October 30, 2013
RI Hospital Study Measures Impact Of Education, Information On Hand Hygiene Compliance
Compliance increased more than 25 percent over 4-year period
How often do you clean your hands? A study at Rhode Island Hospital observed staff on 161,526 occasions to monitor how often they cleaned their hands (ie, hand hygiene) between July 2008 to December 2012 and found that hand hygiene compliance improved from 60 percent to 89 percent. The study is published online in advance of print in the journal Infection Control and Hospital Epidemiology.
Hospital-associated infections have a significant impact on health care in the U.S. According to the Centers for Disease Control and Prevention (CDC), in 2002, such infections developed in 1.7 million patients and were associated with nearly 100,000 deaths. In 2009, the CDC estimated that the annual direct medical costs of such infections in U.S. hospitals was $36 billion to $45 billion.
"Hand hygiene is the most important intervention to reduce the risk of hospital-associated infections, but many hospitals have struggled to develop a culture of safety where high hand hygiene compliance becomes the norm rather than the exception," said principal investigator Leonard Mermel, D.O., medical director of the department of epidemiology and infection control at Rhode Island Hospital. "With use of a process improvement program that engaged hospital administration at the highest levels, as well as hospital staff from housekeepers, to facilities engineers, to nurses, doctors and others, we were able to dramatically improve our hand hygiene compliance in a sustainable fashion, thereby reducing the potential for harm in our patients".
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