Hostname: page-component-745bb68f8f-5r2nc Total loading time: 0 Render date: 2025-01-21T08:21:53.727Z Has data issue: false hasContentIssue false
  • English
  • Français

Hand hygiene opportunities on Canadian acute-care inpatient units: A multicenter observational study

Published online by Cambridge University Press:  25 September 2018

Dhruv Nayyar ,
Christine Moore ,
Liz McCreight ,
Chiana Garvida ,
Emily Xu ,
Alex Kiss ,
Daniel R. Ricciuto ,
Allison McGeer  and
Jerome A. Leis
Dhruv Nayyar
Affiliation:
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Christine Moore
Affiliation:
Division of Infection Control, Mt. Sinai Hospital, Toronto, Ontario, Canada
Liz McCreight
Affiliation:
Division of Infection Control, Mt. Sinai Hospital, Toronto, Ontario, Canada
Chiana Garvida
Affiliation:
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Emily Xu
Affiliation:
Division of Infection Control, Mt. Sinai Hospital, Toronto, Ontario, Canada
Alex Kiss
Affiliation:
Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Daniel R. Ricciuto
Affiliation:
Department of Medicine, University of Toronto, Toronto, Ontario, Canada Lakeridge Health, Oshawa, Ontario, Canada
Allison McGeer
Affiliation:
Division of Infection Control, Mt. Sinai Hospital, Toronto, Ontario, Canada
Jerome A. Leis*
Affiliation:
Department of Medicine, University of Toronto, Toronto, Ontario, Canada Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Ontario, Canada Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
*
Author for correspondence: Jerome A. Leis, MD MSc FRCPC, Sunnybrook Health Sciences Centre, H463, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

In this multicenter observational study, medical and surgical inpatient rooms were randomized to receive 1 hour of continuous direct observation to determine hand hygiene opportunities (HHOs). After multivariable adjustment, HHOs were similar across inpatient units and hospitals. This estimate could serve to calibrate electronic hand hygiene monitoring systems for Canadian medical and surgical units.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 11 , November 2018 , pp. 1378 - 1380
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Kingston, L, O’Connell, NH, Dunne, CP. Hand hygiene-related clinical trials reported since 2010: a systematic review. J Hosp Infect 2016;92:309–320.Google Scholar
2. Sax, H, Allegranzi, B, Uckay, I, Larson, E, Boyce, J, Pittet, D. ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67:9–21.Google Scholar
3. Provincial Infectious Diseases Advisory Committee (PIDAC). Public Health Ontario Best Practices for Hand Hygiene in All Health Care Settings, 4th ed. Toronto: PHO; 2014.Google Scholar
4. Steed, C, Kelly, JW, Blackhurst, D, et al. Hospital hand hygiene opportunities: Where and when (HOW2)? The HOW2 Benchmark Study. Am J Infect Control 2011;39:19–26.Google Scholar
5. Diller, T, Kelly, JW, Blackhurst, D, Steed, C, Boeker, S, McElveen, DC. Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: validation of the HOW2 Benchmark Study. Am J Infect Control 2014;42:602–607.Google Scholar
6. Azim, S, Juergens, C, Hines, J, McLaws, M-L. Introducing automated hand hygiene surveillance to an Australian hospital: mirroring the HOW2 Benchmark Study. Am J Infect Control 2016;44:772–776.Google Scholar
7. Goodliffe, L, Ragan, K, Larocque, M, et al. Rate of healthcare worker–patient interaction and hand hygiene opportunities in an acute care setting. Infect Control Hosp Epidemiol 2014;35:225–230.Google Scholar
8. Han, A, Conway, LJ, Moore, C, et al. Unit-specific rates of hand hygiene opportunities in an acute-care hospital. Infect Control Hosp Epidemiol 2017;38:411–416.Google Scholar
9. Just, Clean Your Hands: Education for Healthcare Providers. Public Health Ontario website. https://www.publichealthontario.ca/en/BrowseByTopic/InfectiousDiseases/JustCleanYourHands/Pages/Just-Clean-Your-Hands.aspx. Published 2008. Accessed August 23, 2018.Google Scholar
10. Nijssen, S, Bonten, MJM, Franklin, C, Verhoef, J, Hoepelman, AIM, Weinstein, RA. Relative risk of physicians and nurses to transmit pathogens in a medical intensive care unit. Arch Intern Med 2003;163:2785–2786.Google Scholar
Supplementary material: File

Nayyar et al. supplementary material

Nayyar et al. supplementary material 1

Download Nayyar et al. supplementary material(File)
File 14.8 KB
Supplementary material: File

Nayyar et al. supplementary material

Nayyar et al. supplementary material 2

Download Nayyar et al. supplementary material(File)
File 13.9 KB
Supplementary material: File

Nayyar et al. supplementary material

Nayyar et al. supplementary material 3

Download Nayyar et al. supplementary material(File)
File 13.9 KB