Effectiveness of an audible reminder on hand hygiene adherence
Background Multimodal interventions aim to improve health care workers’ adherence to hand hygiene guidelines. Visitors are not primarily targeted, but may spread epidemic infections. Effective interventions that improve the adherence of visitors to hand hygiene guidelines are needed to prevent the t...
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| Veröffentlicht in: | American journal of infection control 2012-05, Vol.40 (4), p.320-323 |
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| container_title | American journal of infection control |
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| creator | Fakhry, Morkos, MBBS, PhD Hanna, George B., PhD, FRCS Anderson, Oliver, BSc, MRCS Holmes, Alison, MD, MPH, FRCP Nathwani, Dinesh, FRCS |
| description | Background Multimodal interventions aim to improve health care workers’ adherence to hand hygiene guidelines. Visitors are not primarily targeted, but may spread epidemic infections. Effective interventions that improve the adherence of visitors to hand hygiene guidelines are needed to prevent the transmission of epidemic infections to or from health care environments. Methods An electronic motion sensor–triggered audible hand hygiene reminder was installed at hospital ward entrances. An 8-month preinterventional and postinterventional study was carried out to measure the adherence of hospital visitors and staff to hand hygiene guidelines. Results Overall hand hygiene adherence increased from 7.6% to 49.9% ( P < .001). The adherence of visitors and nonclinical staff increased immediately from 10.6% to 63.7% and from 5.3% to 34.8%, respectively ( P < .001). Adherence of doctors, nurses, and physiotherapists increased gradually from 4.5% to 38.3%, from 5.4% to 43.4%, and from 8.7% to 49.5%, respectively ( P < .001). Improved adherence was sustained among visitors and clinical staff ( P < .001), but not among nonclinical staff ( P = .341). Conclusions The electronic motion sensor–triggered audible reminder immediately and significantly improved and sustained greater adherence of hospital visitors and clinical staff to hand hygiene guidelines. This is an effective addition to multimodal hand hygiene interventions and may help control epidemic infections. |
| doi_str_mv | 10.1016/j.ajic.2011.05.023 |
| format | Article |
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Visitors are not primarily targeted, but may spread epidemic infections. Effective interventions that improve the adherence of visitors to hand hygiene guidelines are needed to prevent the transmission of epidemic infections to or from health care environments. Methods An electronic motion sensor–triggered audible hand hygiene reminder was installed at hospital ward entrances. An 8-month preinterventional and postinterventional study was carried out to measure the adherence of hospital visitors and staff to hand hygiene guidelines. Results Overall hand hygiene adherence increased from 7.6% to 49.9% ( P < .001). The adherence of visitors and nonclinical staff increased immediately from 10.6% to 63.7% and from 5.3% to 34.8%, respectively ( P < .001). Adherence of doctors, nurses, and physiotherapists increased gradually from 4.5% to 38.3%, from 5.4% to 43.4%, and from 8.7% to 49.5%, respectively ( P < .001). Improved adherence was sustained among visitors and clinical staff ( P < .001), but not among nonclinical staff ( P = .341). Conclusions The electronic motion sensor–triggered audible reminder immediately and significantly improved and sustained greater adherence of hospital visitors and clinical staff to hand hygiene guidelines. This is an effective addition to multimodal hand hygiene interventions and may help control epidemic infections.