Hand hygiene Not Applicable Hand hygiene
Conditions
Interventions
Participants are given an electronic device in the form of a wrist band, and a pocket-size individual bottle of alcohol based hand rubs (ABHR) with a “clip” inside that provides a personal, automatic
Sponsors
University of Geneva Hospitals and Faculty of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Units inclusion criteria: All units are eligible to participate in the study. HCWS inclusion criteria: 1. All HCWs working in patient-care activities 2. Aged between 20 to 65
Exclusion criteria
Exclusion criteria: Units exclusion criteria: Units without patient-care activities. HCWs exclusion criteria: 1. Work or will work in several different units during the six months after study start 2. Who will leave the unit in the six months after study start 3. Who have more than three consecutive weeks of vacations in the six months after the study start 4. Who don’t use the standard ABHR at HUG
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hand hygiene compliance is measured by direct observation by well-trained IPC professionals according to the WHO methodology at the individual HCW level at six time-points (once a month) in the three study periods (baseline, transition period and intervention). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hand hygiene quality is assessed using volume of ABHR poured by HCWs and duration of handrubbing in each HH action using the device collecting automatic and continuous data 2. Frequency of hand hygiene is measured using the device collecting automatic and continuous data 3. Adherence to hand hygiene device is measured using how many hours the device is used by HCWS using the device collecting automatic and continuous data 4. Hand hygiene compliance at follow-up is measured by direct observation by well-trained IPC professionals to assess for the sustainability of the intervention at three month follow up 5. Hand hygiene compliance and alcohol-based handrub consumption at a unit level is measured using the HH compliance data is recorded on a regular basis by the IPC professionals and ABHR consumption is provided monthly by the pharmacy 6. Satisfaction and perception of usefulness of the device by HCWs is measured using a questionnaire distributed to participants and some focus group discussions with HCWs participating in the study to evaluate their experience with the device use at the end of the intervention 7. Hand hygiene quality and HH compliance among HCWs working in several units during the study period. This is done as a sub-study with HCWs that are willing to participate but that are excluded from the main study due to working in several units (meaning that they can’t be allocated to a cluster). This group of HCWs receives the device only in the fifth month of the study, when all the units have already started the study intervention, to avoid contamination. These HCWs data does not contribute to the primary outcome analysis. 8. Adverse events related to the device are measured using a list of open responses (ie., skin irritation, injury to patient, etc) asked to participants after each HH session 9. Bloodstream infections (BSI) surveillance are measured using the data routinely and prospectively collected by the IPC program in order to analyse if there | — |
Countries
Switzerland
Contacts
Public ContactDidier Pittet
Outcome results
None listed