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The Effect of Leadership on Hand Hygiene: Assessing Hand Hygiene Adherence prior to Patient Contact in 2 Infectious Disease Units in Tuscany

Published online by Cambridge University Press:  10 May 2016

Sarah R. Lieber ,
Elisabetta Mantengoli ,
Sanjay Saint ,
Karen E. Fowler ,
Carlo Fumagalli ,
Dario Bartolozzi ,
Lea Magistri ,
Fabrizio Niccolini  and
Alessandro Bartoloni
Sarah R. Lieber
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan
Elisabetta Mantengoli
Affiliation:
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
Sanjay Saint*
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence Initiative, Ann Arbor, Michigan Tuscan American Safety Collaboration, Florence, Italy
Karen E. Fowler
Affiliation:
Veterans Affairs Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence Initiative, Ann Arbor, Michigan
Carlo Fumagalli
Affiliation:
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
Dario Bartolozzi
Affiliation:
Infectious Diseases Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
Lea Magistri
Affiliation:
Health Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
Fabrizio Niccolini
Affiliation:
Health Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
Alessandro Bartoloni
Affiliation:
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy Infectious and Tropical Diseases Unit, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
*
Department of Internal Medicine, North Campus Research Complex, 2800 Plymouth Road, Building 16, Room 430W, Ann Arbor, MI 48109-2800 ([email protected])
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Abstract

We assessed hand hygiene adherence in 2 infectious disease units. In one unit, adherence declined slightly from year 1 (84.2%) to year 4 (71.0%) after a multimodal intervention but remained much higher than before intervention. Adherence dropped in the second unit after a loss of leadership (from 50.7% to 5.7%). Strong leadership presence may improve hand hygiene adherence.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue 3 , March 2014 , pp. 313 - 316
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

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References

1. Erasmus, V, Daha, TJ, Brug, H, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol 2010;31(3):283–294.Google Scholar
2. World Health Organization (WHO). WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: WHO, 2009. http://www.who.int/gpsc/en/index.html. Accessed October 1, 2009.Google Scholar
3. Joint Commission. Measuring Hand Hygiene Adherence: Overcoming the Challenges. Oakbrook Terrace, IL: Joint Commission, 2009. http://www.jointcommission.Org/assets/l/18/hh_monograph.pdf. Accessed June 5, 2013.Google Scholar
4. Dowton, SB. Leadership in medicine: where are the leaders? Med J Aust 2004;181(ll/12):652–654.Google Scholar
5. Saint, S, Conti, A, Bartoloni, A, et al. Improving healthcare worker hand hygiene adherence before patient contact: a before-and-after five-unit multimodal intervention in Tuscany. Qual Saf Health Care 2009;18(6):429–433.Google Scholar
6. di Martino, P, Ban, KM, Bartolom, A, Fowler, KE, Saint, S, Mannelli, E Assessing the sustainability of hand hygiene adherence prior to patient contact in the emergency department: a 1-year post-intervention evaluation. Am J Infect Control 2011;39(1):14–18.Google Scholar
7. Aboumatar, H, Ristaino, P, Davis, RO, et al. Infection prevention promotion program based on the PRECEDE model: improving hand hygiene behaviors among healthcare personnel. Infect Control Hosp Epidemiol 2012;33(2):144–151.Google Scholar
8. Gould, DJ, Moralejo, D, Drey, N, Chudleigh, JH. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev 2010(9):CD005186.Google Scholar
9. Saint, S, Kowalski, CP, Banaszak-Holl, J, Forman, J, Damschroder, L, Krein, SL. The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study. Infect Control Hosp Epidemiol 2010;31(9):901–907.Google Scholar
10. Henderson, DM, Staiger, TO, Peterson, GN, et al. A collaborative, systems-level approach to eliminating healthcare-associated MRSA, central-line-associated bloodstream infections, ventilator-associated pneumonia, and respiratory virus infections. J Healthc Qual 2012;34(5):39–47.Google Scholar