Appropriate number of observations for determining hand hygiene compliance among healthcare workers

Abstract We sought to determine the minimum number of observations needed to determine hand hygiene (HH) compliance among healthcare workers. The study was conducted at a referral hospital in South Korea. We retrospectively analyzed the result of HH monitoring from January to December 2018. HH compl...

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Autores principales:	Se Yoon Park, Suyeon Park, Beom Seuk Hwang, Eunjung Lee, Tae Hyong Kim, Sungho Won
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Hand hygiene Monitor Healthcare worker Compliance Observation Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/4bbdbcfd2b414eaea37a2c81a650c520
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spelling	oai:doaj.org-article:4bbdbcfd2b414eaea37a2c81a650c5202021-12-05T12:24:03ZAppropriate number of observations for determining hand hygiene compliance among healthcare workers10.1186/s13756-021-01035-12047-2994https://doaj.org/article/4bbdbcfd2b414eaea37a2c81a650c5202021-12-01T00:00:00Zhttps://doi.org/10.1186/s13756-021-01035-1https://doaj.org/toc/2047-2994Abstract We sought to determine the minimum number of observations needed to determine hand hygiene (HH) compliance among healthcare workers. The study was conducted at a referral hospital in South Korea. We retrospectively analyzed the result of HH monitoring from January to December 2018. HH compliance was calculated by dividing the number of observed HH actions by the total number of opportunities. Optimal HH compliance rates were calculated based on adherence to the six-step technique recommended by the World Health Organization. The minimum number of required observations (n) was calculated by the following equation using overall mean value (ρ), absolute precision (d), and confidence interval (CI) (1 − α) [the equation: $${\text{n}} \ge Z_{\alpha /2}^{2} \times \rho \times \left( {1 - \rho } \right)/d^{2}$$ n ≥ Z α / 2 2 × ρ × 1 - ρ / d 2 ]. We considered ds of 5%, 10%, 20%, and 30%, with CIs of 99%, 95%, and 90%. During the study period, 8791 HH opportunities among 1168 healthcare workers were monitored. Mean HH compliance and optimal HH compliance rates were 80.3% and 59.7%, respectively. The minimum number of observations required to determine HH compliance rates ranged from 2 ( $$d$$ d : 30%, CI: 90%) to 624 ( $$d$$ d : 5%, CI: 99%), and that for optimal HH compliance ranged from 5 ( $$d$$ d : 30%, CI: 90%) to 642 ( $$d$$ d : 5%, CI: 99%). Therefore, we found that our hospital required at least five observations to determine optimal HH compliance.Se Yoon ParkSuyeon ParkBeom Seuk HwangEunjung LeeTae Hyong KimSungho WonBMCarticleHand hygieneMonitorHealthcare workerComplianceObservationInfectious and parasitic diseasesRC109-216ENAntimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hand hygiene Monitor Healthcare worker Compliance Observation Infectious and parasitic diseases RC109-216
spellingShingle	Hand hygiene Monitor Healthcare worker Compliance Observation Infectious and parasitic diseases RC109-216 Se Yoon Park Suyeon Park Beom Seuk Hwang Eunjung Lee Tae Hyong Kim Sungho Won Appropriate number of observations for determining hand hygiene compliance among healthcare workers
description	Abstract We sought to determine the minimum number of observations needed to determine hand hygiene (HH) compliance among healthcare workers. The study was conducted at a referral hospital in South Korea. We retrospectively analyzed the result of HH monitoring from January to December 2018. HH compliance was calculated by dividing the number of observed HH actions by the total number of opportunities. Optimal HH compliance rates were calculated based on adherence to the six-step technique recommended by the World Health Organization. The minimum number of required observations (n) was calculated by the following equation using overall mean value (ρ), absolute precision (d), and confidence interval (CI) (1 − α) [the equation: $${\text{n}} \ge Z_{\alpha /2}^{2} \times \rho \times \left( {1 - \rho } \right)/d^{2}$$ n ≥ Z α / 2 2 × ρ × 1 - ρ / d 2 ]. We considered ds of 5%, 10%, 20%, and 30%, with CIs of 99%, 95%, and 90%. During the study period, 8791 HH opportunities among 1168 healthcare workers were monitored. Mean HH compliance and optimal HH compliance rates were 80.3% and 59.7%, respectively. The minimum number of observations required to determine HH compliance rates ranged from 2 ( $$d$$ d : 30%, CI: 90%) to 624 ( $$d$$ d : 5%, CI: 99%), and that for optimal HH compliance ranged from 5 ( $$d$$ d : 30%, CI: 90%) to 642 ( $$d$$ d : 5%, CI: 99%). Therefore, we found that our hospital required at least five observations to determine optimal HH compliance.
format	article
author	Se Yoon Park Suyeon Park Beom Seuk Hwang Eunjung Lee Tae Hyong Kim Sungho Won
author_facet	Se Yoon Park Suyeon Park Beom Seuk Hwang Eunjung Lee Tae Hyong Kim Sungho Won
author_sort	Se Yoon Park
title	Appropriate number of observations for determining hand hygiene compliance among healthcare workers
title_short	Appropriate number of observations for determining hand hygiene compliance among healthcare workers
title_full	Appropriate number of observations for determining hand hygiene compliance among healthcare workers
title_fullStr	Appropriate number of observations for determining hand hygiene compliance among healthcare workers
title_full_unstemmed	Appropriate number of observations for determining hand hygiene compliance among healthcare workers
title_sort	appropriate number of observations for determining hand hygiene compliance among healthcare workers
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4bbdbcfd2b414eaea37a2c81a650c520
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Appropriate number of observations for determining hand hygiene compliance among healthcare workers

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