| Autor: |
Starrett, W. Grant, Arbogast, James W., Parker, Albert E., Wagner, Pamela T., Mahrer, Susan E., Christian, Vanessa, Lane, Barbara L., Cheek, V. Lorraine, Robbins, Gregory A., Boyce, John M., Polenakovik, Hari |
| Zdroj: |
Infection Control & Hospital Epidemiology; February 2024, Vol. 45 Issue: 2 p207-214, 8p |
| Abstrakt: |
AbstractObjective:To measure the impact of an automated hand hygiene monitoring system (AHHMS) and an intervention program of complementary strategies on hand hygiene (HH) performance in both acute-care and long-term care (LTC) units.Design:Prospective, nonrandomized, before-and-after intervention study.Setting:Single Veterans Affairs Medical Center (VAMC), with 2 acute-care units and 6 LTC units.Methods:An AHHMS that provides group HH performance rates was implemented on 8 units at a VAMC from March 2021 through April 2022. After a 4-week baseline period and 2.5-week washout period, the 52-week intervention period included multiple evidence-based components designed to improve HH compliance. Unit HH performance rates were expressed as the number of dispenses (events) divided by the number of patient room entries and exits (opportunities) × 100. Statistical analysis was performed with a Poisson general additive mixed model.Results:During the 4-week baseline period, the median HH performance rate was 18.6 (95% CI, 16.5–21.0) for all 8 units. During the intervention period, the median HH rate increased to 21.6 (95% CI, 19.1–24.4; P< .0001), and during the last 4 weeks of the intervention period (exactly 1 year after baseline), the 8 units exhibited a median HH rate of 25.1 (95% CI, 22.2–28.4; P< .0001). The median HH rate increased from 17.5 to 20.0 (P< .0001) in LTC units and from 22.9 to 27.2 (P< .0001) in acute-care units.Conclusions:The intervention was associated with increased HH performance rates for all units. The performance of acute-care units was consistently higher than LTC units, which have more visitors and more mobile veterans. |
| Databáze: |
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