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The short-term and long-term effectiveness of a multidisciplinary hand hygiene improvement program.

Abstract：

BACKGROUND:Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today. METHODS:This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6 months after the performance of HH team strategies (follow-up). The study was composed of employed nurses and physicians working in the department of internal medicine of a university hospital. We performed a multifaceted improvement program including HH education, feedback, reminders, social influence activities including the use of role models, and improvement of HH facilities. RESULTS:Ninety-two nurses and physicians were included. Compared with baseline, there was a significant improvement in the overall mean HH knowledge score at poststrategy (from 7.4 to 8.4) and follow-up (from 7.4 to 8.3). The overall HH compliance was 27% at baseline, 83% at poststrategy, and 75% at follow-up. At baseline, the compliance rate was 17% in nurses and 43% in physicians and significantly improved to 63% in nurses and 91% in physicians at follow-up. CONCLUSION:Our multifaceted HH improvement program resulted in a sustained improvement of HH knowledge and compliance in nurses as well as physicians.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Tromp M,Huis A,de Guchteneire I,van der Meer J,van Achterberg T,Hulscher M,Bleeker-Rovers C

doi

10.1016/j.ajic.2011.09.009

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

732-6

issue

8

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(11)01242-9

journal_volume

40

pub_type

杂志文章

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