An examination of covert observation and solution audit as tools to measure the success of hand hygiene interventions

American Journal of Infection Control
Thea van de Mortel, Margherita Murgo

Abstract

Many studies have examined hand hygiene (HH) frequency and adherence in response to various interventions. This study used 2 methods to determine HH frequency and adherence to see how well the outcomes correlated. HH frequency was measured over 4, 1-month periods (phases 1-4), using 2 methods: an audit of HH solution used during each phase adjusted for patient-days and covert observation of HH adherence. The number of x-ray technician contacts with patients (a known quantity) across the study period was retrospectively compared with the number of observations made of x-ray technicians' HH behavior to see what proportion of contacts were observed. HH solution use doubled in phase 2 and was 65% and 55% higher than the baseline level in phases 3 and 4, respectively. Observed HH adherence fell from 51% to 37% in phase 2 and then rose to 58% in phases 3 and 4. Three percent of x-ray technicians' patient contacts were observed across the 4 phases. Observation of HH may not adequately sample patient contacts to provide an accurate measure of HH adherence. Further studies are needed to confirm this finding.

References

Feb 1, 1986·Perceptual and Motor Skills·D M PedersenK Brady
Jun 1, 1995·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·T van de Mortel, L Heyman
Aug 5, 1999·American Journal of Infection Control·M McGuckinS Ostrawski
Jun 2, 2000·The Journal of Hospital Infection·A FeatherC Pratt
Nov 10, 2000·Lancet·C M Vandenbroucke-Grauls
Mar 30, 2001·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·T van de MortelM Reis
Mar 1, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Charles SalemiEnid K Eck
May 16, 2002·The Journal of Hospital Infection·C ColomboC Ruef
Apr 10, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Samuel M BrownEdward J O'Rourke
Jun 4, 2004·American Journal of Infection Control·Maryanne McGuckinRichard Salcido
Sep 11, 2004·Nursing Standard·Dinah Gould

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Citations

Dec 5, 2008·The Journal of Hospital Infection·John M Boyce
Jul 31, 2008·The American Journal of Nursing·Janet P Haas, Elaine L Larson
May 25, 2012·International Journal of Nursing Practice·Asiye GülNeriman Zengin
Nov 7, 2013·Health Care Management Science·Laila CureEwing Tiong
Nov 16, 2013·American Journal of Public Health·Eric W FordTimothy R Huerta
Mar 4, 2014·American Journal of Infection Control·Sung-Ching PanShan-Chwen Chang
Aug 7, 2012·American Journal of Infection Control·Sarah AlsubaieAbdulaziz A BinSaeed
May 29, 2012·American Journal of Infection Control·Daniel J MorganEli N Perencevich
Sep 16, 2011·Preventive Veterinary Medicine·Manon RacicotJean-Pierre Vaillancourt
Feb 15, 2011·Infectious Disease Clinics of North America·Maureen Bolon
Apr 7, 2010·Clinics in Perinatology·Richard J Powers, David W Wirtschafter
Dec 8, 2007·American Journal of Infection Control·Ana M NovoaXavier Castells
Apr 17, 2007·The Journal of Hospital Infection·D J GouldD Moralejo
Feb 6, 2007·The Journal of Hospital Infection·J P Haas, E L Larson
Jul 5, 2011·Journal of Advanced Nursing·Thea F van De MortelJulita Sansoni
Dec 19, 2006·The Journal of Hospital Infection·D J GouldJ R Weinberg
Oct 27, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Philip M PolgreenTed Herman
Jun 7, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jason FriesPhilip M Polgreen
Sep 21, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·John M Boyce
Dec 20, 2014·Interdisciplinary Perspectives on Infectious Diseases·Ayşe KaraaslanMustafa Bakır
Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Katherine EllingsonDeborah S Yokoe
Aug 16, 2016·Infectious Disease Clinics of North America·Maureen K Bolon
Sep 17, 2016·The Journal of Hospital Infection·D J GouldD Moralejo
Oct 26, 2016·American Journal of Infection Control·Yen Lee Angela KwokMary-Louise McLaws
Nov 14, 2016·American Journal of Infection Control·Kuan-Sheng WuSusan Shin-Jung Lee
Feb 10, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Todd C LeeUNKNOWN Mount Sinai Hospital Infection Control Team
Sep 25, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·John M BoyceMichael J Dolan
Jan 22, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vicki ErasmusEd F van Beeck
Apr 1, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Maryanne McGuckinJohn Govednik
Sep 2, 2017·The Cochrane Database of Systematic Reviews·Dinah J GouldMonica Taljaard
Nov 8, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Katherine EllingsonDeborah S Yokoe
Nov 1, 2014·Journal of Infection Prevention·Carolyn H Dawson, Jamie B Mackrill

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