventionmentioning

confidence: 99%

All Hands on Deck: Sustaining Improved Hand Hygiene Compliance in the Operating Room

Bezpalko¹,

Ponnala²,

Won³

2021

Ergonomics in Design

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Hand hygiene is an essential component of infection prevention in the health care setting. Despite diligent efforts, clinicians can be susceptible to hand hygiene misses in fast-paced, complex environments such as the operating room due to systemic factors such as the physical environment, workflow, and sporadic interactions with other personnel. Through the use of human factors and resilience engineering concepts, work-as-done were studied to identify barriers to hand hygiene compliance in the operating rooms of a pediatric hospital in an urban area. The saliency, effort, expectancy, value model was applied to design a multifaceted intervention that resulted in a sustained 95% hand hygiene compliance.

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“…Previous studies have described different methods to observe HHC in the OT as consensus-based protocols have not been published to date in the international literature. Most studies still use WHO's Five Moments [5,7,10,11,13], but in some studies, HHC has been investigated using survey data on self-reported compliance, completed by OT personnel [6,14]. Nonetheless, adequate hand hygiene in the OT by nonsterile HCWs and surgeons (performing non-sterile actions) is of utmost importance to prevent postoperative wound infections.…”

Section: Introductionmentioning

confidence: 99%

Compliance with a novel hand hygiene protocol tailored to non-sterile healthcare workers in the operating theatre

Dijk

Breejen

Vermeeren

et al. 2023

Journal of Hospital Infection

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Sleep safe in clean hands: Improving hand hygiene compliance in the operating room through education and increased access to hand hygiene products

Cited by 12 publications

References 17 publications

[Retracted] Analysis of the Effect of Holistic Nursing in the Operating Room Based on PDCA and Evidence‐Based Nursing in the Otorhinolaryngology Operating Room: Based on a Retrospective Case‐Control Study

[Retracted] Analysis of the Effect of Holistic Nursing in the Operating Room Based on PDCA and Evidence‐Based Nursing in the Otorhinolaryngology Operating Room: Based on a Retrospective Case‐Control Study

All Hands on Deck: Sustaining Improved Hand Hygiene Compliance in the Operating Room

Compliance with a novel hand hygiene protocol tailored to non-sterile healthcare workers in the operating theatre

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