A multimodal intervention to improve hand hygiene in ICUs in Buenos Aires, Argentina: a stepped wedge trial

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Viviana RodriguezArgentinian Group Hand Hygiene Improvement

Abstract

Hand hygiene is a cost-effective measure to reduce microbial transmission (Teare EL, Cookson B, French GL, et al. UK handwashing initiative. J Hosp Infect. 1999;43:1-3.) and is considered to be the most important measure to prevent healthcare-associated infections (Pittet D, Allegranzi B, Sax H, Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6:641-52). Unfortunately, the compliance rate of healthcare workers (HCWs) with recommended hand hygiene procedures is less than expected. In order to estimate the effect of a multimodal intervention on improving healthcare workers' compliance with hand hygiene in eleven intensive care units (ICUs) from 11 hospitals of Buenos Aires, a randomized cluster-stepped wedge trial was designed. A multimodal intervention was designed based on practices characterized by being evidence-based, low cost and suggested by qualitative research: (i) leadership commitment, (ii) surveillance of materials needed to comply with hand hygiene and alcohol consumption, (iii) utilization of reminders, (iv) a storyboard of the project and (v) feedback (hand hygiene compliance rate). The study enrolled 705 participants, comprising nurses (66.4%...Continue Reading

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Citations

Sep 2, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Usman IqbalYu-Chuan Jack Li
Jan 31, 2017·American Journal of Infection Control·Apurba Sankar SastryPrasanna Bhat
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Sep 2, 2017·The Cochrane Database of Systematic Reviews·Dinah J GouldMonica Taljaard
Jun 17, 2020·Antimicrobial Resistance and Infection Control·Carine Laurence YehouenouOlivia Dalleur
May 23, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Brianne KallamRohit Ramaswamy
Aug 25, 2019·International Journal of Environmental Research and Public Health·María B Martos-CabreraGuillermo A Cañadas-De la Fuente
Apr 22, 2021·Emergency Medicine Australasia : EMA·Mieke FosterGerben Keijzers
Jul 26, 2021·American Journal of Infection Control·Symphonia AngurajApurba Sankar Sastry
Aug 2, 2021·Antimicrobial Resistance and Infection Control·Sara TomczykBenedetta Allegranzi
Sep 9, 2021·The Nigerian Postgraduate Medical Journal·Usman Muhammad IbrahimAbubakar Mohammed Jibo

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