Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.

<h4>Introduction</h4>Hand hygiene is a key component of infection control in healthcare. WHO recommends that healthcare workers perform six specific poses during each hand hygiene action. SureWash (Glanta Ltd, Dublin, Ireland) is a novel device that uses video-measurement technology and...

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Autores principales:	Andrew J Stewardson, Anne Iten, Véronique Camus, Angèle Gayet-Ageron, Darren Caulfield, Gerard Lacey, Didier Pittet
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7094647375a7475e82683e7d6ac61818
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spelling	oai:doaj.org-article:7094647375a7475e82683e7d6ac618182021-11-25T06:02:28ZEfficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.1932-620310.1371/journal.pone.0105866https://doaj.org/article/7094647375a7475e82683e7d6ac618182014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25180508/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Hand hygiene is a key component of infection control in healthcare. WHO recommends that healthcare workers perform six specific poses during each hand hygiene action. SureWash (Glanta Ltd, Dublin, Ireland) is a novel device that uses video-measurement technology and immediate feedback to teach this technique. We assessed the impact of self-directed SureWash use on healthcare worker hand hygiene technique and evaluated the device's diagnostic capacity.<h4>Methods</h4>A controlled before-after study: subjects in Group A were exposed to the SureWash for four weeks followed by Group B for 12 weeks. Each subject's hand hygiene technique was assessed by blinded observers at baseline (T0) and following intervention periods (T1 and T2). Primary outcome was performance of a complete hand hygiene action, requiring all six poses during an action lasting ≥20 seconds. The number of poses per hand hygiene action (maximum 6) was assessed in a post-hoc analysis. SureWash's diagnostic capacity compared to human observers was assessed using ROC curve analysis.<h4>Results</h4>Thirty-four and 29 healthcare workers were recruited to groups A and B, respectively. No participants performed a complete action at baseline. At T1, one Group A participant and no Group B participants performed a complete action. At baseline, the median number of poses performed per action was 2.0 and 1.0 in Groups A and B, respectively (p = 0.12). At T1, the number of poses per action was greater in Group A (post-intervention) than Group B (control): median 3.8 and 2.0, respectively (p<0.001). In Group A, the number of poses performed twelve weeks post-intervention (median 3.0) remained higher than baseline (p<0.001). The area under the ROC curves for the 6 poses ranged from 0.59 to 0.88.<h4>Discussion</h4>While no impact on complete actions was demonstrated, SureWash significantly increased the number of poses per hand hygiene action and demonstrated good diagnostic capacity.Andrew J StewardsonAnne ItenVéronique CamusAngèle Gayet-AgeronDarren CaulfieldGerard LaceyDidier PittetPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e105866 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Andrew J Stewardson Anne Iten Véronique Camus Angèle Gayet-Ageron Darren Caulfield Gerard Lacey Didier Pittet Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.
description	<h4>Introduction</h4>Hand hygiene is a key component of infection control in healthcare. WHO recommends that healthcare workers perform six specific poses during each hand hygiene action. SureWash (Glanta Ltd, Dublin, Ireland) is a novel device that uses video-measurement technology and immediate feedback to teach this technique. We assessed the impact of self-directed SureWash use on healthcare worker hand hygiene technique and evaluated the device's diagnostic capacity.<h4>Methods</h4>A controlled before-after study: subjects in Group A were exposed to the SureWash for four weeks followed by Group B for 12 weeks. Each subject's hand hygiene technique was assessed by blinded observers at baseline (T0) and following intervention periods (T1 and T2). Primary outcome was performance of a complete hand hygiene action, requiring all six poses during an action lasting ≥20 seconds. The number of poses per hand hygiene action (maximum 6) was assessed in a post-hoc analysis. SureWash's diagnostic capacity compared to human observers was assessed using ROC curve analysis.<h4>Results</h4>Thirty-four and 29 healthcare workers were recruited to groups A and B, respectively. No participants performed a complete action at baseline. At T1, one Group A participant and no Group B participants performed a complete action. At baseline, the median number of poses performed per action was 2.0 and 1.0 in Groups A and B, respectively (p = 0.12). At T1, the number of poses per action was greater in Group A (post-intervention) than Group B (control): median 3.8 and 2.0, respectively (p<0.001). In Group A, the number of poses performed twelve weeks post-intervention (median 3.0) remained higher than baseline (p<0.001). The area under the ROC curves for the 6 poses ranged from 0.59 to 0.88.<h4>Discussion</h4>While no impact on complete actions was demonstrated, SureWash significantly increased the number of poses per hand hygiene action and demonstrated good diagnostic capacity.
format	article
author	Andrew J Stewardson Anne Iten Véronique Camus Angèle Gayet-Ageron Darren Caulfield Gerard Lacey Didier Pittet
author_facet	Andrew J Stewardson Anne Iten Véronique Camus Angèle Gayet-Ageron Darren Caulfield Gerard Lacey Didier Pittet
author_sort	Andrew J Stewardson
title	Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.
title_short	Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.
title_full	Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.
title_fullStr	Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.
title_full_unstemmed	Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.
title_sort	efficacy of a new educational tool to improve handrubbing technique amongst healthcare workers: a controlled, before-after study.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/7094647375a7475e82683e7d6ac61818
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Efficacy of a new educational tool to improve Handrubbing technique amongst healthcare workers: a controlled, before-after study.

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