BACKGROUND: The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR). AIM/ OBJECTIVES: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR. METHODS: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster. RESULTS: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed. DISCUSSION: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR. CONCLUSION: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.
BACKGROUND: The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR). AIM/ OBJECTIVES: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR. METHODS: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster. RESULTS: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed. DISCUSSION: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR. CONCLUSION: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.
Authors: L Silvia Munoz-Price; David A Lubarsky; Kristopher L Arheart; Guillermo Prado; Timothy Cleary; Yovanit Fajardo-Aquino; Dennise Depascale; Scott Eber; Philip Carling; David J Birnbach Journal: Am J Infect Control Date: 2013-10 Impact factor: 2.918
Authors: John Rowlands; Mark P Yeager; Michael Beach; Hetal M Patel; Bridget C Huysman; Randy W Loftus Journal: Am J Infect Control Date: 2014-07 Impact factor: 2.918
Authors: L Silvia Munoz-Price; Bobbie Riley; Shawn Banks; Scott Eber; Kristopher Arheart; David A Lubarsky; David J Birnbach Journal: Infect Control Hosp Epidemiol Date: 2014-06-20 Impact factor: 3.254
Authors: Randy W Loftus; Jeremiah R Brown; Matthew D Koff; Sundara Reddy; Stephen O Heard; Hetal M Patel; Patrick G Fernandez; Michael L Beach; Howard L Corwin; Jens T Jensen; David Kispert; Bridget Huysman; Thomas M Dodds; Kathryn L Ruoff; Mark P Yeager Journal: Anesth Analg Date: 2012-03-30 Impact factor: 5.108