Venkata C K Sunkesula1, David Meranda2, Sirisha Kundrapu3, Trina F Zabarsky4, Melissa McKee4, David R Macinga5, Curtis J Donskey6. 1. Infectious Diseases Division, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH; Center for Proteomics and Bioinformatics, Case Western Reserve University School of Medicine, Cleveland, OH. 2. Geriatric Research, Education, and Clinical Center, Cleveland VA Medical Center, Cleveland, OH. 3. Infectious Diseases Division, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH. 4. Infection Control Department, Cleveland VA Medical Center, Cleveland, OH. 5. Microbiology, GOJO Industries, Inc, Akron, OH; Department of Integrative Medical Sciences, Northeastern Ohio Medical University, Rootstown, OH. 6. Infectious Diseases Division, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH; Geriatric Research, Education, and Clinical Center, Cleveland VA Medical Center, Cleveland, OH. Electronic address: curtisd123@yahoo.com.
Abstract
BACKGROUND: One strategy to promote improved hand hygiene is to monitor health care workers' adherence to recommended practices and give feedback. For feasibility of monitoring, many health care facilities assess hand hygiene practices on room entry and exit (wash in-wash out). It is not known if the wash in-wash out method is comparable with a more comprehensive approach, such as the World Health Organization's My 5 Moments for Hand Hygiene method. METHODS: During a 1-month period, a surreptitious observer monitored hand hygiene compliance simultaneously using the wash in-wash out and My 5 Moments for Hand Hygiene methods. RESULTS: For 283 health care worker room entries, the methods resulted in similar rates of hand hygiene compliance (70% vs 72%, respectively). The wash in-wash out method required 148 hand hygiene events not required by the My 5 Moments for Hand Hygiene method (ie, before and after room entry with no patient or environmental contact) while not providing monitoring for 89 hand hygiene opportunities in patient rooms. CONCLUSION: The monitoring methods resulted in similar overall rates of hand hygiene compliance. Use of the wash in-wash out method should include ongoing education and intermittent assessment of hand hygiene before clean procedures and after body fluid exposure in patient rooms. Published by Elsevier Inc.
BACKGROUND: One strategy to promote improved hand hygiene is to monitor health care workers' adherence to recommended practices and give feedback. For feasibility of monitoring, many health care facilities assess hand hygiene practices on room entry and exit (wash in-wash out). It is not known if the wash in-wash out method is comparable with a more comprehensive approach, such as the World Health Organization's My 5 Moments for Hand Hygiene method. METHODS: During a 1-month period, a surreptitious observer monitored hand hygiene compliance simultaneously using the wash in-wash out and My 5 Moments for Hand Hygiene methods. RESULTS: For 283 health care worker room entries, the methods resulted in similar rates of hand hygiene compliance (70% vs 72%, respectively). The wash in-wash out method required 148 hand hygiene events not required by the My 5 Moments for Hand Hygiene method (ie, before and after room entry with no patient or environmental contact) while not providing monitoring for 89 hand hygiene opportunities in patient rooms. CONCLUSION: The monitoring methods resulted in similar overall rates of hand hygiene compliance. Use of the wash in-wash out method should include ongoing education and intermittent assessment of hand hygiene before clean procedures and after body fluid exposure in patient rooms. Published by Elsevier Inc.
Entities:
Keywords:
Compliance; Hand hygiene; My 5 Moments for Hand Hygiene
Authors: Gwen R Teesing; Vicki Erasmus; Mariska Petrignani; Marion P G Koopmans; Miranda de Graaf; Margreet C Vos; Corné H W Klaassen; Annette Verduijn-Leenman; Jos M G A Schols; Jan Hendrik Richardus; Helene A C M Voeten Journal: JMIR Res Protoc Date: 2020-05-01