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Impact and learner perspectives of a spaced-education platform to assess hand hygiene auditor competency

Published online by Cambridge University Press:  18 September 2024

Ana M. Vaughan-Malloy ,
Renée Lehane ,
Mary M. Wells  and
Thomas J. Sandora Open the ORCID record for Thomas J. Sandora [Opens in a new window]
Ana M. Vaughan-Malloy*
Affiliation:
Infection Prevention and Control, Boston Children’s Hospital, Boston, MA, USA Division of Infectious Diseases, Department of Pediatrics, Boston Children’s Hospital, Boston, MA, USA Department of Pediatrics, Harvard Medical School, Boston, MA, USA
Renée Lehane
Affiliation:
Infection Prevention and Control, Boston Children’s Hospital, Boston, MA, USA
Mary M. Wells
Affiliation:
Infection Prevention and Control, Boston Children’s Hospital, Boston, MA, USA
Thomas J. Sandora
Affiliation:
Infection Prevention and Control, Boston Children’s Hospital, Boston, MA, USA Division of Infectious Diseases, Department of Pediatrics, Boston Children’s Hospital, Boston, MA, USA Department of Pediatrics, Harvard Medical School, Boston, MA, USA
*
Corresponding author: Ana M. Vaughan-Malloy; Email: [email protected]
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Abstract

Objective:

To ensure whether spaced education, which increases long-term knowledge retention, could be integrated into auditor competency assessment.

Design:

Quality improvement project.

Setting:

Academic, freestanding children’s hospital.

Participants:

Hand hygiene (HH) auditors.

Intervention:

We enrolled trained HH auditors in an online spaced-education platform to assess mastery of knowledge, delivering 46 unique questions at spaced intervals followed by rationale; we retired questions after 3 correct answers. An e-mailed 10-item survey gauged participant satisfaction with the program. The Wilcoxon signed-rank test was used to compare change in median knowledge score from first to final attempt.

Results:

A total of 12,120 questions were attempted by 126 auditors, and 49 (39%) completed the entire course. Median knowledge score increased significantly by 10.5 percentage points (IQR 4–15) between first and final attempts (P < 0.001). Thirty auditors (27%) responded to the survey. The majority agreed the number and complexity of questions were appropriate (57% and 67%, respectively). Eighty-seven percent reported the platform easy to navigate, and 77% agreed adequate time was provided for completion. Free-text suggestions included delivering fewer questions at a narrower spacing interval over a shorter time frame because of competing work demands.

Conclusions:

Auditor knowledge of HH indications and technique is critical to ensuring data validity. A spaced-education competency program improved HH auditor knowledge in the short term. Completion rate was low, and some participants expressed a desire for fewer questions over a shorter time frame. This study offers insight into ways to optimize spaced education as a potential tool for HH competency assessment.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 10 , October 2024 , pp. 1208 - 1212
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Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Boyce, JM, Pittet, D, Healthcare Infection Control Practices Advisory Committee, HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for hand hygiene in health-care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep 2002;51:1–45.Google ScholarPubMed
Ellingson, K, Haas, JP, Aiello, AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol 2014;35:937–960. doi: 10.1086/677145 CrossRefGoogle ScholarPubMed
Glowicz, JB, Landon, E, Sickbert-Bennett, EE, et al. SHEA/IDSA/APIC practice recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 update. Infect Control Hosp Epidemiol 2023;44:355–376. doi: 10.1017/ice.2022.304 CrossRefGoogle ScholarPubMed
Linam, WM, Margolis, PA, Atherton, H, Connelly, BL. Quality-improvement initiative sustains improvement in pediatric health care worker hand hygiene. Pediatrics 2011;128:e689–698. doi: 10.1542/peds.2010-3587 CrossRefGoogle ScholarPubMed
Pittet, D, Hugonnet, S, Harbarth, S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet Lond Engl 2000;356:1307–1312. doi: 10.1016/s0140-6736(00)02814-2 CrossRefGoogle ScholarPubMed
Tartari, E, Fankhauser, C, Masson-Roy, S, et al. Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control. Antimicrob Resist Infect Control 2019;8:206. doi: 10.1186/s13756-019-0666-4 CrossRefGoogle ScholarPubMed
World Health Organization. WHO guidelines on hand hygiene in health care. https://www.who.int/publications-detail-redirect/9789241597906. Published 2009. Accessed November 30, 2023.Google Scholar
Flett, KB, Bousvaros, A, Carpenter, J, Millrinen, CE, Martin, P, Sandora, TJ. Reducing redundant anaerobic therapy through spaced education and antimicrobial stewardship interventions. J Pediatr Infect Dis Soc 2018;7:317–322. doi: 10.1093/jpids/pix090 Google ScholarPubMed
Janssen, A, Shaw, T, Bradbury, L, et al. A mixed methods approach to developing and evaluating oncology trainee education around minimization of adverse events and improved patient quality and safety. BMC Med Educ 2016;16:91. doi: 10.1186/s12909-016-0609-1 CrossRefGoogle ScholarPubMed
Menon, V, Chubaty, A, Clezy, K, et al. Infectious diseases and antimicrobial prescribing: online spaced education for junior doctors. J Glob Antimicrob Resist 2020;22:226–230. doi: 10.1016/j.jgar.2020.02.008 CrossRefGoogle ScholarPubMed
Phillips, JL, Heneka, N, Bhattarai, P, Fraser, C, Shaw, T. Effectiveness of the spaced education pedagogy for clinicians’ continuing professional development: a systematic review. Med Educ 2019;53:886–902. doi: 10.1111/medu.13895 CrossRefGoogle ScholarPubMed
Barsoumian, AE, Yun, HC. Augmenting fellow education through spaced multiple-choice questions. Mil Med 2018;183:e122–e126. doi: 10.1093/milmed/usx020 CrossRefGoogle ScholarPubMed
Choe, AI, Woodard, S, Thompson, BM, Walter, V, Fotos, JS, Kasales, CJ. Spaced education: Randomized trial comparing learning efficiency of the adaptive versus nonadaptive spaced education systems among radiology residents. J Am Coll Radiol 2022;19:706–710. doi: 10.1016/j.jacr.2022.03.010 CrossRefGoogle ScholarPubMed
Kerfoot, BP. Adaptive spaced education improves learning efficiency: a randomized controlled trial. J Urol 2010;183:678–681. doi: 10.1016/j.juro.2009.10.005 CrossRefGoogle ScholarPubMed
Matos, J, Petri, CR, Mukamal, KJ, Vanka, A. Spaced education in medical residents: An electronic intervention to improve competency and retention of medical knowledge. PLoS One 2017;12:e0181418. doi: 10.1371/journal.pone.0181418 CrossRefGoogle ScholarPubMed
Timmer, MCJ, Steendijk, P, Arend, SM, Versteeg, M. Making a lecture stick: the effect of spaced instruction on knowledge retention in medical education. Med Sci Educ 2020;30:1211–1219. doi: 10.1007/s40670-020-00995-0 CrossRefGoogle ScholarPubMed
Harris, PA, Taylor, R, Thielke, R, Payne, J, Gonzalez, N, Conde, JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377–381. doi: 10.1016/j.jbi.2008.08.010 CrossRefGoogle ScholarPubMed
Kalynych, C, Edwards, L, West, D, Snodgrass, C, Zenni, E. Tuesdays are great for teaching tips: a spaced education strategy for faculty development. J Grad Med Educ 2021;13:434–435. doi: 10.4300/JGME-D-20-01249.1 CrossRefGoogle Scholar
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