Changing the culture of hand hygiene compliance using a bundle that includes a violation letter

被引：18

作者：

Chou, Teresa ^{[1
]}

Kerridge, James ^{[1
]}

Kulkarni, Mandavi ^{[2
]}

Wickman, Katie ^{[1
]}

Malow, James ^{[3
]}

机构：

[1] Advocate Illinois Masonic Med Ctr, Dept Infect Control & Epidemiol, Chicago, IL 60657 USA

[2] Advocate Illinois Masonic Med Ctr, Dept Infect Dis, Chicago, IL 60657 USA

[3] Advocate Illinois Masonic Med Ctr, Dept Internal Med, Chicago, IL 60657 USA

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2010年 / 38卷 / 07期

关键词：

Hand hygiene; hand washing; hand hygiene noncompliance; hand hygiene improvement; hand hygiene liaison; corrective action; IMPROVE COMPLIANCE;

D O I：

10.1016/j.ajic.2010.01.016

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Hand hygiene is the best method of preventing transmission of infections in health care, but compliance is usually suboptimal. In one hospital, compliance with hand hygiene was improved and sustained using a multifaceted bundle approach. A unique aspect of the bundle was the creation of a violation letter that was sent to and enforced by managers of noncompliant personnel. The letter appeared to be the major factor in raising the hand hygiene compliance rate from 34% to >90% in a 2-year period.

引用

页码：575 / 578

页数：4

共 5 条

[1] An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections [J].

Backman, Chantal ;

Zoutman, Dick E. ;

Marck, Patricia Beryl .

AMERICAN JOURNAL OF INFECTION CONTROL, 2008, 36 (05) :333-348

[2]

*CDCP, 2002, MMWR-MORBID MORTAL W, V51, P22

[3] An organizational climate intervention associated with increased handwashing and decreased nosocomial infections [J].

Larson, EL ;

Early, E ;

Cloonan, P ;

Sugrue, S ;

Parides, M .

BEHAVIORAL MEDICINE, 2000, 26 (01) :14-22

[4] Effectiveness of a hospital-wide programme to improve compliance with hand hygiene [J].

Pittet, D ;

Hugonnet, S ;

Harbarth, S ;

Mourouga, P ;

Sauvan, V ;

Touveneau, S ;

Perneger, TV .

LANCET, 2000, 356 (9238) :1307-1312

[5] Three successful interventions in health care workers that improve compliance with hand hygiene: Is sustained replication possible? [J].

Whitby, Michael ;

McLaws, Mary-Louise ;

Slater, Karen ;

Tong, Edward ;

Johnson, Barbara .

AMERICAN JOURNAL OF INFECTION CONTROL, 2008, 36 (05) :349-355

← 1 →