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Hand hygiene

Hand hygiene

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E-learning may improve adherence to alcohol-based hand rubbing: a cohort study.

Sussie Laustsen¹, Bo Martin Bibby, Brian Kristensen

¹Department of Clinical Microbiology, Aarhus University Hospital, Skejby, DK-8200 Aarhus N, Denmark. sussie.laustsen@ki.au.dk

American Journal of Infection Control

|April 29, 2009

Summary

Hospital staff who completed an e-learning program (ELP) showed improved adherence to correct alcohol-based hand rubbing (HR). This suggests ELPs can supplement training to prevent healthcare-associated infections.

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Area of Science:

Healthcare-associated infection prevention
Medical education technology
Hospital infection control

Background:

Alcohol-based hand rubbing (HR) is promoted via e-learning programs (ELP) for hospital staff.
The effectiveness of ELPs in improving correct HR adherence requires further investigation.

Purpose of the Study:

To determine if completing an ELP improves hospital staff adherence to correct alcohol-based hand rubbing.
To assess the impact of ELP completion on HR performance before and after clinical procedures.

Main Methods:

A cohort study observed 496 hospital staff at Aarhus University Hospital, Denmark.
Participants were observed for correct HR adherence in 2006 and/or 2007 after completing an ELP.
Adherence rates were compared between ELP completers and non-completers.

Main Results:

ELP completers demonstrated significantly higher adherence to correct HR compared to non-completers.
Higher adherence was observed both before (OR = 1.54) and after (OR = 1.40) clinical procedures.
Adherence to correct HR appeared inversely associated with the time elapsed since ELP completion.

Conclusions:

Completion of an ELP may positively influence the performance of correct alcohol-based hand rubbing.
ELPs can serve as a valuable supplement to existing training initiatives for hospital staff.
Utilizing ELPs is crucial for ongoing education to prevent healthcare-related infections.