NDLI: Effectiveness of a multimodal hand hygiene improvement strategy in the emergency department.

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Effectiveness of a multimodal hand hygiene improvement strategy in the emergency department.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Arntz, P. R. H. Hopman, J. Nillesen, M. Yalcin, E. Bleeker-Rovers, C. P. Voss, A. Edwards, M. Wei, A.
Description	Country affiliation: Netherlands Author Affiliation: Arntz PR ( Emergency Department, Radboudumc, Nijmegen, The Netherlands.); Hopman J ( Department of Medical Microbiology, Radboudumc, Nijmegen, The Netherlands. Electronic address: Joost.Hopman@radboudumc.nl.); Nillesen M ( Department of Medical Microbiology, Radboudumc, Nijmegen, The Netherlands.); Yalcin E ( Emergency Department, Radboudumc, Nijmegen, The Netherlands.); Bleeker-Rovers CP ( Department of Internal Medicine, Radboudumc, Nijmegen, The Netherlands.); Voss A ( Department of Medical Microbiology, Radboudumc, Nijmegen, The Netherlands.); Edwards M ( Emergency Department, Radboudumc, Nijmegen, The Netherlands.); Wei A ( Emergency Department, Radboudumc, Nijmegen, The Netherlands.)
Abstract	BACKGROUND: Hand hygiene (HH) is essential in preventing nosocomial infection. The emergency department (ED) is an open portal of entry for pathogens into the hospital system, hence the important sentinel function of the ED personnel. The main objective of this study was to assess the effect of a multimodal improvement strategy on hand hygiene compliance in the ED. METHODS: Our study was a prospective before-and-after study to determine the effect of a multimodal improvement strategy on the compliance of HH in the ED according to the My 5 Moments of Hand Hygiene defined by the World Health Organization. Interventions such as education, reminders, and regular feedback on HH performance and role models were planned during the 3 intervention weeks. RESULTS: In total, 57 ED nurses and ED physicians were observed in this study, and approximately 1,000 opportunities for handrubs were evaluated during the 3 intervention periods. HH compliance increased significantly from baseline from 18% (74/407) to 41% (77/190) after the first intervention and stabilized to 50% (99/200) and 46% (96/210) after the second and third interventions, respectively. CONCLUSIONS: Implementing a multimodal HH improvement program significantly improved the HH compliance of ED personnel.
File Format	HTM / HTML
ISSN	01966553
Issue Number	11
Journal	American Journal of Infection Control
Volume Number	44
e-ISSN	15273296
Language	English
Publisher	Elsevier
Publisher Date	2016-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Communicable Diseases
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Public Health, Environmental and Occupational Health Epidemiology Health Policy

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