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Am J Infect Control. 2016 Jul 1;44(7):e103-6. doi: 10.1016/j.ajic.2015.11.027. Epub 2016 Feb 5.

Be seen and heard being clean: A novel patient-centered approach to hand hygiene.

Author information

1
Infection Prevention, Concord Hospital, Concord, NH. Electronic address: lcaine@crhc.org.
2
Internal Medicine, Concord Hospital Medical Group, Concord, NH.
3
Infectious Disease, Concord Hospital Medical Group, Concord, NH.

Abstract

A quasiexperimental pre- and posttest design was used to evaluate hand hygiene (HH) rates on a medical-surgical unit. Data were collected by asking patients if they had seen or heard staff members cleaning their hands. Sixty-five percent of patients reported seeing or hearing staff perform HH preintervention and 93% reported observations postintervention (P < .001). Through incorporating an auditory cue we engaged patients while removing the burden placed on them to question health care worker behavior, and increased both staff and patient awareness of personal HH behavior.

KEYWORDS:

Hand hygiene; Patient-as-observer; Quality improvement

PMID:
26856466
DOI:
10.1016/j.ajic.2015.11.027
[Indexed for MEDLINE]

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