None listed
Conditions
Brief summary
The National Hand Hygiene Initiative (NHHI) was implemented in Australia aiming to improve healthcare worker hand hygiene and thus reduce the risk of healthcare-associated infections. However, health care associated infections are still ongoing issues in hospitals nationally. It is therefore important to monitor healthcare worker hand hygiene compliance and also its effectiveness. The use of remote video auditing has been described in the operating theatre to improve patient quality care because it influences healthcare worker’s behaviour, encourages best practice and also helps objectively analyse any adverse events. At the Royal Melbourne Hospital, we are installing remote video cameras in the operating theatre complex. The aim of this study is to assess healthcare worker hand hygiene compliance after contacting post-surgical patients in recovery rooms. We will compare the compliance rate before and after feedback with the use of remote video auditing. Methods This study will be conducted over an 8-week period – 4 weeks without feedback of results to healthcare workers (HCW), followed by 4 weeks of weekly feedback of performance reports to HCW. We hypothesise that the compliance rate will improve after weekly feedback.
Interventions
This study compares healthcare workers’ compliance rate of hand hygiene in the recovery room before and after feedback with the use of remote video monitoring. Participants working in recovery bay will be monitored daily via the remote video over a 10-hour period for 4 weeks without feedback, followed by 4 weeks of weekly feedback of performance reports to healthcare workers. Feedback will be provided to all peri-operative healthcare workers anonymously. 2 independent auditors will review and assess all the recorded video data retrospectively. During the 4-week feedback period, a weekly performance report will be displayed in multiple areas of the perioperative department and will also be emailed weekly to all floor staff. In the case that a department meeting is held, performance reports will also be announced periodically.
Sponsors
Study design
Eligibility
Inclusion criteria
Health care workers who come in contact with the patient in the post anaesthetic recovery unit
Exclusion criteria
Visitors and family who are not healthcare workers that come in contact with the patient in post anaesthetic recovery unit.