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2011.05.023</identifier><identifier>PMID: 21917355</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Biological and medical sciences ; Cross-infection ; Disease prevention ; Disease transmission ; Epidemics ; Epidemiology. Vaccinations ; General aspects ; Guideline ; Guideline Adherence - organization & administration ; Guideline Adherence - statistics & numerical data ; Hand Disinfection - methods ; Hands ; Handwashing ; Health personnel ; Health Personnel - psychology ; Hospitals ; Humans ; Hygiene ; Infection Control ; Infection Control - methods ; Infection Control - organization & administration ; Infectious Disease ; Infectious diseases ; Medical sciences ; Prevention ; Reminder Systems - instrumentation ; Sensors ; Visitors to Patients - psychology</subject><ispartof>American journal of infection control, 2012-05, Vol.40 (4), p.320-323</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2012 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright Mosby-Year Book, Inc. 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Visitors are not primarily targeted, but may spread epidemic infections. Effective interventions that improve the adherence of visitors to hand hygiene guidelines are needed to prevent the transmission of epidemic infections to or from health care environments. Methods An electronic motion sensor–triggered audible hand hygiene reminder was installed at hospital ward entrances. An 8-month preinterventional and postinterventional study was carried out to measure the adherence of hospital visitors and staff to hand hygiene guidelines. Results Overall hand hygiene adherence increased from 7.6% to 49.9% ( P < .001). The adherence of visitors and nonclinical staff increased immediately from 10.6% to 63.7% and from 5.3% to 34.8%, respectively ( P < .001). Adherence of doctors, nurses, and physiotherapists increased gradually from 4.5% to 38.3%, from 5.4% to 43.4%, and from 8.7% to 49.5%, respectively ( P < .001). Improved adherence was sustained among visitors and clinical staff ( P < .001), but not among nonclinical staff ( P = .341). Conclusions The electronic motion sensor–triggered audible reminder immediately and significantly improved and sustained greater adherence of hospital visitors and clinical staff to hand hygiene guidelines. This is an effective addition to multimodal hand hygiene interventions and may help control epidemic infections.</description><subject>Biological and medical sciences</subject><subject>Cross-infection</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Epidemics</subject><subject>Epidemiology. Vaccinations</subject><subject>General aspects</subject><subject>Guideline</subject><subject>Guideline Adherence - organization & administration</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Hand Disinfection - methods</subject><subject>Hands</subject><subject>Handwashing</subject><subject>Health personnel</subject><subject>Health Personnel - psychology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infection Control</subject><subject>Infection Control - methods</subject><subject>Infection Control - organization & administration</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Prevention</subject><subject>Reminder Systems - instrumentation</subject><subject>Sensors</subject><subject>Visitors to Patients - psychology</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0s2L1DAUAPAiijuu_gMepCCCl9a8pEkakAVZ1g9Y8KCeQ5q8OKmddE2mC_PfmzqjC3vQU3L4vZe8j6p6DqQFAuLN2Jox2JYSgJbwllD2oNoAp7JhVImH1YaAEo3gnJ1VT3IeCSGKCf64OqOgQDLON9XFlfdo9-EWI-Zcz742sTaLC8OEdcJdiA5TPcd6a6Krt4fvocDauC0mjBafVo-8mTI-O53n1bf3V18vPzbXnz98unx33VhO6L7pFZXECyk74yixnDJPifAdSFByUJ2XSrK-Hxj1okfm5TAoLhy3dnAwMMPOq9fHvDdp_rlg3utdyBanyUScl6yh1KV6YMD-TwmQTnKgK315j47zkmIpZFVMAONSFEWPyqY554Re36SwM-lQ0OqEHvU6CL0OQhOuye_UL06pl2GH7m_In84X8OoETLZm8slEG_Kd470QXKri3h4dlvbeBkw627C23oVUBqfdHP79j4t74XYKMZQXf-AB8129OlNN9Jd1ZdaNASCk78rlF1Sht8Y</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Fakhry, Morkos, MBBS, PhD</creator><creator>Hanna, George B., PhD, FRCS</creator><creator>Anderson, Oliver, BSc, MRCS</creator><creator>Holmes, Alison, MD, MPH, FRCP</creator><creator>Nathwani, Dinesh, FRCS</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20120501</creationdate><title>Effectiveness of an audible reminder on hand hygiene adherence</title><author>Fakhry, Morkos, MBBS, PhD ; Hanna, George B., PhD, FRCS ; Anderson, Oliver, BSc, MRCS ; Holmes, Alison, MD, MPH, FRCP ; Nathwani, Dinesh, FRCS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-89270f6774ad20c523f206f417197b94f797388b32f68e3f7bb956d5ccbd1b3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Cross-infection</topic><topic>Disease