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Effectivenes of a hospital-wide programme to improve compliance with hand hygiene
Pittet. Etal ground breaking study. The promotion of bedside, antiseptic (individual bottles of hand rub) largely contributed to the increase in compliance from 48% to 66%. During the same period, overall nosocomial infection decreased prevalence from 16.9% to 9.9%. -
Release of the CDC Guidelines for Hand Hygiene in Health-Care Settings
To improve hand-hygiene adherence among personnel who work in areas in which high workloads and high intensity of patient care are anticipated, make an alcohol-based hand rub available at the entrance to the patient’s room or at the bedside, in other convenient locations, and in individual pocket-sized containers to be carried by HCWs (pg. 34). -
Release of the Institute for Healthcare Improvements (IHI) How-to Guide - Improving Hand Hygiene - A Guide for Improving Practices among Health Care Workers
Place dispensers for abased hand rub near the point of care, such as Supplied as portable (pocket or belt) individual dispensers for personal use (pg. 11-12). -
System Failure versus Personal Accountability - The Case for Clean Hands
Compliance with hand hygiene remains poor in most institutions — often in the range of 40 to 50 percent. The system is partly to blame. First, staff members must not
be so seriously overworked that they do not have time to perform important standard procedures. Second, many hospitals do not have programs to ensure that caregivers are adequately educated — then they must have reliable access to alcohol-based antiseptics at the point of care. -
Research on healthcare worker behavior to Increase hand hygiene compliance in a Japanese hospital
We needed to find ways to make hand hygiene automatic for the HCWs. We found that having a bottle close to the body that uses a pump mechanism which allows product to be accessed on-the-go with only one hand was the key to changing hand hygiene behavior. Even though it requires two hands to rub in the alcohol gel, we found that single-hand access to the product was a key psychological factor. A more personal relationship with the bottle proved to be very successful and lead to a significant inc -
The Responsibility Paradigm Shift
Why don’t we have personal responsibility for healthcare hand hygiene, and why is U.S. compliance so low? If we give frontline workers the tools they need to overcome the logistical barriers to near-perfect hand hygiene and then support them vigilantly with a host of best-practice multimodal components, sustained near-perfect hand hygiene will be the result. -
My five moments for hand hygiene: a user centered design approach to understand, train, monitor and report hand hygiene
The 5 moments describes the fundamental reference points for healthcare workers (HCWs) in a time-space framework and designates the moments when hand hygiene is required to effectively interrupt microbial transmission during the care sequence. If hand rub is easily available at each point of care, hand hygiene can also easily be integrated in the natural workflow – even in high-density care settings. -
Transmission of pathogenic bacterial organisms in the anesthesia work
We have characterized bacterial contamination of the anesthesia work area intra-operatively and have demonstrated that the anesthesia work area becomes contaminated with potential pathogens in as little as 4 min. Our results demonstrate that bacterial contamination of the anesthesia work area occurs early and it is unrelated to factors of case duration, urgency, or patient American Society of Anesthesiologists physical status. This strongly suggests that bacterial transfer the patient is ass -
Reduction in intraoperative bacterial contamination of the referral intravenous tubing through the use of a novel device.
Use of the Sprixx device increased hourly hand decontamination events by 27-fold as compared with baseline rates. Use of the device was associated with a reduction in contamination in the anesthesia work area and peripheral intravenous tubing. Intravenous tubing contamination was identified in 32.8% of cases in the control group versus 7.5% in the treatment. Healthcare associated infection rates were reduced in the device group (3.8%) as compared with the control group (17.2%). The reduction -
Final Release of the WHO Guidelines on Hand Hygiene in Health Care
Personal clip-on dispensers to comply with Your 5 Moments for Hand Hygiene. See Sprixx Personal Gel Dispenser (PGD) on pg. 145. -
Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission
The spectrum of bacterial contamination found on the hands of the providers in this study is not unlike that described for healthcare workers in similar fast-paced environments. As is suggested by the difference between providers and total contamination, as shown in this study, there may be educational deficits, certain types providers regarding hand hygiene importance, technique and efficacy. Similar to survey reports of the attitudes and beliefs of anesthesia providers regarding hand hygiene -
Clustered randomized controlled trial of the hand hygiene intervention involving pocket-size containers of alcohol-based hand rub for the control of infections in long-term care facilities (LTCFs)
Each HCW carried his or her own pocket-size container of hand rub during work and requested a replacement from the administrative staff once it was finished. The indications for hand hygiene that we adopted were suggested by the guidelines from the World Health Organization. In the treatment group, adherence to hand rubbing with antiseptic gel increased markedly from 1.5% to 15.9% after intervention. After hand hygiene intervention, the total incidence of infection significantly decreased in -
Reduction in ventilator associated pneumonia in a mixed intensive care unit after initiation of a novel hand hygiene program
This was a before-and-after study design conducted in the multidisciplinary (medical-surgical) ICU at Dartmouth Hitchcock medical center, a tertiary care and level I Trauma Ctr. Patients admitted to the ICU were followed during two consecutive 12 month periods, 12/06-11/07 (control) period) and 12/07-11/08 (study period). During the study a personalized hand hygiene device (Sprixx) was introduced to ICU healthcare providers (nursing staff, physicians, and respiratory therapists). -
Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room
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UCSF Perioperative Program Takes on Point-of-Care Hand Hygiene System
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Hand washing compliance may be lower than previously reported: A video observation study
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APICs focus on Point of Care hand hygiene
Best practices for hand hygiene provide indications for performance of hand hygiene at specific points in time during patient care. For hand hygiene to prevent infections, hand hygiene resources must be readily available to health care workers whenever required. Review practices and recommendations intended to facilitate hand hygiene behavior at the point of care (POC) within the health care setting. Key aspects of POC hand hygiene include the provision of alcohol-based hand rub products, integr -
Electronic Hand Hygiene Compliance Interventions: A Descriptive Guide for the Infection Prevention Team
Hand hygiene is the single most important component of an infection control program. However, compliance
remains at or below 50%. To improve compliance, a growing number of hand hygiene compliance interventions apply electronics based technologies in their methods for measurement and feedback. We describe these as automated/semi-automated interventions (ASAIs) in recognition of the fact that human data gathering is becoming more automated with technology. Existing peer-reviewed studies are -
Sprixx Presents Point of Care Hand Hygiene System at APIC
Sprixx Incorporated Presents its Smart Point of Care Hand Hygiene System at the National APIC (Association for Professionals in Infection Control) Conference June 8-10, 2013. -
Saint Barnabas Medical Center Implements Point of Care Hand Hygiene System
Saint Barnabas Medical Center (SBMC), an affiliate of Barnabas Health an Accountable Care Organization (ACO) and a 597-bed major teaching hospital in the state of New Jersey incorporates point-of-care hand hygiene with electronic monitoring to combat antimicrobial resistance.
