Lauren Fish1, Donna Bopp2, Debbie Gregory3, Karen Denise Kerley4, Sudhanshu Gakhar5, Mark C Lavigne6, Felicia Boyd7. 1. Indiana University Health, Indianapolis, IN. Electronic address: lfish@iuhealth.org. 2. Infection Prevention, Indiana University North, Carmel, IN. 3. Infection Prevention, Indiana University Arnett, Lafayette, IN. 4. AG-CNS Indiana University Health University Hospital, Indianapolis, IN. 5. Halyard Health, Inc., Alpharetta, GA. 6. Global Clinical Affairs, Halyard Health, Inc., Alpharetta, GA. 7. Proventix Systems Inc., Birmingham, AL.
Abstract
BACKGROUND: Health care-acquired infections are one of the top causes of mortality in the United States (Stone, 2009; Scott, 2009). Hand hygiene (HH) can reduce the incidence of such infections. Adherence to HH practices remains challenging for health care workers (World Health Organization, 2014). This investigation compared results of private and public HH feedback at the team and individual level. METHODS: A quality improvement study was conducted in 2 units utilizing HH radiofrequency identification (RFID) technology. Each unit was assigned either private or public feedback mechanisms. The study was divided into 3 phases; baseline, team, and individual. Time series analysis compared HH compliance by health care workers' role and feedback mechanisms. RESULTS: Individual HH compliance were the highest in both groups. The private group compliance was 63.3% (P ≤ .0001) and the public group compliance was 55.4% (P = .0001). During the team feedback phase, HH compliance decreased in the private group to 42.79% (P = .006); however, compliance increased in the public feedback group to 42.5% (P = .2661). The physician role in the private group decreased by 12% (P = .1804) during the individual phase. CONCLUSIONS: HH data provided at the individual level and posted publicly could improve HH compliance. Use of RFID measurement technology can provide organizations with tools to measure HH compliance.
BACKGROUND: Health care-acquired infections are one of the top causes of mortality in the United States (Stone, 2009; Scott, 2009). Hand hygiene (HH) can reduce the incidence of such infections. Adherence to HH practices remains challenging for health care workers (World Health Organization, 2014). This investigation compared results of private and public HH feedback at the team and individual level. METHODS: A quality improvement study was conducted in 2 units utilizing HH radiofrequency identification (RFID) technology. Each unit was assigned either private or public feedback mechanisms. The study was divided into 3 phases; baseline, team, and individual. Time series analysis compared HH compliance by health care workers' role and feedback mechanisms. RESULTS: Individual HH compliance were the highest in both groups. The private group compliance was 63.3% (P ≤ .0001) and the public group compliance was 55.4% (P = .0001). During the team feedback phase, HH compliance decreased in the private group to 42.79% (P = .006); however, compliance increased in the public feedback group to 42.5% (P = .2661). The physician role in the private group decreased by 12% (P = .1804) during the individual phase. CONCLUSIONS: HH data provided at the individual level and posted publicly could improve HH compliance. Use of RFID measurement technology can provide organizations with tools to measure HH compliance.
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