prevention</topic><topic>Disease transmission</topic><topic>Epidemics</topic><topic>Epidemiology. Vaccinations</topic><topic>General aspects</topic><topic>Guideline</topic><topic>Guideline Adherence - organization & administration</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Hand Disinfection - methods</topic><topic>Hands</topic><topic>Handwashing</topic><topic>Health personnel</topic><topic>Health Personnel - psychology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Infection Control</topic><topic>Infection Control - methods</topic><topic>Infection Control - organization & administration</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Prevention</topic><topic>Reminder Systems - instrumentation</topic><topic>Sensors</topic><topic>Visitors to Patients - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fakhry, Morkos, MBBS, PhD</creatorcontrib><creatorcontrib>Hanna, George B., PhD, FRCS</creatorcontrib><creatorcontrib>Anderson, Oliver, BSc, MRCS</creatorcontrib><creatorcontrib>Holmes, Alison, MD, MPH, FRCP</creatorcontrib><creatorcontrib>Nathwani, Dinesh, FRCS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fakhry, Morkos, MBBS, PhD</au><au>Hanna, George B., PhD, FRCS</au><au>Anderson, Oliver, BSc, MRCS</au><au>Holmes, Alison, MD, MPH, FRCP</au><au>Nathwani, Dinesh, FRCS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of an audible reminder on hand hygiene adherence</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2012-05-01</date><risdate>2012</risdate><volume>40</volume><issue>4</issue><spage>320</spage><epage>323</epage><pages>320-323</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background Multimodal interventions aim to improve health care workers’ adherence to hand hygiene guidelines. Visitors are not primarily targeted, but may spread epidemic infections. Effective interventions that improve the adherence of visitors to hand hygiene guidelines are needed to prevent the transmission of epidemic infections to or from health care environments. Methods An electronic motion sensor–triggered audible hand hygiene reminder was installed at hospital ward entrances. An 8-month preinterventional and postinterventional study was carried out to measure the adherence of hospital visitors and staff to hand hygiene guidelines. Results Overall hand hygiene adherence increased from 7.6% to 49.9% ( P < .001). The adherence of visitors and nonclinical staff increased immediately from 10.6% to 63.7% and from 5.3% to 34.8%, respectively ( P < .001). Adherence of doctors, nurses, and physiotherapists increased gradually from 4.5% to 38.3%, from 5.4% to 43.4%, and from 8.7% to 49.5%, respectively ( P < .001). Improved adherence was sustained among visitors and clinical staff ( P < .001), but not among nonclinical staff ( P = .341). Conclusions The electronic motion sensor–triggered audible reminder immediately and significantly improved and sustained greater adherence of hospital visitors and clinical staff to hand hygiene guidelines. This is an effective addition to multimodal hand hygiene interventions and may help control epidemic infections.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21917355</pmid><doi>10.1016/j.ajic.2011.05.023</doi><tpages>4</tpages></addata></record> |
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| ispartof | American journal of infection control, 2012-05, Vol.40 (4), p.320-323 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Cross-infection Disease prevention Disease transmission Epidemics Epidemiology. Vaccinations General aspects Guideline Guideline Adherence - organization & administration Guideline Adherence - statistics & numerical data Hand Disinfection - methods Hands Handwashing Health personnel Health Personnel - psychology Hospitals Humans Hygiene Infection Control Infection Control - methods Infection Control - organization & administration Infectious Disease Infectious diseases Medical sciences Prevention Reminder Systems - instrumentation Sensors Visitors to Patients - psychology |
| title | Effectiveness of an audible reminder on hand hygiene adherence |
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