Group Electronic Monitoring of Hand Hygiene on Inpatient Units: A Multicenter Cluster Randomized Quality Improvement Study
| Autor: | Christine Moore, Shara Junaid, Natalie Coyle, Allison McGeer, Xingshan Cao, Jerome A. Leis, Liz McCreight, Jeff Powis, Daniel R. Ricciuto, Louis Wong, Natasha Salt, Sajeetha Sivaramakrishna, Tanya Agnihotri, Victoria Williams, Matthew P. Muller |
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| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Quality management Epidemiology business.industry media_common.quotation_subject Disease cluster medicine.disease_cause Methicillin-resistant Staphylococcus aureus Infectious Diseases Primary outcome Hygiene Emergency medicine medicine Inpatient units business media_common |
| Zdroj: | Infection Control & Hospital Epidemiology. 41:s38-s39 |
| ISSN: | 1559-6834 0899-823X |
| Popis: | Background: The current approach to measuring hand hygiene (HH) relies on human auditors who capture Methods: A stepped-wedge cluster randomized quality improvement study was undertaken across 5 acute-care hospitals in Ontario, Canada. Overall, 746 inpatient beds were electronically monitored across 26 inpatient medical and surgical units. Daily HH performance as measured by group electronic monitoring was reported to inpatient units who discussed results to guide unit-led improvement strategies. The primary outcome was monthly HH adherence (%) between baseline and intervention. Secondary outcomes included transmission of antibiotic resistant organisms such as methicillin resistant Staphylococcus aureus (MRSA) and other healthcare-associated infections. Results: After adjusting for the correlation within inpatient units, there was a significant overall improvement in HH adherence associated with the intervention (IRR, 1.73; 95% CI, 1.47–1.99; P < .0001). Monthly HH adherence relative to the intervention increased from 29% (1,395,450 of 4,544,144) to 37% (598,035 of 1,536,643) within 1 month, followed by consecutive incremental increases up to 53% (804,108 of 1,515,537) by 10 months (P < .0001). We identified a trend toward reduced healthcare-associated transmission of MRSA (0.74; 95% CI, 0.53–1.04; P = .08). Conclusions: The introduction of a system for group electronic monitoring led to rapid, significant, and sustained improvements in HH performance within a 2-year period.Funding: NoneDisclosures: None |
| Databáze: | OpenAIRE |
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