Journal article
Positive deviance: A program for sustained improvement in hand hygiene compliance
AJIC: American Journal of Infection Control, Vol.39(1), pp.1-5
2011
DOI: 10.1016/j.ajic.2010.05.024
PMID: 21281882
Abstract
There is a paucity of data evaluating whether positive deviance (PD) can sustain improvement in hand hygiene compliance. An observational study comparing the effect of PD on compliance with hand hygiene was conducted in two 20-bed step-down units (SDUs) at a private tertiary care hospital. In a 3-month baseline period (April-June 2008), hand hygiene counts were performed by electronic handwashing counters. Between July 1, 2008, and November 30, 2009, (East SDU) and between September 30, 2008, and December 2009 (West SDU), PD was applied in both units. There was more than a 2-fold difference in the number of alcohol gel aliquots dispensed per month from April 2008 (before PD) to November 2009 (last month in PD) in the East SDU. There was also a 2-fold difference in the number of alcohol gel aliquots dispensed per month from September 2008 (before PD) to December 2009 (last month in PD) in the West SDU. The difference in the rate of health care‒associated infections (HAIs) between the baseline period and 2009 was statistically significant in the East SDU (5.8 vs 2.8 per 1,000 device-days; P = .008) and in the West SDU (3.7 vs 1.7 per 1,000 device-days; P = .023). PD was responsible for a sustained improvement in hand hygiene in the inpatient setting and was associated with a decrease in the incidence of device-associated HAIs.
Details
- Title: Subtitle
- Positive deviance: A program for sustained improvement in hand hygiene compliance
- Creators
- Alexandre R Marra - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilLuciana Reis Guastelli - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilCarla Manuela Pereira de Araújo - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilJorge L Saraiva dos Santos - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilMiguel Almeida O Filho - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilClaudia Vallone Silva - Infection Control Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilJulia Yaeko Kawagoe - Infection Control Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilMiguel Cendoroglo Neto - Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilOscar Fernando Pavão dos Santos - Intensive Care Unit, 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.39(1), pp.1-5
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajic.2010.05.024
- PMID
- 21281882
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Language
- English
- Date published
- 2011
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9983905528402771
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