Measuring hand hygiene compliance rates at hospital entrances.

Autor: Vaidotas M; Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil., Yokota PK; Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil., Marra AR; Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil. Electronic address: a.marra@uol.com.br., Camargo TZ; Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Victor Eda S; Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, Brazil., Gysi DM; Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, Brazil., Leal F; GOJO Latin America, Pindamonhangaba, Brazil., Santos OF; Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil., Edmond MB; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2015 Jul 01; Vol. 43 (7), pp. 694-6. Date of Electronic Publication: 2015 Apr 29.
DOI: 10.1016/j.ajic.2015.03.008
Abstrakt: Background: Despite the importance of hand hygiene in the health care setting, there are no studies evaluating hand hygiene compliance at hospital entrances.
Methods: The study was prospectively performed over a 33-week period from March 30, 2014-November 15, 2014, to evaluate hand hygiene compliance in 2 hospital reception areas. We compared electronic handwash counters with the application of radiofrequency identification (GOJO SMARTLINK) (electronic observer) that counts each activation of alcohol gel dispensers to direct observation (human observer) via remote review of video surveillance.
Results: We found low hand hygiene compliance rates of 2.2% (99/4,412) and 1.7% (140/8,277), respectively, at reception areas A and D, detected by direct observation. Using the electronic observer, we measured rates of 17% (15,624/91,724) and 7.1% (51,605/730,357) at reception areas A and D, respectively. For the overall time period of simultaneous electronic and human observation, the human observer captured 1% of the hand hygiene episodes detected by the electronic observer.
Conclusions: Our study showed very low hand hygiene compliance in hospital reception areas, and we found an electronic hand hygiene system to be a useful method to monitor hand hygiene compliance.
(Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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