Abstract：
BACKGROUND:To understand whether the burden of hand hygiene contributes to poor compliance we measured the daily number of hand hygiene opportunities (HHOs) by shift for nurses and physicians in 2 wards in a 850-bed university teaching hospital. METHODS:On each ward 4 trained auditors collected the number of HHOs and compliance events for 24 hours over 7 days. Twenty-one thousand four hundred fifty HHOs were collected from a medical and a surgical ward. The proportion of alcohol-based handrub used daily, the burden of hand hygiene, and compliance rates were calculated separately for nurses and physicians. RESULTS:The average indication for alcohol-based handrub cleansing represented 68% of all HHOs. Nurses had an average burden of 55 HHOs per 24 hours or 27 HHOs per shift, 3 times higher than the burden for physicians, who had 16 HHOs per 24 hours or 8 HHOs per shift. Overt observations of the weekly compliance identified nurses had 1.5 times higher compliance than physicians: 76% and 52% (P < .01), respectively. CONCLUSIONS:Nurses have 3 times more HHOs than physicians, yet nurses have 1.5 times higher compliance than physicians. Hand hygiene compliance in physicians cannot be explained by burden of HHOs.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Azim S,Juergens C,McLaws MLdoi
10.1016/j.ajic.2016.02.006subject
Has Abstractpub_date
2016-07-01 00:00:00pages
777-81issue
7eissn
0196-6553issn
1527-3296pii
S0196-6553(16)00157-7journal_volume
44pub_type
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