Pharmacy, Geneva University Hospitals, Geneva, Switzerland
Institute of Pharmaceutical Sciences of Western Switzerland, School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.
Eur J Hosp Pharm. 2024 Aug 22;31(5):423-427. doi: 10.1136/ejhpharm-2022-003648.
Adherence to handwashing, handrub and gloving procedures is mandatory for safe, aseptic drug compounding in hospital pharmacies. This study measured participants' satisfaction and effectiveness of a game-based training tool (Handtastic Box) developed to improve adherence.
Handtastic Boxes were played by pairs of pharmacy operators (introductory video, 1 min study of guidelines, game). In module 1, players watched videos of somebody handwashing and had to find the missing step. They examined wooden models of hands under ultraviolet (UV) light, with some areas stained with fluorescein, to find the hand showing contamination. In module 2, players used a fluorescein hydroalcoholic solution and placed their hands under UV light to highlight missing areas. In module 3, players identified major errors that could compromise glove sterility and linked them to a problem explanation. Then, they applied paint to their fingertips and donned gloves-the paint had to stay inside them. Satisfaction about the training was assessed with a 10-question survey; knowledge about procedures was assessed using a before-and-after questionnaire of nine questions, a 100-point confidence score (modules 1 and 2), and the number of before-and-after errors made during donning gloves (module 3).
Operators were very satisfied and felt more competent after training. Average knowledge score increased from 56.3% (SD 18.2%) to 93.7% (SD 9.5%), and confidence in answers increased from 66.4% (SD 18.7%) to 95.7% (SD 5.52%) (n=14, both modules 1 and 2). The mean error score for gloving procedure decreased from 1.7 (SD 0.8%) to 0.3 (SD 0.5%) (n=10, module 3).
Handtastic Boxes proved to be a highly effective training method for improving knowledge of handwashing, handrub and gloving.
在医院药房进行安全、无菌的药物配制时，必须遵守洗手、手搓和戴手套的程序。本研究测量了参与者对一种基于游戏的培训工具（Handtastic Box）的满意度和有效性，该工具旨在提高依从性。
药剂师两人一组玩 Handtastic Box（介绍视频，1 分钟学习指南，游戏）。在模块 1 中，玩家观看洗手视频，必须找到遗漏的步骤。他们在紫外（UV）灯下检查涂有荧光素的木制手模型，以找到有污染的手。在模块 2 中，玩家使用荧光素醇溶液并将手放在 UV 灯下，以突出遗漏的区域。在模块 3 中，玩家识别可能危及手套无菌性的主要错误，并将其与问题解释联系起来。然后，他们将油漆涂在指尖上并戴上手套-油漆必须留在里面。通过 10 个问题的调查评估培训的满意度；通过 9 个问题的前后问卷调查、100 分的置信度评分（模块 1 和 2）和戴手套时出现的错误数量（模块 3）评估对程序的了解。
操作人员非常满意，培训后感觉更有能力。平均知识得分从 56.3%（SD 18.2%）增加到 93.7%（SD 9.5%），对答案的信心从 66.4%（SD 18.7%）增加到 95.7%（SD 5.52%）（n=14，两个模块 1 和 2）。戴手套程序的平均错误分数从 1.7（SD 0.8%）减少到 0.3（SD 0.5%）（n=10，模块 3）。
Handtastic Box 被证明是一种提高手卫生、手搓和戴手套知识的高效培训方法。
