The Infection Control Unit, Department of Quality and Education, Bispebjerg and Frederiksberg University Hospital, Copenhagen, Denmark.
Department of Medical & Science, Copenhagen, Denmark.
Am J Infect Control. 2024 Jan;52(1):21-28. doi: 10.1016/j.ajic.2023.09.014. Epub 2023 Sep 28.
Achieving high hand hygiene compliance among health care workers is a challenge, requiring effective interventions. This study investigated the impact of individualized feedback on hand hygiene compliance using an electronic monitoring system.
A quasi-experimental intervention design with pretest-post-test was conducted in an orthopedic surgical ward. Participants served as their own controls. A 3-month baseline was followed by a 3-month intervention period. Hand hygiene events were recorded through sensors on dispensers, name tags, and near patient beds. Health care workers received weekly email feedback reports comparing their compliance with colleagues.
Nineteen health care workers (17 nurses, 2 doctors) were included. Hand hygiene compliance significantly improved by approximately 15% (P < .0001) across all rooms during the intervention. The most substantial improvement occurred in patient rooms (17%, P < .0001). Compliance in clean and contaminated rooms increased by 10% (P = .0068) and 5% (P = .0232). The average weekly email open rate for feedback reports was 46%.
Individualized feedback via email led to significant improvements in hand hygiene compliance among health care workers. The self-directed approach proved effective, and continuous exposure to the intervention showed promising results.
实现医护人员高手部卫生依从性是一项挑战，需要有效的干预措施。本研究使用电子监测系统调查了个性化反馈对手部卫生依从性的影响。
在骨科病房进行了一项准实验性干预设计，采用预测试-后测试。参与者作为自身对照。经过 3 个月的基线期后，进入 3 个月的干预期。通过分配器、名牌和患者床边的传感器记录手部卫生事件。医护人员每周会收到电子邮件反馈报告，将其遵守情况与同事进行比较。
共纳入 19 名医护人员（17 名护士，2 名医生）。在整个干预期间，所有房间的手部卫生依从性显著提高了约 15%（P<0.0001）。患者房间的改善最为显著（17%，P<0.0001）。清洁和污染房间的依从性分别提高了 10%（P=0.0068）和 5%（P=0.0232）。反馈报告的电子邮件每周平均打开率为 46%。
通过电子邮件进行个性化反馈使医护人员的手部卫生依从性显著提高。自我指导方法被证明是有效的，并且持续接触干预措施显示出有希望的结果。
