Hand Hygiene Compliance at Critical Points of Care.
Background Most articles on hand hygiene report either overall compliance or compliance with specific hand hygiene moments. These moments vary in the level of risk to patients if healthcare workers (HCWs) are noncompliant. We assessed how task type affected HCWs' hand hygiene compliance. Methods We...
| Publicado en: | Clinical Infectious Diseases Vol. 72; no. 5; pp. 814 - 821 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148975337&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148975337 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10584838 46X jtl: Clinical Infectious Diseases issn: 10584838 maglogo: N pubinfo: dt: Mar2021 vid: 72 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 148975337 148975337 148975337 10.1093/cid/ciaa130 148975337 ppf: 814 ppct: 7 formats: tig: atl: Hand Hygiene Compliance at Critical Points of Care. aug: au: Chang, Nai-Chung Nelson Reisinger, Heather Schacht Schweizer, Marin L Jones, ichael Chrischilles, Elizabeth Chorazy, Margaret Huskins, Charles Herwaldt, Loreen affil: Department of Epidemiology, University of Iowa College of Public Health , Iowa City, Iowa, USA sug: subj: Intensive Care Units Health Personnel Handwashing Professional Compliance Evaluation Task Performance and Analysis Human Disease Transmission Prevention and Control Infection Control Methods Odds Ratio Confidence Intervals Logistic Regression Patient Isolation Gloves Utilization Cross Infection Prevention and Control Staff Development Guideline Adherence ab: Background Most articles on hand hygiene report either overall compliance or compliance with specific hand hygiene moments. These moments vary in the level of risk to patients if healthcare workers (HCWs) are noncompliant. We assessed how task type affected HCWs' hand hygiene compliance. Methods We linked consecutive tasks individual HCWs performed during the Strategies to Reduce Transmission of Antimicrobial Resistant Bacteria in Intensive Care Units (STAR*ICU) study into care sequences and identified task pairs—2 consecutive tasks and the intervening hand hygiene opportunity. We defined tasks as critical and/or contaminating. We determined the odds of critical and contaminating tasks occurring, and the odds of hand hygiene compliance using logistic regression for transition with a random effect adjusting for isolation precautions, glove use, HCW type, and compliance at prior opportunities. Results Healthcare workers were less likely to do hand hygiene before critical tasks than before other tasks (adjusted odds ratio [aOR], 0.97 [95% confidence interval {CI},.95–.98]) and more likely to do hand hygiene after contaminating tasks than after other tasks (aOR, 1.12 [95% CI, 1.10–1.13]). Nurses were more likely to perform both critical and contaminating tasks, but nurses' hand hygiene compliance was better than physicians' (aOR, 0.94 [95% CI,.91–.97]) and other HCWs' compliance (aOR, 0.87 [95% CI,.87–.94]). Conclusions Healthcare workers were more likely to do hand hygiene after contaminating tasks than before critical tasks, suggesting that habits and a feeling of disgust may influence hand hygiene compliance. This information could be incorporated into interventions to improve hand hygiene practices, particularly before critical tasks and after contaminating tasks. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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