Akie Arai1, Masaki Tanabe2, Akiko Nakamura3, Daisuke Yamasaki4, Yuichi Muraki5, Toshihiro Kaneko3, Ayako Kadowaki6, Masaaki Ito7. 1. Department of Patient Safety and Infection Control, Mie University Hospital, Tsu, Japan; Department of Nursing, Mie University Hospital, Tsu, Japan. 2. Department of Patient Safety and Infection Control, Mie University Hospital, Tsu, Japan. Electronic address: m-tanabe@clin.medic.mie-u.ac.jp. 3. Department of Patient Safety and Infection Control, Mie University Hospital, Tsu, Japan. 4. Department of Patient Safety and Infection Control, Mie University Hospital, Tsu, Japan; Department of Pharmacy, Mie University Hospital, Tsu, Japan. 5. Department of Pharmacy, Mie University Hospital, Tsu, Japan. 6. Department of Nursing, Mie University Hospital, Tsu, Japan. 7. Department of Cardiology, Mie University Hospital, Tsu, Japan.
Abstract
BACKGROUND: Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS: We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely monitored physicians' hand hygiene practices during outpatient examinations and calculated the adherence rate as follows: number of hand hygiene counts divided by the number of outpatients examined multiplied by 100. Physician individual adherence rates were also classified into 4 categories. RESULTS: Two hundred and eighty physicians from 28 clinical departments were monitored for 3 months. The overall hand hygiene adherence rate was 10.7% at baseline, which improved significantly after feedback to 18.2% in the third month. Of the clinical departments, 78.6% demonstrated significant improvement in hand hygiene compliance. The change in the percentage of physicians in each category before and after feedback were as follows: very low (84.3% to 72.1%), low (8.6% to 14.3%), moderate (2.9% to 8.9%), and high (4.3% to 4.6%), from the first to third month, respectively. Based on category assessment, 17.1% of physicians were classified as responders. CONCLUSIONS: Physicians' adherence to hand hygiene practices during outpatient examinations was successfully monitored remotely using electronic counting devices. Audit and feedback of adherence data may have a positive impact on physicians' hand hygiene compliance. Copyright Â
BACKGROUND: Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS: We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely monitored physicians' hand hygiene practices during outpatient examinations and calculated the adherence rate as follows: number of hand hygiene counts divided by the number of outpatients examined multiplied by 100. Physician individual adherence rates were also classified into 4 categories. RESULTS: Two hundred and eighty physicians from 28 clinical departments were monitored for 3 months. The overall hand hygiene adherence rate was 10.7% at baseline, which improved significantly after feedback to 18.2% in the third month. Of the clinical departments, 78.6% demonstrated significant improvement in hand hygiene compliance. The change in the percentage of physicians in each category before and after feedback were as follows: very low (84.3% to 72.1%), low (8.6% to 14.3%), moderate (2.9% to 8.9%), and high (4.3% to 4.6%), from the first to third month, respectively. Based on category assessment, 17.1% of physicians were classified as responders. CONCLUSIONS: Physicians' adherence to hand hygiene practices during outpatient examinations was successfully monitored remotely using electronic counting devices. Audit and feedback of adherence data may have a positive impact on physicians' hand hygiene compliance. Copyright Â
Authors: Q Xu; Y Liu; D Cepulis; A Jerde; R A Sheppard; W Reichle; L Scott; L Oppy; G Stevenson; S Bishop; S P Clifford; P Liu; M Kong; J Huang Journal: J Hosp Infect Date: 2022-02-02 Impact factor: 8.944
Authors: Giorgia Gon; Said M Ali; Robert Aunger; Oona M Campbell; Mícheál de Barra; Marijn de Bruin; Mohammed Juma; Stephen Nash; Amour Tajo; Johanna Westbrook; Susannah Woodd; Wendy J Graham Journal: Glob Health Sci Pract Date: 2020-12-23