The Experts below are selected from a list of 24501 Experts worldwide ranked by ideXlab platform
Didier Pittet - One of the best experts on this subject based on the ideXlab platform.
-
Hand Hygiene in low- and middle-income countries.
International Journal of Infectious Diseases, 2019Co-Authors: Michael J Loftus, Ermira Tartari, Chloé Guitart, Andrew J. Stewardson, Fatma A. Amer, Fernando Bellissimo-rodrigues, Yew Fong Lee, Shaheen Mehtar, Buyiswa Lizzie Sithole, Didier PittetAbstract:A panel of experts was convened by the International Society for Infectious Diseases (ISID) to overview evidence based strategies to reduce the transmission of pathogens via the Hands of healthcare workers and the subsequent incidence of hospital acquired infections with a focus on implementing these strategies in low- and middle-income countries. Existing data suggests that hospital patients in low- and middle-income countries are exposed to rates of healthcare associated infections at least 2-fold higher than in high income countries. In addition to the universal challenges to the implementation of effective Hand Hygiene strategies, hospitals in low- and middle-income countries face a range of unique barriers, including overcrowding and securing a reliable and sustainable supply of alcohol-based Handrub. The WHO Multimodal Hand Hygiene Improvement Strategy and its associated resources represent an evidence-based framework for developing a locally-adapted implementation plan for Hand Hygiene promotion.
-
global Hand Hygiene improvement progress two surveys using the who Hand Hygiene self assessment framework
Journal of Hospital Infection, 2018Co-Authors: Claire Kilpatrick, Benedetta Allegranzi, Ermira Tartari, Angele Gayetageron, Julie Storr, Sara Tomczyk, Didier PittetAbstract:The World Health Organization (WHO) conducted two global surveys in 2011 and 2015 using the Hand Hygiene Self-Assessment Framework. In 2011, 2119 health facilities from 69 countries participated, and in 2015, 807 health facilities from 91 countries participated. In total, 86 facilities submitted results for both surveys; their overall score increased significantly (P<0.001) from 335.1 [standard deviation (SD) 7.5] to 374.4 (SD 90.5). In terms of WHO regions, the scores for the Eastern Mediterranean, Europe and Western Pacific regions all improved significantly (P<0.01). This represents a snapshot of the current position of global Hand Hygiene improvement efforts, outlining facility progress and highlighting the value of such an assessment tool.
-
global Hand Hygiene improvement progress two surveys using the who Hand Hygiene self assessment framework
Journal of Hospital Infection, 2018Co-Authors: Claire Kilpatrick, Benedetta Allegranzi, Ermira Tartari, Angele Gayetageron, Julie Storr, Sara Tomczyk, Didier PittetAbstract:Summary The World Health Organization (WHO) conducted two global surveys in 2011 and 2015 using the Hand Hygiene Self-Assessment Framework. In 2011, 2119 health facilities from 69 countries participated, and in 2015, 807 health facilities from 91 countries participated. In total, 86 facilities submitted results for both surveys; their overall score increased significantly (P
-
videos in clinical medicine Hand Hygiene
The New England Journal of Medicine, 2011Co-Authors: Yves Longtin, Benedetta Allegranzi, Franck Schneider, Didier PittetAbstract:Hand Hygiene is a procedure that should be mastered by all health care workers. Hand Hygiene is not optional - it is mandatory. It must be used conscientiously to decrease the occurrence of infections associated with health care and to increase patient safety. Proper use of Hand Hygiene is a sign of competency, professionalism, and respect. Copyright © 2011 Massachusetts Medical Society.
-
the world health organization Hand Hygiene observation method
American Journal of Infection Control, 2009Co-Authors: Benedetta Allegranzi, Elaine Larson, Didier Pittet, John M Boyce, Marienoelle ChraitiAbstract:Monitoring Hand Hygiene adherence and providing performance feedback to health care workers is a critical component of multimodal Hand Hygiene promotion programs, but important variations exist in the way adherence is measured. Within the framework of the World Health Organization's (WHO) First Global Patient Safety Challenge known as "Clean Care is Safer Care," an evidence-based, user-centered concept, "My five moments for Hand Hygiene," has been developed for measuring, teaching, and reporting Hand Hygiene adherence. This concept is an integral part of the WHO's Hand Hygiene improvement strategy conceived to translate the WHO Guidelines on Hand Hygiene in Health Care into practice. It has been tested in numerous health care facilities worldwide to ensure its applicability and adaptability to all settings irrespective of the resources available. Here we describe the WHO Hand Hygiene observation method in detail—the concept, the profile and the task of the observers, their training and validation, the data collection form, the scope, the selection of the observed staff, and the observation sessions—with the objective of making it accessible for universal use. Sample size estimates, survey analysis and report, and major bias and confounding factors associated with observation are discussed.
