Journal article
Measuring hand hygiene compliance in a hematology-oncology unit: A comparative study of methodologies
AJIC: American Journal of Infection Control, Vol.41(11), pp.997-1000
11/2013
DOI: 10.1016/j.ajic.2013.03.301
PMID: 23769833
Abstract
In managing hematology-oncology patients, there is a great opportunity for performing hand hygiene (HH). Over a 4-month period, we compared HH compliance measurement by 3 different methods: direct observation, electronic handwash counter for alcohol gel, and measuring the volume of product used (alcohol gel) in a 40-bed hematology-oncology unit at a tertiary care, private hospital. There were 388 directly observed opportunities for HH, and the overall HH compliance rate was 84.5%. A total of 235,923 HH episodes was recorded by the electronic devices. The mean HH episodes per patient-day was 77.7. There were 91.1 mL of alcohol gel used per patient-day in the unit. The correlation and P value between the percentage of HH compliance and HH episodes per 1,000 patient-days were ρ = 0.442 and P = .076, respectively. The correlation and P value between HH episodes per patient-days and alcohol gel consumption in milliliters per patient-days were ρ = 0.142 and P = .586. HH compliance was high in this unit. Direct observation, although useful, has many drawbacks. Other measures must be considered, such as electronic devices and measurement of volume use per patient-day to stimulate health care workers to increase and sustain HH compliance.
Details
- Title: Subtitle
- Measuring hand hygiene compliance in a hematology-oncology unit: A comparative study of methodologies
- Creators
- Lidiane Soares Sodré da Costa - Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilVanessa Maia Neves - Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilAlexandre R Marra - Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, BrazilThiago Zinsly Sampaio Camargo - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilMaria Fátima dos Santos Cardoso - Infection Control Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilElivane da Silva Victor - Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, BrazilCristina Vogel - Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilFátima Araci Tahira Colman - Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilClaudia Regina Laselva - Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilOscar Fernando Pavão dos Santos - Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilMichael B Edmond - Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA
- Resource Type
- Journal article
- Publication Details
- AJIC: American Journal of Infection Control, Vol.41(11), pp.997-1000
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajic.2013.03.301
- PMID
- 23769833
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Language
- English
- Date published
- 11/2013
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9983905520502771
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