A multifaceted approach to improve hand hygiene practices in the adult intensive care unit of a tertiary-care center

Hasan M. Al-Dorzi; Amal Matroud; Khaled A. Al Attas; Ahmad I. Azzam; Adel Musned; Brintha Naidu; Tamara Govender; Zandile Yeni; Chinette Abarintos; David White; Hanan Balkhy; Yaseen M. Arabi

doi:10.1016/j.jiph.2014.02.003

Journal of Infection and Public Health (Jul 2014)

A multifaceted approach to improve hand hygiene practices in the adult intensive care unit of a tertiary-care center

Hasan M. Al-Dorzi,
Amal Matroud,
Khaled A. Al Attas,
Ahmad I. Azzam,
Adel Musned,
Brintha Naidu,
Tamara Govender,
Zandile Yeni,
Chinette Abarintos,
David White,
Hanan Balkhy,
Yaseen M. Arabi

Affiliations

Hasan M. Al-Dorzi: Intensive Care Department, King Abdulaziz Medical City-Riyadh, Riyadh 11426, Saudi Arabia; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia
Amal Matroud: Adult ICU, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Khaled A. Al Attas: Anesthesiology Department, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Ahmad I. Azzam: Infection Prevention and Control Department, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Adel Musned: Respiratory Services Department, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Brintha Naidu: Surgical Intensive Care Unit, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Tamara Govender: Burn Unit, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Zandile Yeni: Intermediate Care Unit, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Chinette Abarintos: Neuro ICU, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
David White: Critical Care Services, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Hanan Balkhy: Infection Control and Prevention Program, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia
Yaseen M. Arabi: Intensive Care Department, King Abdulaziz Medical City-Riyadh, Riyadh 11426, Saudi Arabia; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia; Corresponding author at: Intensive Care Department, King Abdulaziz Medical City-Riyadh, Riyadh 11426, Saudi Arabia. Tel.: +966 1 8011111x18855/18877; fax: +966 1 8011111x18880.

DOI: https://doi.org/10.1016/j.jiph.2014.02.003
Journal volume & issue: Vol. 7, no. 4
pp. 360 – 364

Abstract

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Summary: A multidisciplinary team was formed to improve hand hygiene (HH) practices in a tertiary-care ICU. At baseline, an audit revealed that the overall HH compliance was 64% and was significantly lower at night than during the day shift. After implementing a stepwise multifaceted approach that included education, workplace reminders, active feedback and later universal contact precautions, the HH compliance improved significantly to >80%, and the improvement was sustained over several months. This improvement was noted during the day and night and affected different healthcare workers as well as visitors. Keywords: Hand hygiene, Critical care, Quality improvement, Intensive care unit

Published in Journal of Infection and Public Health

ISSN: 1876-0341 (Print); 1876-035X (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.journals.elsevier.com/journal-of-infection-and-public-health

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