UNIGE document Scientific Article
previous document  unige:99345  next document
add to browser collection

Hand Hygiene Improvement and Sustainability: Assessing a Breakthrough Collaborative in Western Switzerland

Amherdt, Isabelle
Lécureux, Estelle
Petignat, Christiane
Schwab, Marcos
Published in Infection Control and Hospital Epidemiology. 2017, p. 1-8
Abstract OBJECTIVE To assess hand hygiene improvement and sustainability associated with a Breakthrough Collaborative. DESIGN Multicenter analysis of hand hygiene compliance through direct observation by trained observers. SETTING A total of 5 publicly funded hospitals in 14 locations, with a total of 1,152 beds, in the County of Vaud, Switzerland. PARTICIPANTS Clinical staff. INTERVENTIONS In total, 59,272 opportunities for hand hygiene were monitored for the duration of the study, for an average of 5,921 per audit (range, 5,449-6,852). An 18-month Hand Hygiene Breakthrough Collaborative was conducted to implement the WHO multimodal promotional strategy including improved access to alcohol-based hand rub, education, performance measurement and feedback, reminders and communication, leadership engagement, and safety culture. RESULTS Overall hand hygiene compliance improved from 61.9% to 88.3% (P<.001) over 18 months and was sustained at 88.9% (P=.248) 12 months after the intervention. Hand hygiene compliance among physicians increased from 62% to 85% (P<.001) and finally 86% at follow-up (P=.492); for nursing staff, compliance improved from 64% to 90% (P<.001) and finally 90% at follow-up (P=.464); for physiotherapists compliance improved from 50% to 90% (P<.001) and finally 91% at follow-up (P=.619); for X-ray technicians compliance improved from 45% to 80% (P<.001) and finally 81% at follow-up (P=.686). Hand hygiene compliance also significantly increased with sustained improvement across all hand hygiene indications and all hospitals. CONCLUSIONS A rigorously conducted multicenter project combining the Breakthrough Collaborative method for its structure and the WHO multimodal strategy for content and measurement was associated with significant and substantial improvement in compliance across all professions, all hand hygiene indications, and all participating hospitals. Infect Control Hosp Epidemiol 2017;1-8.
PMID: 28899451
Full text
Article (Published version) (665 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Research group Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
(ISO format)
STAINES, Anthony et al. Hand Hygiene Improvement and Sustainability: Assessing a Breakthrough Collaborative in Western Switzerland. In: Infection Control and Hospital Epidemiology, 2017, p. 1-8. doi: 10.1017/ice.2017.180 https://archive-ouverte.unige.ch/unige:99345

362 hits

1 download


Deposited on : 2017-11-22

Export document
Format :
Citation style :