Three successful interventions in health care workers that improve compliance with hand hygiene: Is sustained replication possible?
作者： Michael Whitby , Mary-Louise McLaws , Karen Slater , Edward Tong , Barbara Johnson
DOI: 10.1016/J.AJIC.2007.07.016
关键词:
摘要: Background Hand hygiene (HH) compliance by health care workers has been universally disappointing. Two major programs (Washington and Geneva) have demonstrated interventions that induce sustained improvement. The introduction of alcohol-based hand rub (AHR) together with education also reported to improve compliance. Methods These were replicated concurrently for 2 years in selected wards an 800-bed university teaching hospital, assessed only within, not between, programs. Results No significant improvement HH was observed after the AHR (incidence rate ratio [IRR] = 1.11; 95% confidence interval [CI] 0.93 1.33; P .238) or substitution a similar product (IRR 1.10; CI=0.91 1.32; .328) concomitant education. Washington program achieved 48% 1.48, CI=1.20 1.81; Conclusions effectiveness achieving improved compliance, whereas effect Geneva limited those without strong medical leadership. Introduction associated behavioral modification proved ineffective.
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