Does a bed rail system of alcohol-based handrub antiseptic improve compliance of health care workers with hand hygiene? Results from a pilot study
American Journal of Infection ControlPublished 28 October 2008
Efthymia Giannitsioti, S. Athanasia, Anastasia Antoniadou, Helen Fytrou, Kalomoira Athanassiou, Paschalia Bourvani
Citations27
SJR quartileQ1
SJR score0.91
SNIP1.03
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The bed-rail approach initially improved HCWs' compliance with AHRA but did not radically influence behavior in internal medicine settings, and multidisciplinary strategies are required to establish hand hygiene recommendations.
Abstract
The bed-rail approach initially improved HCWs' compliance with AHRA but did not radically influence behavior in internal medicine settings. Multidisciplinary strategies are required to establish hand hygiene recommendations.
Keywords
Agricultural and Biological SciencesImmunology and MicrobiologyMedicine
The LancetEffectiveness of a hospital-wide programme to improve compliance with hand hygiene
2,488 Citations2000Didier Pittet, Stéphane Hugonnet +5 more
The campaign produced a sustained improvement in compliance with hand hygiene, coinciding with a reduction of nosocomial infections and MRSA transmission, and the promotion of bedside, antiseptic handrubs largely contributed to the increase in compliance.
American Journal of Infection ControlGuideline for hand hygiene in health-care settings
2,109 Citations2002John M. Boyce, Didier Pittet
The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis and provides specific recommendations to promote improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health- Care settings.
Journal of Hospital Infection‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene
784 Citations2007Hugo Sax, Benedetta Allegranzi +4 more
'My five moments for hand hygiene' describes the fundamental reference points for healthcare workers in a time-space framework and designates the moments when hand hygiene is required to effectively interrupt microbial transmission during the care sequence and provides a solid basis to understand, teach, monitor and report hand hygiene practices.
The Lancet Infectious DiseasesEvidence-based model for hand transmission during patient care and the role of improved practices
779 Citations2006Didier Pittet, Benedetta Allegranzi +5 more
A dynamic model for hand hygiene research and education strategies is proposed, together with corresponding indications forHand hygiene during patient care, and five sequential steps are reviewed.
Archives of Internal MedicineHandwashing Compliance by Health Care Workers
494 Citations2000Werner E. Bischoff, Tammy M. Reynolds +3 more
Education/feedback intervention and patient awareness programs failed to improve handwashing compliance, however, introduction of easily accessible dispensers with an alcohol-based waterless handwashing antiseptic led to significantly higher handwashing rates among health care workers.
American Journal of Infection ControlUnderstanding adherence to hand hygiene recommendations: The theory of planned behavior
456 Citations2001Carol O’Boyle, Susan J. Henly +1 more
The limited association between self-reported and observed hand hygiene scores remains an enigma to be explained, and actual hand hygiene behavior may be more sensitive to the intensity of work activity in the clinical setting than to internal motivational factors.
Archive ouverte UNIGE (University of Geneva)Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force
358 Citations2002John M. Boyce, Didier Pittet
Infection Control and Hospital EpidemiologyCompliance With Antiseptic Hand Rub Use in Intensive Care Units The Hawthorne Effect
305 Citations2006Tim Eckmanns, Jan Bessert +3 more
The Hawthorne effect has a marked influence on compliance with AHR use, with a 55% increase of compliance with overt observation, and this result is consistent throughout subgroups.
Journal of Hospital InfectionMisuse of gloves: the foundation for poor compliance with hand hygiene and potential for microbial transmission?
202 Citations2004Emmanuelle Girou, Steeve Ho Tam Chai +5 more
Failure to change or remove contaminated gloves was a major component in the poor compliance with hand hygiene and carried a high-risk of microbial transmission and will require changing healthcare workers behaviour towards glove use.
Mayo Clinic ProceedingsHand Hygiene: A Frequently Missed Lifesaving Opportunity During Patient Care
189 Citations2004Andrej Trampuž, Andreas F. Widmer
Alcohol-based hand rubs should replace hand washing as the standard for hand hygiene in health care settings in all situations in which the hands are not visibly soiled.
New England Journal of MedicineSystem Failure versus Personal Accountability — The Case for Clean Hands
114 Citations2006Donald A. Goldmann
Dr. Donald Goldmann argues that if the authors really are serious about making care safer, they need to find the right balance between blaming mistakes on systems and holding individual providers accountable for their everyday practices.