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[Hand hygiene in the operating room (OR)-(not) an issue?]
Justus Menzel1, Annika Kühn1, Diana Beck1
1Institut für Hygiene, Krankenhaushygiene und Umweltmedizin, Universitätsklinikum Leipzig AöR, Liebigstr. 22, 04103, Leipzig, Deutschland.
Unfallchirurgie (Heidelberg, Germany)
|May 2, 2022
Summary
Direct observation and tailored training significantly improved operating room (OR) hand hygiene compliance. Targeted education revealed staff unawareness of the "5 moments for hand hygiene" in the OR, highlighting a critical gap in infection prevention.
Area of Science:
- Infection Control
- Healthcare Epidemiology
- Patient Safety
Context:
- Healthcare-associated infections (HAIs) are a significant concern.
- The World Health Organization (WHO) recommends direct observation for evaluating hand hygiene compliance.
- Data on hand hygiene compliance within operating rooms (ORs) is limited.
Purpose:
- To systematically observe hand hygiene practices in the OR.
- To develop and implement tailor-made training solutions to improve OR hand hygiene.
- To assess the effectiveness of targeted training on compliance rates.
Summary:
- Over 1500 hand hygiene opportunities were observed in two surgical departments between 2017 and 2018.
- The intervention group, receiving tailor-made training and feedback, saw compliance increase from 40% to 75%.
- The control group, without training, showed no significant increase in compliance (48% to 55%).
Impact:
- Tailored training and direct feedback are effective in improving hand hygiene compliance in the OR.
- Staff education is crucial, as many were unaware the "5 moments for hand hygiene" apply in the OR.
- Improved OR hand hygiene can contribute to reducing healthcare-associated infections and enhancing patient safety.
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