Stepwise interventions for improving hand hygiene compliance in a level 3 academic neonatal intensive care unit in north India
© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc..
OBJECTIVE: We evaluated effect of sequentially introducing four WHO-recommended interventions to promote hand-hygiene compliance in tertiary-care NICU.
STUDY DESIGN: Four dedicated research nurses directly observed doctors and nurses to record success in hand-hygiene opportunities at randomly selected NICU beds and randomly sampled time-slots in four phases (of 4-weeks each): I-Baseline, II-Self-directed learning; III-Participatory learning; IV-Closed-Circuit Television (CCTV); and V-CCTV-plus (with feedback).
FINDINGS: Hand-hygiene compliance changed from 61.8% (baseline) to 77% (end) with overall relative change: 24.6% (95% CI 18, 32; p value= 0.003); compared with preceding phase, relative changes of 21% (15, 28; <0.001), 4% (0, 8; 0.008), -10% (-13, -6; <0.001), and 10% (5, 15; <0.001) during phases II, III, IV, and V, respectively were observed. Rise in hand-hygiene compliance was higher for after-WHO-moments (12.7%; upto 2.5-folds for moment 5, <0.001) compared to before-WHO-moments (5.2%). Educational interventions, feedback and monitoring WHO moments can improve hand-hygiene compliance significantly among health-care providers in NICU.
| Errataetall: | |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
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| Enthalten in: |
Journal of perinatology : official journal of the California Perinatal Association - 41(2021), 12 vom: 28. Dez., Seite 2834-2839 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Gopalakrishnan, Shridhar [VerfasserIn] |
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Date Completed 17.02.2022 Date Revised 30.10.2022 published: Print-Electronic ErratumIn: J Perinatol. 2021 Oct 13;:. - PMID 34645955 Citation Status MEDLINE |
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| doi: |
10.1038/s41372-021-01141-3 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328662496 |
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| 500 | |a ErratumIn: J Perinatol. 2021 Oct 13;:. - PMID 34645955 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021. The Author(s), under exclusive licence to Springer Nature America, Inc. | ||
| 520 | |a OBJECTIVE: We evaluated effect of sequentially introducing four WHO-recommended interventions to promote hand-hygiene compliance in tertiary-care NICU | ||
| 520 | |a STUDY DESIGN: Four dedicated research nurses directly observed doctors and nurses to record success in hand-hygiene opportunities at randomly selected NICU beds and randomly sampled time-slots in four phases (of 4-weeks each): I-Baseline, II-Self-directed learning; III-Participatory learning; IV-Closed-Circuit Television (CCTV); and V-CCTV-plus (with feedback) | ||
| 520 | |a FINDINGS: Hand-hygiene compliance changed from 61.8% (baseline) to 77% (end) with overall relative change: 24.6% (95% CI 18, 32; p value= 0.003); compared with preceding phase, relative changes of 21% (15, 28; <0.001), 4% (0, 8; 0.008), -10% (-13, -6; <0.001), and 10% (5, 15; <0.001) during phases II, III, IV, and V, respectively were observed. Rise in hand-hygiene compliance was higher for after-WHO-moments (12.7%; upto 2.5-folds for moment 5, <0.001) compared to before-WHO-moments (5.2%). Educational interventions, feedback and monitoring WHO moments can improve hand-hygiene compliance significantly among health-care providers in NICU | ||
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| 700 | 1 | |a Sankar, M J |e verfasserin |4 aut | |
| 700 | 1 | |a Paul, V K |e verfasserin |4 aut | |
| 700 | 1 | |a Deorari, A K |e verfasserin |4 aut | |
| 700 | 1 | |a Joshi, M |e verfasserin |4 aut | |
| 700 | 1 | |a Agarwal, R |e verfasserin |4 aut | |
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