Scenario-based simulation health care education for performance of hand hygiene
| Autor: | Takehito Kobayashi, Yukie Abe, Hiroaki Fujita, Akihiro Sato, Ayaka Tsukimori, Kagehiro Amano, Shinji Fukushima, Itaru Nakamura |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject Hospitals University 03 medical and health sciences 0302 clinical medicine Hygiene Acute care Health care medicine Disease Transmission Infectious Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Tokyo Personal protective equipment Simulation Training media_common 0303 health sciences Cross Infection Scenario based Education Medical 030306 microbiology business.industry Health Policy Incidence (epidemiology) Public Health Environmental and Occupational Health Staphylococcal Infections University hospital Infectious Diseases Family medicine business Hand Disinfection |
| Zdroj: | American journal of infection control. 47(2) |
| ISSN: | 1527-3296 |
| Popis: | Background Simulation health care education is widely used in medical education and has great potential. However, scenario-based simulation health care education for preventing health care–associated infections has not been described. Methods A single-center, prospective cohort study was conducted at Tokyo Medical University Hospital (1,015 beds), an acute care teaching hospital, from January 2011 to December 2014. Each training course was held every month and lasted 2 hours. Trainees put on and removed personal protective equipment under scenarios of standard precaution (2 scenarios) and contact precaution with methicillin-resistant Staphylococcus aureus (1 scenario), while considering the timing of hand hygiene. We determined the correlations between the participation rate in the simulation education and the use of alcohol-based hand disinfection and reduction of catheter-related bloodstream infection. Results There were 1,077 trainees. The total participation rate for hospital staff, which increased gradually during the study period, was 76% by the end of the study. The overall correlation between the use of alcohol-based hand disinfection in the hospital and the course participation rate was significant (correlation coefficient, 0.97). An inverse correlation (−0.94) was observed for the relation between the training course participation rate and the incidence of catheter-related bloodstream infection. Conclusions Our training course had a positive effect on hand hygiene. This study is the first effective scenario-based simulation health care education on hand hygiene and control of health care–associated infection. |
| Databáze: | OpenAIRE |
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