Dataset Information

An observational study of the hand hygiene initiative: a comparison of preintervention and postintervention outcomes.

ABSTRACT:

Objectives

To evaluate the impact of implementing a simple, user-friendly eLearning module on hand hygiene (HH) compliance and infection rates.

Design

Preintervention and postintervention observational study.

Participants

All neonates admitted to the neonatal intensive care unit (NICU) over the study period were eligible for participation and were included in the analyses. A total of 3422 patients were admitted over a 36-month span (July 2009 to June 2012).

Interventions

In the preintervention and postintervention periods (phases I and II), all healthcare providers were trained on HH practices using an eLearning module. The principles of the '4 moments of HH' and definition of 'baby space' were incorporated using interactive tools. The intervention then extended into a long-term sustainability programme (phase III), including the requirement of an annual recertification of the module and introduction of posters and screensavers throughout the NICU.

Primary and secondary outcome measures

The primary outcome was HH compliance rates among healthcare providers in the three phases. The secondary outcome was healthcare-associated infection rates in the NICU.

Results

HH compliance rates declined initially in phase II then improved in phase III with the addition of a long-term sustainability programme (76%, 67% and 76% in phases I, II and III, respectively (p<0.01). Infection rates showed an opposing, but concomitant trend in the overall population as well as in infants <1500 g and were 4%, 6% and 4% (p=0.02), and 11%, 21% and 16% (p<0.01), respectively, during the three phases.

Conclusions

Interventions to improve HH compliance are challenging to implement and sustain with the need for ongoing reinforcement and education.

SUBMITTER: Mukerji A

PROVIDER: S-EPMC3664348 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature

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Publications

An observational study of the hand hygiene initiative: a comparison of preintervention and postintervention outcomes.

Mukerji Amit A Narciso Janet J Moore Christine C McGeer Allison A Kelly Edmond E Shah Vibhuti V

BMJ open 20130528 5

<h4>Objectives</h4>To evaluate the impact of implementing a simple, user-friendly eLearning module on hand hygiene (HH) compliance and infection rates.<h4>Design</h4>Preintervention and postintervention observational study.<h4>Participants</h4>All neonates admitted to the neonatal intensive care unit (NICU) over the study period were eligible for participation and were included in the analyses. A total of 3422 patients were admitted over a 36-month span (July 2009 to June 2012).<h4>Interventions ...[more]

PMID: 23793705

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Dataset Information

An observational study of the hand hygiene initiative: a comparison of preintervention and postintervention outcomes.

Objectives

Design

Participants

Interventions

Primary and secondary outcome measures

Results

Conclusions

Publications

An observational study of the hand hygiene initiative: a comparison of preintervention and postintervention outcomes.

Similar Datasets

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