John M Boyce - One of the best experts on this subject based on the ideXlab platform.
-
measuring healthcare worker Hand Hygiene activity current practices and emerging technologies
Infection Control and Hospital Epidemiology, 2011Co-Authors: John M BoyceAbstract:Monitoring Hand Hygiene compliance and providing healthcare workers with feedback regarding their performance are considered integral parts of multidisciplinary Hand Hygiene improvement programs. Observational surveys conducted by trained personnel are currently considered the "gold standard" method for establishing compliance rates, but they are time-consuming and have a number of shortcomings. Monitoring Hand Hygiene product consumption is less time-consuming and can provide useful information regarding the frequency of Hand Hygiene that can be used to give caregivers feedback. Electronic counting devices placed in Hand Hygiene product dispensers provide detailed information about Hand Hygiene frequency over time, by unit and during interventions. Electronic Hand Hygiene monitoring systems that utilize wireless systems to monitor room entry and exit of healthcare workers and their use of Hand Hygiene product dispensers can provide individual and unit-based data on compliance with the most common Hand Hygiene indications. Some systems include badges (tags) that can provide healthcare workers with real-time reminders to clean their Hands upon entering and exiting patient rooms. Preliminary studies suggest that use of electronic monitoring systems is associated with increased Hand Hygiene compliance rates and that such systems may be acceptable to care givers. Although there are many questions remaining about the practicality, accuracy, cost, and long-term impact of electronic monitoring systems on compliance rates, they appear to have considerable promise for improving our efforts to monitor and improve Hand Hygiene practices among healthcare workers.
-
the world health organization Hand Hygiene observation method
American Journal of Infection Control, 2009Co-Authors: Benedetta Allegranzi, Elaine Larson, Didier Pittet, John M Boyce, Marienoelle ChraitiAbstract:Monitoring Hand Hygiene adherence and providing performance feedback to health care workers is a critical component of multimodal Hand Hygiene promotion programs, but important variations exist in the way adherence is measured. Within the framework of the World Health Organization's (WHO) First Global Patient Safety Challenge known as "Clean Care is Safer Care," an evidence-based, user-centered concept, "My five moments for Hand Hygiene," has been developed for measuring, teaching, and reporting Hand Hygiene adherence. This concept is an integral part of the WHO's Hand Hygiene improvement strategy conceived to translate the WHO Guidelines on Hand Hygiene in Health Care into practice. It has been tested in numerous health care facilities worldwide to ensure its applicability and adaptability to all settings irrespective of the resources available. Here we describe the WHO Hand Hygiene observation method in detail—the concept, the profile and the task of the observers, their training and validation, the data collection form, the scope, the selection of the observed staff, and the observation sessions—with the objective of making it accessible for universal use. Sample size estimates, survey analysis and report, and major bias and confounding factors associated with observation are discussed.
-
Hand Hygiene compliance monitoring current perspectives from the usa
Journal of Hospital Infection, 2008Co-Authors: John M BoyceAbstract:Summary Monitoring Hand Hygiene compliance and providing healthcare workers with feedback regarding their performance are considered integral parts of a successful Hand Hygiene promotion program. Direct observation of care providers by trained personnel is currently considered the gold standard. Advantages include the ability to determine if Hand Hygiene is being performed at the correct times, establish compliance rates by healthcare worker type, and assess Hand Hygiene technique. However, observation surveys are time-consuming, permit observation of only a small fraction of all Hand Hygiene opportunities, and can be influenced by inter-rater reliability. Comparison of compliance rates obtained through observation surveys is problematic due to lack of standardization of criteria for compliance and observation techniques. Self-reporting of compliance is not sufficiently reliable to be useful. Monitoring the usage of Hand Hygiene products requires much less time and can be performed on an ongoing basis, and is less complicated. However, it does not provide information about the appropriateness and quality of Hand Hygiene practices or compliance rates by health-care worker type. Furthermore, it is not clear how product usage correlates with compliance established by observational surveys. Electronic methods for monitoring compliance require further evaluation before they can be routinely recommended. Clearly, further research is needed to develop efficient, reliable, and reproducible methods for monitoring Hand Hygiene compliance.
