Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia

We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization’s (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University...

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Autores principales:	Leigh Berman, Meredith Kavalier, Beshea Gelana, Getnet Tesfaw, Dawd Siraj, Daniel Shirley, Daniel Yilma
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e27f483202c54f38b3a2d7205a16283b
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spelling	oai:doaj.org-article:e27f483202c54f38b3a2d7205a16283b2021-11-04T06:49:40ZUtilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia1932-6203https://doaj.org/article/e27f483202c54f38b3a2d7205a16283b2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553035/?tool=EBIhttps://doaj.org/toc/1932-6203We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization’s (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University Medical Center (JUMC), a tertiary care hospital in Jimma, Ethiopia, between November 2018 and August 2020 and consisted of three phases: baseline assessment, intervention, and follow-up assessment. We conducted questionnaires addressing HH knowledge and attitudes, interviews to identify HH barriers and facilitators within the SEIPS framework, and observations at the WHO’s 5 moments of HH amongst healthcare workers (HCWs) at JUMC. We then implemented HH interventions based on WHO guidelines and results from our baseline assessment. Follow-up HH observations were conducted months later during the Covid-19 pandemic. 250 HCWs completed questionnaires with an average knowledge score of 61.4% and attitude scores indicating agreement that HH promotes patient safety. Interview participants cited multiple barriers to HH including shortages and location of HH materials, inadequate training, minimal Infection Prevention Control team presence, and high workload. We found an overall baseline HH compliance rate of 9.4% and a follow-up compliance rate of 72.1%. Drastically higher follow-up compared to baseline compliance rates were likely impacted by our HH interventions and Covid-19. HCWs showed motivation for patient safety despite low HH knowledge. Utilizing the SEIPS model helped identify institution-specific barriers that informed targeted interventions beyond WHO guidelines aimed at increasing effectiveness and sustainability of HH efforts.Leigh BermanMeredith KavalierBeshea GelanaGetnet TesfawDawd SirajDaniel ShirleyDaniel YilmaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Leigh Berman Meredith Kavalier Beshea Gelana Getnet Tesfaw Dawd Siraj Daniel Shirley Daniel Yilma Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
description	We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization’s (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University Medical Center (JUMC), a tertiary care hospital in Jimma, Ethiopia, between November 2018 and August 2020 and consisted of three phases: baseline assessment, intervention, and follow-up assessment. We conducted questionnaires addressing HH knowledge and attitudes, interviews to identify HH barriers and facilitators within the SEIPS framework, and observations at the WHO’s 5 moments of HH amongst healthcare workers (HCWs) at JUMC. We then implemented HH interventions based on WHO guidelines and results from our baseline assessment. Follow-up HH observations were conducted months later during the Covid-19 pandemic. 250 HCWs completed questionnaires with an average knowledge score of 61.4% and attitude scores indicating agreement that HH promotes patient safety. Interview participants cited multiple barriers to HH including shortages and location of HH materials, inadequate training, minimal Infection Prevention Control team presence, and high workload. We found an overall baseline HH compliance rate of 9.4% and a follow-up compliance rate of 72.1%. Drastically higher follow-up compared to baseline compliance rates were likely impacted by our HH interventions and Covid-19. HCWs showed motivation for patient safety despite low HH knowledge. Utilizing the SEIPS model helped identify institution-specific barriers that informed targeted interventions beyond WHO guidelines aimed at increasing effectiveness and sustainability of HH efforts.
format	article
author	Leigh Berman Meredith Kavalier Beshea Gelana Getnet Tesfaw Dawd Siraj Daniel Shirley Daniel Yilma
author_facet	Leigh Berman Meredith Kavalier Beshea Gelana Getnet Tesfaw Dawd Siraj Daniel Shirley Daniel Yilma
author_sort	Leigh Berman
title	Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_short	Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_full	Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_fullStr	Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_full_unstemmed	Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_sort	utilizing the seips model to guide hand hygiene interventions at a tertiary hospital in ethiopia
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e27f483202c54f38b3a2d7205a16283b
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Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia

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