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The Time Burden of Alcohol-Based Hand Cleanser When Using Nonsterile Gloves

Published online by Cambridge University Press:  02 January 2015

Joseph M. Reardon
Affiliation:
Harvard Medical School, Boston, Massachusetts
Josephine E. Valenzuela
Affiliation:
Harvard Medical School, Boston, Massachusetts
Siddharth Parmar
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts
Arjun K. Venkatesh
Affiliation:
Brigham and Women's Hospital /Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts
Jeremiah D. Schuur
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts
Matthew B. Allen
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts
Daniel J. Pallin*
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts Division of Emergency Medicine, Children's Hospital Boston, Boston, Massachusetts
*
Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (dpallin@ partners.org)

Abstract

We quantified the time burden of alcohol-based handrub accompanying nonsterile-glove use among emergency physicians, through observation in controlled and clinical settings. We report gloving episodes per hour, gloving times with and without handrub, and handrub recommendations compliance. Handrub adds 46 seconds to each glove-use episode, and we provide national extrapolations.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1. Klevens, RM, Edwards, JR, Richards, CL Jr, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122(2):160166.10.1177/003335490712200205Google Scholar
2. World Health Organization. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization, 2009.Google Scholar
3. Karen, NH, Denise, MK, David, AH, Jan, RK, Gabor, DK. Loss of glove integrity during emergency department procedures. Ann Emerg Med 1998;31(1):6572.Google Scholar
4. Venkatesh, AK, Pallin, DJ, Kayden, S, Schuur, JD. Predictors of hand hygiene in the emergency department. Infect Control Hosp Epidemiol 2011;32(11):11201123.10.1086/662374Google Scholar
5. Hakko, E, Rasa, K, Karaman, ID, Enunlu, T, Cakmakci, M. Low rate of compliance with hand hygiene before glove use. Am J Infect Control 2011;39(1):8283.10.1016/j.ajic.2010.06.025Google Scholar
6. Thompson, BL, Dwyer, DM, Ussery, XT, Denman, S, Vacek, P, Schwartz, B. Handwashing and glove use in a long-term-care facility. Infect Control Hosp Epidemiol 1997;18(2):97103.10.2307/30142397Google Scholar
7. Williams, CO, Campbell, S, Henry, K, Collier, P. Variables influencing worker compliance with universal precautions in the emergency department. Am } Infect Control 1994;22(3):138144.10.1016/0196-6553(94)90002-7Google Scholar
8. Innes, GD, Stenstrom, R, Grafstein, E, Christenson, JM. Prospective time study derivation of emergency physician workload predictors. Can J Emerg Med 2005;7(5):299308.Google Scholar
9. Daniel Stern and Associates, American College of Emergency Physicians. 2011 national emergency medicine salary survey clinical results. http://www.danielstern.com/2011participantcopy/2011_NationalSurvey2.pdf.Google Scholar
10. Stone, PW, Braccia, D, Larson, E. Systematic review of economic analyses of health care-associated infections. Am J Infect Control 2005;33(9):501509.10.1016/j.ajic.2005.04.246Google Scholar