-
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
American Journal of Infection Control, 2002Co-Authors: John M Boyce, Didier PittetAbstract:The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding Handwashing and Hand antisepsis in health-care settings. In addition, it provides specific recommendations to promote improved Hand-Hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health-care settings. This report reviews studies published since the 1985 CDC guideline (Garner JS, Favero MS, CDC guideline for Handwashing and hospital environmental control, 1985. Infect Control 1986;7:231-43) and the 1995 APIC guideline (Larson EL, APIC Guidelines Committee. APIC guideline for Handwashing and Hand antisepsis in health care settings. Am J Infect Control 1995:23;251-69) were issued and provides an in-depth review of Hand-Hygiene practices of HCWs, levels of adherence of personnel to recommended Handwashing practices, and factors adversely affecting adherence. New studies of the in vivo efficacy of alcohol-based Hand rubs and the low incidence of dermatitis associated with their use are reviewed. Recent studies demonstrating the value of multidisciplinary Hand-Hygiene promotion programs and the potential role of alcohol-based Hand rubs in improving Hand-Hygiene practices are summarized. Recommendations concerning related issues (e.g., the use of surgical Hand antiseptics, Hand lotions or creams, and wearing of artificial fingernails) are also included.
-
Hand Hygiene and patient care: pursuing the Semmelweis legacy
The Lancet Infectious Diseases, 2001Co-Authors: Didier Pittet, John M BoyceAbstract:Modern medicine still has to contend with the major problem of infections resulting from patient care. Despite considerable evidence that appropriate Hand Hygiene is the leading measure to reduce cross-infection, compliance with recommendations remains notoriously low among healthcare workers. In high-demand situations, such as in most critical-care units, or at times of overcrowding or understaffing, promoting Hand cleansing with an alcohol-based Handrub solution seems to be the most practical means of improving compliance. It requires less time, acts faster, irritates Hands less often, and is superior to traditional Handwashing or medicated Hand antiseptic agents. Furthermore, it was used in the only programme that reported a sustained improvement in Hand-Hygiene compliance associated with decreased infection rates. Although easy access to fast-acting Hand-Hygiene agents is the main tool of any campaign to obtain sustained improvement with Hand-Hygiene practices, a multidisciplinary approach is necessary to produce behavioural change.
Rene F Kornelisse - One of the best experts on this subject based on the ideXlab platform.
-
o 133 computer screen saver Hand Hygiene information curbs a negative trend in Hand Hygiene behaviour
Archives of Disease in Childhood, 2014Co-Authors: Onno K Helder, Anne Marie Weggelaar, Daniel C J Waarsenburg, Caspar W N Looman, Johannes Brug, J Goudoever B Van, Rene F KornelisseAbstract:Background and aims Appropriate Hand Hygiene among healthcare workers is the most important infection prevention measure; however, compliance is generally low. Gain-framed messages (i.e. messages that emphasise the benefits of Hand Hygiene rather than the risks of noncompliance) may be most effective. The aim of this study was to test the impact of gain-framed messages on the frequency of Handdisinfection events and compliance with the Hand Hygiene protocol. Methods The study was conducted in a 27-bed neonatal intensive care unit. We performed an interrupted time series analysis of objectively measured Hand disinfection events. We used electronic devices in Hand alcohol dispensers, which continuously documented the frequency of Hand disinfection events. In addition, Hand Hygiene compliance before and after the intervention period were directly observed. Results The negative trend in Hand Hygiene events per patient-day before the intervention (decrease by 2.3 [standard error, 0.5] per week) changed to a significant positive trend (increase of 1.5 [0.5] per week) after the intervention (p 0 .001). The direct observations confirmed these results, showing a significant improved in Hand Hygiene compliance from 193 of 303 (63.6%) observed Hand Hygiene events at pretest to 201 of 281 (71.5%) at posttest (p = 0.05). Conclusions We conclude that gain-framed messages concerning Hand Hygiene presented on screen savers may improve Hand Hygiene compliance.
