Observing and Improving Hand Hygiene Compliance Implementation and Refinement of an Electronic-Assisted Direct-Observer Hand Hygiene Audit Program

We implemented a direct-observer hand hygiene audit program that used trained observers, wireless data entry devices, and an intranet portal. We improved the reliability and utility of the data by standardizing audit processes, regularly retraining auditors, developing an audit guidance tool, and reporting weighted composite hand hygiene compliance scores.

[1]  J. Haas,et al.  Measurement of compliance with hand hygiene. , 2007, The Journal of hospital infection.

[2]  B. Allegranzi,et al.  The World Health Organization Guidelines on Hand Hygiene in Health Care and Their Consensus Recommendations , 2009, Infection Control & Hospital Epidemiology.

[3]  Didier Pittet,et al.  Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. , 2002, American journal of infection control.

[4]  K. Kaye,et al.  Observer Bias in Hand Hygiene Compliance Reporting , 2010, Infection Control & Hospital Epidemiology.

[5]  Michael Behnke,et al.  Compliance With Antiseptic Hand Rub Use in Intensive Care Units The Hawthorne Effect , 2006, Infection Control & Hospital Epidemiology.

[6]  Didier Pittet,et al.  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 , 2002 .

[7]  Angela Tavares Paes,et al.  Measuring Rates of Hand Hygiene Adherence in the Intensive Care Setting: A Comparative Study of Direct Observation, Product Usage, and Electronic Counting Devices , 2010, Infection Control & Hospital Epidemiology.

[8]  D. Armellino,et al.  A Randomized Trial of the Efficacy of Hand Disinfection for Prevention of Rhinovirus Infection , 2012, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.