Utilizing improvement science methods to improve physician compliance with proper hand hygiene

Pediatrics

Volumn 129, Issue 4, 2012, Pages

  White, Christine M ^a   Statile, Angela M ^a   Conway, Patrick H ^a   Schoettker, Pamela J ^a   Solan, Lauren G ^a   Unaka, Ndidi I ^a   Vidwan, Navjyot ^a   Warrick, Stephen D ^a   Yau, Connie ^a   Connelly, Beverly L ^a  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

Author keywords

Hand hygiene; Handwashing; Health care associated infections; Joint commission; Patient safety

Indexed keywords

ALCOHOL; SOAP;

ARTICLE; DOCTOR COMPLIANCE; HAND WASHING; HOSPITAL HYGIENE; HOSPITAL PATIENT; HUMAN; MEDICAL EDUCATION; OUTCOME ASSESSMENT; PEDIATRICS; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PRIORITY JOURNAL; RESIDENT; SUPPORT GROUP; TOTAL QUALITY MANAGEMENT;

EID: 84859406093     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2011-1864     Document Type: Article

References (44)

1. Vincent JL. Nosocomial infections in adult intensive-care units. Lancet. 2003;361(9374): 2068-2077
2. World Health Organization. Clean care is safer care. The evidence for clean hands. The burden of health care-associated infection worldwide. 2011. Available at: www.who.int/gpsc/country-work/burden-hcai/en/index.html. Accessed April 6, 2011
3. World Health Organization. Report on the burden of endemic health care-associated infection worldwide. A systemic review of the literature. 2011. Available at: http://whqlibdoc.who.int/publications/2011/9789241501507-eng.pdf. Accessed May 23, 2011
4. Allegranzi B, Bagheri Nejad S, Combescure C, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet. 2011;377 (9761):228-241
5. Klevens RM, Edwards JR, Richards CL Jr, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 2007;122(2):160-166
6. Stone PW, Braccia D, Larson E. Systematic review of economic analyses of health care-associated infections. Am J Infect Control. 2005;33(9):501-509 (Pubitemid 41551611)
7. Boyce JM, Pittet D; Healthcare Infection Control Practices Advisory Committee. Society for Healthcare Epidemiology of America. Association for Professionals in Infection Control. Infectious Diseases Society of America. Hand Hygiene Task Force. 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. Infect Control Hosp Epidemiol. 2002;23(suppl 12):S3-S40
8. Pittet D, Allegranzi B, Sax H, et al WHO Global Patient Safety Challenge, World Alliance for Patient Safety. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis. 2006;6(10):641-652 (Pubitemid 44427733)
9. World Health Organization. WHO guidelines on hand hygiene in health care. First global patient safety challenge - clean care is safer care. Geneva, Switzerland: World Health Organization Press. 2009. Available at: http://whqlibdoc.who.int/publications/2009/9789241597906-eng.pdf. Accessed May 23, 2011
10. Larson E. A causal link between handwashing and risk of infection? Examination of the evidence. Infect Control Hosp Epidemiol. 1988;9(1):28-36
11. Larson E. Skin hygiene and infection prevention: more of the same or different approaches? Clin Infect Dis. 1999;29(5):1287-1294 (Pubitemid 30265653)
12. Pittet D, Allegranzi B, Boyce J; World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. The World Health Organization Guidelines on Hand Hygiene in Health Care and their consensus recommendations. Infect Control Hosp Epidemiol. 2009;30(7):611-622
13. Erasmus V, Daha TJ, Brug H, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol. 2010;31(3):283-294
14. Linam WM, Margolis PA, Atherton H, Connelly BL. Quality-improvement initiatives sustains improvement in health care worker hand hygiene. Pediatrics. 2011;128(3). Available at: www.pediatrics.org/cgi/content/full/128/3/e689
15. Pittet D, Hugonnet S, Harbarth S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356(9238):1307-1312
16. Pittet D, Mourouga P, Perneger TV. Compliance with handwashing in a teaching hospital. Infection Control Program. Ann Intern Med. 1999;130(2):126-130 (Pubitemid 29045360)
17. Salemi C, Canola MT, Eck EK. Hand washing and physicians: how to get them together. Infect Control Hosp Epidemiol. 2002;23(1): 32-35 (Pubitemid 34157774)
18. Sharir R, Teitler N, Lavi I, Raz R. High-level handwashing compliance in a community teaching hospital: a challenge that can be met! J Hosp Infect. 2001;49(1):55-58 (Pubitemid 32842649)
19. Zerr DM, Allpress AL, Heath J, Bornemann R, Bennett E. Decreasing hospital-associated rotavirus infection: a multidisciplinary hand hygiene campaign in a children's hospital. Pediatr Infect Dis J. 2005;24(5):397-403 (Pubitemid 40664233)
