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Video didactic at the point of care impacts hand hygiene compliance in the neonatal intensive care unit (NICU)
Author(s) -
Hoang Danthanh,
Khawar Nayaab,
George Maria,
Gad Ashraf,
Sy Farrah,
Narula Pramod
Publication year - 2018
Publication title -
journal of healthcare risk management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.221
H-Index - 16
eISSN - 2040-0861
pISSN - 1074-4797
DOI - 10.1002/jhrm.21314
Subject(s) - medicine , timer , hygiene , duration (music) , interval (graph theory) , anesthesia , art , literature , mathematics , pathology , combinatorics , computer science , computer hardware , microcontroller
Objective To increase the hand‐washing (HW) duration of staff and visitors in the NICU to a minimum of 20 seconds as recommended by the CDC. Methods Intervention included video didactic triggered by motion sensor to play above wash basin. Video enacted Centers for Disease Control and Prevention (CDC) HW technique in real time and displayed timer of 20 seconds. HW was reviewed from surveillance video. Swabs of hands plated and observed for qualitative growth (QG) of bacterial colonies. Results In visitors, the mean HW duration at baseline was 16.3 seconds and increased to 23.4 seconds at the 2‐week interval ( p = .003) and 22.9 seconds at the 9‐month interval ( p < .0005). In staff, the mean HW duration at baseline was 18.4 seconds and increased to 29.0 seconds at 2‐week interval ( p = .001) and 25.7 seconds at the 9‐month interval ( p < .0005). In visitors, HW compliance at baseline was 33% and increased to 52% at the 2‐week interval ( p = .076) and 69% at the 9‐month interval ( p = .001). In staff, HW compliance at baseline was 42% and increased to 64% at the 2‐week interval ( p = .025) and 72% at the 9‐month interval ( p = .001). Increasing HW was significantly associated with linear decrease in bacterial QG. Conclusions The intervention significantly increased mean HW time, compliance with a 20‐econd wash time and decreased bacterial QG of hands and these results were sustained over a 9‐month period.