Environmental factors and their association with emergency department hand hygiene compliance: an observational study
| Autor: | James Giglio, Germaine Nelson, Vepuka Kauari, Elaine Larson, Eileen J. Carter, Haomiao Jia, Peter C. Wyer |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty media_common.quotation_subject Environment Logistic regression Article World health Compliance (psychology) Cohort Studies 03 medical and health sciences 0302 clinical medicine Hygiene Environmental health medicine Humans Hand Hygiene 030212 general & internal medicine media_common Patient Care Team Proper hand Cross Infection business.industry Health Policy 030208 emergency & critical care medicine Emergency department Crowding Surgery Logistic Models Multivariate Analysis Female Observational study Emergency Service Hospital business Hand Disinfection |
| Zdroj: | BMJ Quality & Safety. 25:372-378 |
| ISSN: | 2044-5423 2044-5415 |
| DOI: | 10.1136/bmjqs-2015-004081 |
| Popis: | Objectives Hand hygiene is effective in preventing healthcare-associated infections. Environmental conditions in the emergency department (ED), including crowding and the use of non-traditional patient care areas (ie, hallways), may pose barriers to hand hygiene compliance. We examined the relationship between these environmental conditions and proper hand hygiene. Methods This was a single-site, observational study. From October 2013 to January 2014, trained observers recorded hand hygiene compliance among staff in the ED according to the World Health Organization ‘My 5 Moments for Hand Hygiene’. Multivariable logistic regression was used to analyse the relationship between environmental conditions and hand hygiene compliance, while controlling for important covariates (eg, hand hygiene indication, glove use, shift, etc). Results A total of 1673 hand hygiene opportunities were observed. In multivariable analyses, hand hygiene compliance was significantly lower when the ED was at its highest level of crowding than when the ED was not crowded and lower among hallway care areas than semiprivate care areas (OR=0.39, 95% CI 0.28 to 0.55; OR=0.73, 95% CI 0.55 to 0.97). Conclusions Unique environmental conditions pose barriers to hand hygiene compliance in the ED setting and should be considered by ED hand hygiene improvement efforts. Further study is needed to evaluate the impact of these environmental conditions on actual rates of infection transmission. |
| Databáze: | OpenAIRE |
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