20. Godfrey MM, Melin CN, Muething SE, Batalden PB, Nelson EC. Clinical microsystems, Part 3. Transformation of two hospitals using microsystem, mesosystem, and macrosystem strategies. Jt Comm J Qual Patient Saf. 2008; 34(10):591-603
21. Langley GJ, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide. A Practical Approach to Enhancing Organizational Performance. San Francisco, CA: Jossey-Bass; 1996
22. Luria JW, Muething SE, Schoettker PJ, Kotagal UR. Reliability science and patient safety. Pediatr Clin North Am. 2006;53(6):1121-1133 (Pubitemid 44779683)
23. Cohen MR, Senders J, Davis NM. Failure mode and effects analysis: a novel approach to avoiding dangerous medication errors and accidents. Hosp Pharm. 1994;29(4):319-330
24. DeRosier J, Stalhandske E, Bagian JP, Nudell T. Using health care Failure Mode and Effect Analysis: The VA National Center for Patient Safety's prospective risk analysis system. Jt Comm J Qual Improv. 2002;28 (5):248-267, 209
25. Perla RJ, Provost LP, Murray SK. The run chart: a simple analytical tool for learning from variation in healthcare processes. BMJ Qual Saf. 2011;20(1):46-51
26. Nolan T, Resar R, Haraden C, Griffins FA. Improving the Reliability of Health Care. Innovation Series 2004. Gordon AB, ed. Cambridge, MA: Institute for Healthcare Improvement. Available at: www.ihi.org/IHI/Products/WhitePapers/ ImprovingtheReliabilityofHealthCare.htm. Accessed May 23, 3011
27. Muething SE, Kotagal UR, Schoettker PJ, Gonzalez del Rey J, DeWitt TG. Familycentered bedside rounds: a new approach to patient care and teaching. Pediatrics. 2007;119(4):829-832 (Pubitemid 46556688)
28. Amin SG. Control charts 101: a guide to health care applications. Qual Manag Health Care. 2001;9(3):1-27
29. Benneyan JC, Lloyd RC, Plsek PE. Statistical process control as a tool for research and healthcare improvement. Qual Saf Health Care. 2003;12(6):458-464 (Pubitemid 37542026)
30. Deming WE. The New Economics for Industry, Government, Education. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study; 1993
31. Conly JM, Hill S, Ross J, Lertzman J, Louie TJ. Handwashing practices in an intensive care unit: the effects of an educational program and its relationship to infection rates. Am J Infect Control. 1989;17(6):330-339 (Pubitemid 20068452)
32. Mayer JA, Dubbert PM, Miller M, Burkett PA, Chapman SW. Increasing handwashing in an intensive care unit. Infect Control. 1986;7 (5):259-262 (Pubitemid 16004474)
33. Helder OK, Brug J, Looman CW, van Goudoever JB, Kornelisse RF. The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban neonatal intensive care unit: an intervention study with before and after comparison. Int J Nurs Stud. 2010;47(10):1245-1252
34. Larson E, Killien M. Factors influencing handwashing behavior of patient care personnel. Am J Infect Control. 1982;10(3): 93-99 (Pubitemid 13071570)
35. Williams CO, Campbell S, Henry K, Collier P. Variables influencing worker compliance with universal precautions in the emergency department. Am J Infect Control. 1994;22(3):138-148 (Pubitemid 24197689)
36. Eldridge NE, Woods SS, Bonello RS, et al. Using the six sigma process to implement the Centers for Disease Control and Prevention Guideline for Hand Hygiene in 4 intensive care units. J Gen Intern Med. 2006;21(suppl 2):S35-S42
37. Zimakoff J, Kjelsberg AB, Larsen SO, Holstein B. A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway. Am J Infect Control. 1992;20(2): 58-64
38. Hugonnet S, Pittet D. Hand hygiene-beliefs or science? Clin Microbiol Infect. 2000;6(7): 350-356
39. Erasmus V, Brouwer W, van Beeck EF, et al. A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene prevents cross-infection. Infect Control Hosp Epidemiol. 2009;30(5):415-419
40. Pittet D. Compliance with hand disinfection and its impact on hospital-acquired infections. J Hosp Infect. 2001;48(suppl A):S40-S46 (Pubitemid 32700729)
41. Harbarth S, Pittet D, Grady L, et al. Interventional study to evaluate the impact of an alcohol-based hand gel in improving hand hygiene compliance. Pediatr Infect Dis J. 2002;21(6):489-495 (Pubitemid 34625827)
42. Landsberger HA. Hawthorne Revisited: Management and the Worker: Its Critics, and Developments in Human Relations in Industry. Ithaca, NY: Cornell University; 1958
43. Sullivan SJ, Jacobson RM, Dowdle WR, Poland GA. 2009 H1N1 influenza. Mayo Clin Proc. 2010;85(1):64-76
44. Faruqui F, Mukundan D. 2009 pandemic influenza: a review. Curr Opin Pediatr. 2010;22 (4):530-535