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Using environmental engineering to increase hand-hygiene compliance

Using environmental engineering to increase hand-hygiene compliance: a cross-over study protocol

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN15397624
Enrollment
4800
Registered
2017-03-31
Start date
2017-03-13
Completion date
Unknown
Last updated
2021-05-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hand hygiene of hospital staff and visitors Not Applicable

Interventions

Data collection begins on 10/03/2017 and ends on the 15/09/2017. For periods of six weeks each ward will be randomised to be observed during one of four conditions (randomization method - Latin Square

Sponsors

University of Warwick
Lead Sponsor
Heart of England NHS Foundation Trust
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Any person who walks into the wards while the study is active may have their hand-hygiene activity recorded 2. Walking people below the age of 18 will be included because it would be unfeasible to approach people during observations sessions to ask their age, or the data is automatically recorded (i.e., gel use or soap use), but children unable to use the dispensers (i.e., a baby in a pushchair) will not be recorded

Exclusion criteria

Exclusion criteria: Anyone who is incapable of cleaning their hands when entering a ward (e.g., patients on a stretcher, children in a buggy, etc)

Design outcomes

Primary

MeasureTime frame
Proportion of people who use the gel dispenser: This outcome relates to objective 1. This was selected as the primary outcome because it is the same primary outcome used in the previous trial. The number of people who use the gel dispensers will be the numerator and the total number of hand-hygiene opportunities will be the denominator. This will be recorded during the observation session.

Secondary

MeasureTime frame
1. Proportion of people who use the soap dispenser: This outcome relates to objective 1. The number of people who use the soap dispensers will be the numerator and the total number of hand-hygiene opportunities will be the denominator. This will be recorded during the observation periods 2. Gel dispenser material used: This outcome addresses objective 2. The amount of material used from the gel dispensers will be weighed and recorded by the researchers each Friday during each six-week observation period 3. Soap dispenser material used: The amount of material used from the soap dispensers will be weighed and recorded by the researchers each Friday during each six-week observation period 4. Person type: This outcome addresses objective 3. During observation sessions, researchers will record whether each person entering the ward appears to be a doctor, nurse, other staff, or visitor and whether they appear to be a male or female 5. Hospital acquired infections: This outcome addresses objective 4. The number of infections that occur when each ward during the study will be recorded by the Director of Infection Prevention and Control using hospital records. Past census data from the hospital records will be obtained to locate the number of HAI that have occurred in those wards in past 10 years

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026