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Observer Bias in Hand Hygiene Compliance Reporting

Published online by Cambridge University Press:  02 January 2015

Sorabh Dhar
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Ryan Tansek
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Elizabeth A. Toftey
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Beth A. Dziekan
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Thomas C. Chevalier
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Connie G. Bohlinger
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Michelle Fitch
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Margaret E. Flanagan
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Teena Chopra
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Dror Marchaim
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan
Keith S. Kaye
Affiliation:
Detroit Medical Center, Wayne State University, Detroit, Michigan

Abstract

Differences in reported hand hygiene compliance rates were assessed on the basis of the unit affiliation of observers. In 2 hospitals, unit-based observers more often reported higher compliance rates than did non-unit-based observers (79% vs 58.6%; difference, 20.4%; P<.001). Nonstandardized data collection methods contribute to the variability in hand hygiene compliance rates.

Type
Research Briefs
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.Aiello, AE, Larson, EL. What is the evidence for a causal link between hygiene and infections? Lancet Infect Dis 2002;2(2):103110.Google Scholar
2.Haas, JP, Larson, EL. Measurement of compliance with hand hygiene. J Hosp Infect 2007;66(1):614.Google Scholar
3.Boyce, JM, Pitter, D; Healthcare Infection Control Practices Advisory Com-mitte; 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. MMWR Morb Mortal Wkly Rep 2002;51(RR-16):145.Google Scholar
4.Kohli, E, Ptak, J, Smith, R, Taylor, E, Talbot, E, Kirkland, K. Performance in high- and low-performing inpatient care units. Infect Control Hosp Epidemiol 2009;30:222225.Google Scholar
5.Cherry, JD, Heininger, U, Stehr, K, Christenson, P. The effect of investigator compliance (observer bias) on calculated efficacy in a pertussis vaccine trial. Pediatrics 1998;102:909912.Google Scholar