Journal article
Frequency of Hand Decontamination of Intraoperative Providers and Reduction of Postoperative Healthcare-Associated Infections: A Randomized Clinical Trial of a Novel Hand Hygiene System
Infection control and hospital epidemiology, Vol.37(8), pp.888-895
08/2016
DOI: 10.1017/ice.2016.106
PMID: 27267310
Abstract
BACKGROUND Healthcare provider hands are an important source of intraoperative bacterial transmission events associated with postoperative infection development. OBJECTIVE To explore the efficacy of a novel hand hygiene improvement system leveraging provider proximity and individual and group performance feedback in reducing 30-day postoperative healthcare-associated infections via increased provider hourly hand decontamination events. DESIGN Randomized, prospective study. SETTING Dartmouth-Hitchcock Medical Center in New Hampshire and UMass Memorial Medical Center in Massachusetts. PATIENTS Patients undergoing surgery. METHODS Operating room environments were randomly assigned to usual intraoperative hand hygiene or to a personalized, body-worn hand hygiene system. Anesthesia and circulating nurse provider hourly hand decontamination events were continuously monitored and reported. All patients were followed prospectively for the development of 30-day postoperative healthcare-associated infections. RESULTS A total of 3,256 operating room environments and patients (1,620 control and 1,636 treatment) were enrolled. The mean (SD) provider hand decontamination event rate achieved was 4.3 (2.9) events per hour, an approximate 8-fold increase in hand decontamination events above that of conventional wall-mounted devices (0.57 events/hour); P<.001. Use of the hand hygiene system was not associated with a reduction in healthcare-associated infections (odds ratio, 1.07 [95% CI, 0.82-1.40], P=.626). CONCLUSIONS The hand hygiene system evaluated in this study increased the frequency of hand decontamination events without reducing 30-day postoperative healthcare-associated infections. Future work is indicated to optimize the efficacy of this hand hygiene improvement strategy. Infect Control Hosp Epidemiol 2016;37:888-895.
Details
- Title: Subtitle
- Frequency of Hand Decontamination of Intraoperative Providers and Reduction of Postoperative Healthcare-Associated Infections: A Randomized Clinical Trial of a Novel Hand Hygiene System
- Creators
- Matthew D Koff - 1Dartmouth-Hitchcock Medical Center,Lebanon,New HampshireJeremiah R Brown - 2The Dartmouth Institute for Health Policy and Clinical Practice,Geisel School of Medicine at Dartmouth,Lebanon,New HampshireEmily J Marshall - 2The Dartmouth Institute for Health Policy and Clinical Practice,Geisel School of Medicine at Dartmouth,Lebanon,New HampshireA James O'Malley - 2The Dartmouth Institute for Health Policy and Clinical Practice,Geisel School of Medicine at Dartmouth,Lebanon,New HampshireJens T Jensen - 3Department of Anesthesiology,Dartmouth-Hitchcock Medical Center,Lebanon,New HampshireStephen O Heard - 4Department of Anesthesiology,UMass Memorial Medical Center,Worcester, MassachusettsKaren Longtine - 4Department of Anesthesiology,UMass Memorial Medical Center,Worcester, MassachusettsMelissa O'Neill - 4Department of Anesthesiology,UMass Memorial Medical Center,Worcester, MassachusettsJaclyn Longtine - 4Department of Anesthesiology,UMass Memorial Medical Center,Worcester, MassachusettsDonna Houston - 3Department of Anesthesiology,Dartmouth-Hitchcock Medical Center,Lebanon,New HampshireCindy Robison - 3Department of Anesthesiology,Dartmouth-Hitchcock Medical Center,Lebanon,New HampshireEric Moulton - 3Department of Anesthesiology,Dartmouth-Hitchcock Medical Center,Lebanon,New HampshireHetal M Patel - 3Department of Anesthesiology,Dartmouth-Hitchcock Medical Center,Lebanon,New HampshireRandy W Loftus - 3Department of Anesthesiology,Dartmouth-Hitchcock Medical Center,Lebanon,New Hampshire
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.37(8), pp.888-895
- Publisher
- United States
- DOI
- 10.1017/ice.2016.106
- PMID
- 27267310
- ISSN
- 1559-6834
- eISSN
- 1559-6834
- Language
- English
- Date published
- 08/2016
- Academic Unit
- Anesthesia
- Record Identifier
- 9984007166402771
Metrics
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