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Contact precautions as a barrier to hand hygiene: The Plan–Do–Study–Act (PDSA) framework to improve compliance with gloved hand hygiene

Published online by Cambridge University Press:  29 February 2024

Pamela Bailey Open the ORCID record for Pamela Bailey [Opens in a new window] ,
Kaila Cooper ,
Michael P. Stevens ,
Gonzalo Bearman  and
Michelle Doll Open the ORCID record for Michelle Doll [Opens in a new window]
Pamela Bailey*
Affiliation:
Prisma Health Midlands, Columbia, South Carolina
Kaila Cooper
Affiliation:
Virginia Commonwealth University Healthcare System, Richmond, Virginia
Michael P. Stevens
Affiliation:
West Virginia University Healthcare System, Morgantown, West Virginia
Gonzalo Bearman
Affiliation:
Virginia Commonwealth University Healthcare System, Richmond, Virginia
Michelle Doll
Affiliation:
Virginia Commonwealth University Healthcare System, Richmond, Virginia
*
Corresponding author: Pamela Bailey; Email: [email protected]
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Abstract

In an identified quality improvement effort, nurses were observed regarding their workflow while in contact precaution rooms. Multiple opportunities for hand hygiene were missed while nurses were in gloves, predominantly while moving between “dirty” and “clean” tasks. An education initiative afterward did not show improvement in hand hygiene rates.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 6 , June 2024 , pp. 788 - 789
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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

Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35:S65–S164.CrossRefGoogle ScholarPubMed
Ellingson, K, Haas, JP, Aiello, AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol 2014;35 suppl 2:S155–S178.CrossRefGoogle Scholar
Barker, AK, Codella, J, Ewers, T, Dundon, A, Alagoz, O, Safdar, N. Changes to physician and nurse time burdens when caring for patients under contact precautions. Am J Infect Control 2017;45:542–543.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.CrossRefGoogle ScholarPubMed
Gregory, L, Weston, LE, Harrod, M, Meddings, J, Krein, SL. Understanding nurses’ workflow: batching care and potential opportunities for transmission of infectious organisms, a pilot study. Am J Infect Control 2019;47:1213–1218.CrossRefGoogle ScholarPubMed
Yanke, E, Carayon, P, Safdar, N. Translating evidence into practice using a systems engineering framework for infection prevention. Infect Control Hosp Epidemiol 2014;35:1176–1182.CrossRefGoogle ScholarPubMed
Acquarulo, BA, Sullivan, L, Gentile, AL, Boyce, JM, Martinello, RA. Mixed-methods analysis of glove use as a barrier to hand hygiene. Infect Control Hosp Epidemiol 2019;40:103–105.CrossRefGoogle ScholarPubMed
Baloh, J, Thom, KA, Perencevich, E, et al. Hand hygiene before donning nonsterile gloves: healthcare workers’ beliefs and practices. Am J Infect Control 2019;47:492–497.CrossRefGoogle ScholarPubMed
Haac, B, Rock, C, Harris, AD, et al. Hand hygiene compliance in the setting of trauma resuscitation. Injury 2017;48:165–170.CrossRefGoogle ScholarPubMed
WHO guidelines on hand hygiene in health care. World Health Organization website. https://www.who.int/publications-detail-redirect/9789241597906. Accessed February 16, 2023.Google Scholar
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