Journal article
A multicenter study using positive deviance for improving hand hygiene compliance
AJIC: American Journal of Infection Control, Vol.41(11), pp.984-988
11/2013
DOI: 10.1016/j.ajic.2013.05.013
PMID: 23973423
Abstract
Positive deviance (PD) can be a strategy for the improvement of hand hygiene (HH) compliance. This study was conducted in 8 intensive care units and 1 ward at 7 tertiary care, private, and public hospitals. Phase 1 was a 3-month baseline period (from August to October 2011) in which HH counts were performed by observers using iPods (iScrub program). From November 2011 to July 2012, phase 2, a PD intervention was performed in all the participating centers. We evaluated the consumption of HH products (alcohol gel and chlorhexidine) and the incidence density of health care-associated infections. There was a total of 5,791 HH observations in the preintervention phase and 11,724 HH observations in the intervention phase (PD). A statistically significant difference was found in overall HH compliance with 46.5% in the preintervention phase and 62.0% in the PD phase (P < .001). There was a statistically significant reduction in the incidence of density of device-associated infections per 1,000 patient-days and also in the median of length of stay between the preintervention phase and the PD phase (13.2 vs 7.5 per 1,000 patient-days, respectively, P = .039; and 11.0 vs 6.8 days, respectively, P < .001, respectively). PD demonstrated great promise for improving HH in multiple inpatient settings and was associated with a decrease in the median length of stay and the incidence of device-associated HAIs.
Details
- Title: Subtitle
- A multicenter study using positive deviance for improving hand hygiene compliance
- Creators
- Alexandre R Marra - Hospital Israelita Albert Einstein, São Paulo, BrazilDanilo Teixeira Noritomi - Hospital Paulistano, São Paulo, BrazilAdilson J Westheimer Cavalcante - Hospital Heliopolis, São Paulo, BrazilThiago Zinsly Sampaio Camargo - Hospital Israelita Albert Einstein, São Paulo, BrazilRenata Puzzo Bortoleto - Hospital Municipal Dr Moysés Deutsch-MBoi Mirim, São Paulo, BrazilMarcelino Souza Durão Jr - Hospital Israelita Albert Einstein, São Paulo, BrazilAnucha Apisarnthanarak - Thammasat University Hospital, Khlong Luang, ThailandClaudia Laselva - Hospital Israelita Albert Einstein, São Paulo, BrazilWalace de Souza Pimentel - Hospital Israelita Albert Einstein, São Paulo, BrazilLeonardo Jose Rolim Ferraz - Hospital Israelita Albert Einstein, São Paulo, BrazilMaria Fátima dos Santos Cardoso - Hospital Israelita Albert Einstein, São Paulo, BrazilElivane da Silva Victor - Hospital Israelita Albert Einstein, São Paulo, BrazilOscar Fernando Pavão dos Santos - Hospital Israelita Albert Einstein, São Paulo, BrazilMiguel Cendoroglo Neto - Hospital Israelita Albert Einstein, São Paulo, BrazilMichael B Edmond - Virginia Commonwealth University, Richmond, VA
- Contributors
- Positive Deviance For Hand Hygiene Study Group (Author)
- Resource Type
- Journal article
- Publication Details
- AJIC: American Journal of Infection Control, Vol.41(11), pp.984-988
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajic.2013.05.013
- PMID
- 23973423
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Language
- English
- Date published
- 11/2013
- Academic Unit
- Internal Medicine
- Record Identifier
- 9983905641102771
Metrics
33 Record Views