Comparison of hand hygiene monitoring using the 5 Moments for Hand Hygiene method versus a wash in-wash out method.

Comparison of hand hygiene monitoring using the 5 Moments for Hand Hygiene method versus a wash in-wash out method.

Sunkesula Venkata C K; Meranda David; Kundrapu Sirisha; Zabarsky Trina F; McKee Melissa; Macinga David R; Donskey Curtis J

American Journal of Infection Control

2015

2015-01

BACKGROUND: One strategy to promote improved hand hygiene is to monitor health care workers' adherence to recommended practices and give feedback. For feasibility of monitoring, many health care facilities assess hand hygiene practices on room entry and exit (wash in-wash out). It is not known if the wash in-wash out method is comparable with a more comprehensive approach, such as the World Health Organization's My 5 Moments for Hand Hygiene method. METHODS: During a 1-month period, a surreptitious observer monitored hand hygiene compliance simultaneously using the wash in-wash out and My 5 Moments for Hand Hygiene methods. RESULTS: For 283 health care worker room entries, the methods resulted in similar rates of hand hygiene compliance (70% vs 72%, respectively). The wash in-wash out method required 148 hand hygiene events not required by the My 5 Moments for Hand Hygiene method (ie, before and after room entry with no patient or environmental contact) while not providing monitoring for 89 hand hygiene opportunities in patient rooms. CONCLUSION: The monitoring methods resulted in similar overall rates of hand hygiene compliance. Use of the wash in-wash out method should include ongoing education and intermittent assessment of hand hygiene before clean procedures and after body fluid exposure in patient rooms.

*Epidemiological Monitoring; *Guideline Adherence; Compliance; Cross Infection – Prevention and Control; Cross Infection/*prevention & control; Descriptive Statistics; Evaluation Research; Hand hygiene; Hand Hygiene/*methods; Handwashing – Utilization; Health Facilities; Human; Humans; Infection Control/*methods; My 5 Moments for Hand Hygiene; Patients' Rooms; Professional Compliance; Staff Development

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