Abstract：
OBJECTIVE:To evaluate the effectiveness of a positive deviance strategy for the improvement of hand hygiene compliance in 2 adult step-down units. DESIGN:A 9-month, controlled trial comparing the effect of positive deviance on compliance with hand hygiene. SETTING:Two 20-bed step-down units at a tertiary care private hospital. METHODS:The first phase of our study was a 3-month baseline period (from April to June 2008) in which hand hygiene episodes were counted by use of electronic handwashing counters. From July to September 2008 (ie, the second phase), a positive deviance strategy was implemented in the east unit; the west unit was the control unit. During the period from October to December 2008 (ie, the third phase), positive deviance was applied in both units. RESULTS:During the first phase, there was no statistically significant difference between the 2 step-down units in the number of episodes of hand hygiene per 1,000 patient-days or in the incidence density of healthcare-associated infections (HAIs) per 1,000 patient-days. During the second phase, there were 62,000 hand hygiene episodes per 1,000 patient-days in the east unit and 33,570 hand hygiene episodes per 1,000 patient-days in the west unit (P < .01 ). The incidence density of HAIs per 1,000 patient-days was 6.5 in the east unit and 12.7 in the west unit (p = .04). During the third phase, there was no statistically significant difference in hand hygiene episodes per 1,000 patient-days (P = .16) or in incidence density of HAIs per 1,000 patient-days. CONCLUSION:A positive deviance strategy yielded a significant improvement in hand hygiene, which was associated with a decrease in the overall incidence of HAIs.
journal_name
Infect Control Hosp Epidemioljournal_title
Infection control and hospital epidemiologyauthors
Marra AR,Guastelli LR,de Araújo CM,dos Santos JL,Lamblet LC,Silva M Jr,de Lima G,Cal RG,Paes AT,Cendoroglo Neto M,Barbosa L,Edmond MB,dos Santos OFdoi
10.1086/649224subject
Has Abstractpub_date
2010-01-01 00:00:00pages
12-20issue
1eissn
0899-823Xissn
1559-6834journal_volume
31pub_type
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/659407
更新日期：2011-05-01 00:00:00
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journal_title：Infection control and hospital epidemiology
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doi：10.1086/647285
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章,评审
doi：10.1086/647347
更新日期：1996-08-01 00:00:00
abstract：OBJECTIVE:To investigate trends in plasmid types of methicillin-resistant Staphylococcus aureus over a 3-year period and determine the clinical impact of plasmid typing. DESIGN:Restriction endonuclease analysis of plasmid DNA (REAP) was used to type 270 clinical isolates. SETTING:A Veterans Affairs Medical Center. R...
journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/646627
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/501701
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journal_title：Infection control and hospital epidemiology
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doi：10.1086/502551
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/500650
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/647065
更新日期：1995-02-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1017/ice.2016.108
更新日期：2016-09-01 00:00:00
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journal_title：Infection control and hospital epidemiology
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doi：10.1086/646176
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/646641
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journal_title：Infection control and hospital epidemiology
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doi：10.1086/675296
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journal_title：Infection control and hospital epidemiology
pub_type： 临床试验,杂志文章
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1017/ice.2016.59
更新日期：2016-07-01 00:00:00
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journal_title：Infection control and hospital epidemiology
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doi：10.1017/ice.2020.256
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doi：10.1086/502378
更新日期：2004-03-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1017/ice.2018.331
更新日期：2018-12-27 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1017/ice.2020.1277
更新日期：2020-10-20 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 临床试验,杂志文章
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/651096
更新日期：2010-04-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章,多中心研究
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更新日期：2019-09-01 00:00:00
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journal_title：Infection control and hospital epidemiology
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更新日期：2019-12-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章,评审
doi：10.1086/647300
更新日期：1996-05-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/502274
更新日期：2003-09-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/502582
更新日期：2005-06-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
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更新日期：1998-09-01 00:00:00
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journal_title：Infection control and hospital epidemiology
pub_type： 杂志文章
doi：10.1086/675600
更新日期：2014-04-01 00:00:00
