Implementation of directly observed patient hand hygiene for hospitalized patients by hand hygiene ambassadors in Hong Kong
The importance of compliance with hand hygiene by patients is increasingly recognized to prevent health care-associated infections. This descriptive study observed the effects of an education campaign, targeted to increase patients' self-initiated hand hygiene, and a hand hygiene ambassador-initiated directly observed hand hygiene program on patients' hand hygiene compliance in a university-affiliated hospital. The overall audited compliance of patients' self-initiated hand hygiene was only 37.5%, with a rate of 26.9% (112/416 episodes) before meals and medications, 27.5% (19/69 episodes) after using a urinal or bedpan, and 89.7% (87/97 episodes) after attending toilet facilities. Patients referred from a residential care home for older adults had significantly lower hand hygiene compliance (P = .007). Comparatively, the overall audited compliance of ambassador-initiated directly observed hand hygiene was 97.3% (428/440 episodes), which was significantly higher than patients' self-initiated hand hygiene via a patient education program (37.5%, 218/582 episodes, P < .001). Directly observed hand hygiene can play an important role in improving compliance with hand hygiene by hospitalized patients..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:44 |
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| Enthalten in: |
American journal of infection control - 44(2016), 6, Seite 621-624 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cheng, Vincent C.C [VerfasserIn] |
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| Links: |
Volltext |
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| BKL: | |
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| Themen: |
Compliance |
| doi: |
10.1016/j.ajic.2015.11.024 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC1977843832 |
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| 245 | 1 | 0 | |a Implementation of directly observed patient hand hygiene for hospitalized patients by hand hygiene ambassadors in Hong Kong |
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| 520 | |a The importance of compliance with hand hygiene by patients is increasingly recognized to prevent health care-associated infections. This descriptive study observed the effects of an education campaign, targeted to increase patients' self-initiated hand hygiene, and a hand hygiene ambassador-initiated directly observed hand hygiene program on patients' hand hygiene compliance in a university-affiliated hospital. The overall audited compliance of patients' self-initiated hand hygiene was only 37.5%, with a rate of 26.9% (112/416 episodes) before meals and medications, 27.5% (19/69 episodes) after using a urinal or bedpan, and 89.7% (87/97 episodes) after attending toilet facilities. Patients referred from a residential care home for older adults had significantly lower hand hygiene compliance (P = .007). Comparatively, the overall audited compliance of ambassador-initiated directly observed hand hygiene was 97.3% (428/440 episodes), which was significantly higher than patients' self-initiated hand hygiene via a patient education program (37.5%, 218/582 episodes, P < .001). Directly observed hand hygiene can play an important role in improving compliance with hand hygiene by hospitalized patients. | ||
| 540 | |a Nutzungsrecht: © Association for Professionals in Infection Control and Epidemiology, Inc. | ||
| 540 | |a Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. | ||
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| 650 | 4 | |a Infectious diseases | |
| 650 | 4 | |a Toilet facilities | |
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| 650 | 4 | |a Disease prevention | |
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| 700 | 1 | |a Ching, Radley H.C |4 oth | |
| 700 | 1 | |a Ng, Modissa M.L |4 oth | |
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| 700 | 1 | |a Lee, Doris W.Y |4 oth | |
| 700 | 1 | |a Lee, W.M |4 oth | |
| 700 | 1 | |a Yuen, K.Y |4 oth | |
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| 856 | 4 | 2 | |u http://www.ncbi.nlm.nih.gov/pubmed/26777285 |
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