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Training to Proficiency in the WHO Hand Hygiene Technique.

Gerard Lacey1, Mary Showstark2, James Van Rhee2

  • 1School of Computer Science and Statistics, Trinity College Dublin, The University of Dublin, Dublin, Ireland.

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Summary

A new proficiency-based training program for hand hygiene was developed. It requires approximately 23 minutes of training to achieve proficiency, which is crucial for preventing healthcare-associated infections.

Keywords:
Psychomotor skillshand hygieneobjective skills assessmentsimulationskill acquisitiontraining

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Area of Science:

  • Medical Education
  • Patient Safety
  • Infection Prevention

Background:

  • Hand hygiene is vital for patient safety, yet performance is often suboptimal.
  • Proficiency-based training is standard for clinical skills, but not for hand hygiene.
  • Existing hand hygiene training lacks objective proficiency measures.

Purpose of the Study:

  • To develop and assess a proficiency-based hand hygiene training program.
  • To determine the training time and volume needed to achieve hand hygiene proficiency.
  • To align training with World Health Organization (WHO) guidelines.

Main Methods:

  • A simulator was used to objectively measure hand hygiene technique in 42 students over 5 days.
  • Proficiency was defined as completing all 6 WHO steps in under 42 seconds.
  • Students completed training episodes and a postintervention questionnaire.

Main Results:

  • Proficiency was achieved by 40% of students within 5 days.
  • Training averaged 17 minutes across 5 episodes (1 per day).
  • Proficiency strongly correlated with training exercises (r=0.79) and time (r=0.75).

Conclusions:

  • This study introduces the first train-to-proficiency program for hand hygiene quality.
  • An estimated 23 minutes of training is needed to achieve proficiency.
  • Medical education should adopt proficiency-based hand hygiene training to reduce healthcare-associated infections.