Patient participation and optimised performance feedback to improve hand hygiene compliance amongst healthcare workers and reduce nosocomial infections

Effectiveness of enhanced performance feedback and patient participation to improve hand hygiene amongst healthcare workers and reduce healthcare-associated infections: a cluster randomised controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN43599478

Enrollment

8000

Registered

2012-04-30

Start date

2009-04-01

Completion date

Unknown

Last updated

2016-10-17

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

Conditions

Healthcare-associated infections Infections and Infestations Nosocomial condition

Interventions

The intervention phase will continue for 24 months. The intervention phase is preceded by a 15-month baseline phase. The level of randomization is the hospital ward. Wards will be randomly allocated

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. For primary outcome and first secondary outcome: all healthcare workers in study wards 2. For other secondary outcomes: all patients admitted to study wards

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
Overall hand hygiene compliance amongst healthcare workers measured by direct observation according to the WHO 'My 5 moments for hand hygiene' methodology.	—

Secondary

Measure	Time frame
1. Hand hygiene compliance before patient contact measured by direct observation according to the WHO My 5 Moments methodology 2. ABHR consumption 3. New methicillin-resistant Staphylococcus aureus (MRSA) colonization rate 4. New MRSA colonization incidence rate 5. MRSA clinical isolates 6. New colonization with extended-spectrum beta-lactamse (ESBL) producing bacteria 7. ESBL-producing clinical isolates 8. Clostridium difficile associated diarhoea (CDAD) 9. Primary bloodstream infection (BSI) incidence rate 10. Secondary blood stream infections (BSI) incidence rate 11. Prevalence of HAI	—

Measure

Time frame

1. Hand hygiene compliance before patient contact measured by direct observation according to the WHO My 5 Moments methodology 2. ABHR consumption 3. New methicillin-resistant Staphylococcus aureus (MRSA) colonization rate 4. New MRSA colonization incidence rate 5. MRSA clinical isolates 6. New colonization with extended-spectrum beta-lactamse (ESBL) producing bacteria 7. ESBL-producing clinical isolates 8. Clostridium difficile associated diarhoea (CDAD) 9. Primary bloodstream infection (BSI) incidence rate 10. Secondary blood stream infections (BSI) incidence rate 11. Prevalence of HAI

—

Countries

Switzerland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 12, 2026