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Predictors of Hand Hygiene in the Emergency Department

Published online by Cambridge University Press:  02 January 2015

Arjun K. Venkatesh ,
Daniel J. Pallin ,
Stephanie Kayden  and
Jeremiah D. Schuur
Arjun K. Venkatesh
Affiliation:
Brigham and Women's Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts
Daniel J. Pallin
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts Division of Emergency Medicine, Children's Hospital Boston, and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
Stephanie Kayden
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts
Jeremiah D. Schuur*
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts
*
Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Neville House, 2nd Floor, Boston, MA 02115 (jschuur@partners.org)
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Abstract

We conducted an observational study to identify predictors of hand hygiene (HH) in the emergency department. Compliance with HH was 89.7% over 5,865 opportunities. Observation unit, hallway or high-visibility location, glove use, and worker type predicted worse HH. Hallway location was the strongest predictor (relative risk, 88.9% [95% confidence interval, 85.9%–92.1%]).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 11 , November 2011 , pp. 1120 - 1123
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1.Pittet, D, Hugonnet, S, Harbarth, S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000;356(9238):1307–1312.Google Scholar
2.World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge—Clean Care Is Safer Care. 2009. http://whqhbdoc.who.int/publications/2009/9789241597906_eng.pdf. Accessed June 6, 2011.Google Scholar
3.Magid, DJ, Sullivan, AF, Cleary, PD, et al. The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments. Ann Emerg Med 2009;53(6):715–723.CrossRefGoogle ScholarPubMed
4.Meengs, MR, Giles, BK, Chisholm, CD, Cordeil, WH, Nelson, DR. Hand washing frequency in an emergency department. Ann Emerg Med 1994;23(6):1307–1312.CrossRefGoogle ScholarPubMed
5.Altman, DG, Deeks, JJ, Sackett, DL. Odds ratios should be avoided when events are common. BMJ 1998;317(7168):1318.Google Scholar
6.Pitts, SR, Niska, RW, Xu, J, Burt, CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Report 2008 Aug 6;(7):1–38.Google ScholarPubMed
7.Pittet, D, Mourouga, P, Perneger, TV. Compliance with handwashing in a teaching hospital. Ann Intern Med 1999;130(2): 126–130.CrossRefGoogle ScholarPubMed
8.Duggan, JM, Hensley, S, Khuder, S, Papadimos, TJ, Jacobs, L. Inverse correlation between level of professional education and rate of handwashing compliance in a teaching hospital. Infect Control Hosp Epidemiol 2008;29(6):534–538.CrossRefGoogle ScholarPubMed
9.Harbarth, S, Pittet, D, Grady, L, Goldmann, DA. Compliance with hand hygiene practice in pediatric intensive care. Pediatr Crit Care Med 2001;2(4):311–314.CrossRefGoogle ScholarPubMed
10.Pittet, D, Simon, A, Hugonnet, S, Pessoa-Silva, CL, Sauvan, V, Perneger, TV. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med 2004;141(1):1–8.Google Scholar