-
computer screen saver Hand Hygiene information curbs a negative trend in Hand Hygiene behavior
American Journal of Infection Control, 2012Co-Authors: Onno K Helder, Anne Marie Weggelaar, Daniel C J Waarsenburg, Caspar W N Looman, Johannes B Van Goudoever, Johannes Brug, Rene F KornelisseAbstract:Background Appropriate Hand Hygiene among health care workers is the most important infection prevention measure; however, compliance is generally low. Gain-framed messages (ie, messages that emphasize the benefits of Hand Hygiene rather than the risks of noncompliance) may be most effective, but have not been tested. Methods The study was conducted in a 27-bed neonatal intensive care unit. We performed an interrupted time series analysis of objectively measured Hand disinfection events. We used electronic devices in Hand alcohol dispensers, which continuously documented the frequency of Hand disinfection events. In addition, Hand Hygiene compliance before and after the intervention period were directly observed. Results The negative trend in Hand Hygiene events per patient-day before the intervention (decrease by 2.3 [standard error, 0.5] per week) changed to a significant positive trend (increase of 1.5 [0.5] per week) after the intervention ( P Conclusions We conclude that gain-framed messages concerning Hand Hygiene presented on screen savers may improve Hand Hygiene compliance.
Benedetta Allegranzi - One of the best experts on this subject based on the ideXlab platform.
-
global Hand Hygiene improvement progress two surveys using the who Hand Hygiene self assessment framework
Journal of Hospital Infection, 2018Co-Authors: Claire Kilpatrick, Benedetta Allegranzi, Ermira Tartari, Angele Gayetageron, Julie Storr, Sara Tomczyk, Didier PittetAbstract:Summary The World Health Organization (WHO) conducted two global surveys in 2011 and 2015 using the Hand Hygiene Self-Assessment Framework. In 2011, 2119 health facilities from 69 countries participated, and in 2015, 807 health facilities from 91 countries participated. In total, 86 facilities submitted results for both surveys; their overall score increased significantly (P
-
global Hand Hygiene improvement progress two surveys using the who Hand Hygiene self assessment framework
Journal of Hospital Infection, 2018Co-Authors: Claire Kilpatrick, Benedetta Allegranzi, Ermira Tartari, Angele Gayetageron, Julie Storr, Sara Tomczyk, Didier PittetAbstract:The World Health Organization (WHO) conducted two global surveys in 2011 and 2015 using the Hand Hygiene Self-Assessment Framework. In 2011, 2119 health facilities from 69 countries participated, and in 2015, 807 health facilities from 91 countries participated. In total, 86 facilities submitted results for both surveys; their overall score increased significantly (P<0.001) from 335.1 [standard deviation (SD) 7.5] to 374.4 (SD 90.5). In terms of WHO regions, the scores for the Eastern Mediterranean, Europe and Western Pacific regions all improved significantly (P<0.01). This represents a snapshot of the current position of global Hand Hygiene improvement efforts, outlining facility progress and highlighting the value of such an assessment tool.
-
videos in clinical medicine Hand Hygiene
The New England Journal of Medicine, 2011Co-Authors: Yves Longtin, Benedetta Allegranzi, Franck Schneider, Didier PittetAbstract:Hand Hygiene is a procedure that should be mastered by all health care workers. Hand Hygiene is not optional - it is mandatory. It must be used conscientiously to decrease the occurrence of infections associated with health care and to increase patient safety. Proper use of Hand Hygiene is a sign of competency, professionalism, and respect. Copyright © 2011 Massachusetts Medical Society.
-
the world health organization Hand Hygiene observation method
American Journal of Infection Control, 2009Co-Authors: Benedetta Allegranzi, Elaine Larson, Didier Pittet, John M Boyce, Marienoelle ChraitiAbstract:Monitoring Hand Hygiene adherence and providing performance feedback to health care workers is a critical component of multimodal Hand Hygiene promotion programs, but important variations exist in the way adherence is measured. Within the framework of the World Health Organization's (WHO) First Global Patient Safety Challenge known as "Clean Care is Safer Care," an evidence-based, user-centered concept, "My five moments for Hand Hygiene," has been developed for measuring, teaching, and reporting Hand Hygiene adherence. This concept is an integral part of the WHO's Hand Hygiene improvement strategy conceived to translate the WHO Guidelines on Hand Hygiene in Health Care into practice. It has been tested in numerous health care facilities worldwide to ensure its applicability and adaptability to all settings irrespective of the resources available. Here we describe the WHO Hand Hygiene observation method in detail—the concept, the profile and the task of the observers, their training and validation, the data collection form, the scope, the selection of the observed staff, and the observation sessions—with the objective of making it accessible for universal use. Sample size estimates, survey analysis and report, and major bias and confounding factors associated with observation are discussed.
-
role of Hand Hygiene in healthcare associated infection prevention
Journal of Hospital Infection, 2009Co-Authors: Benedetta Allegranzi, Didier PittetAbstract:Summary Healthcare workers’ Hands are the most common vehicle for the transmission of healthcare-associated pathogens from patient to patient and within the healthcare environment. Hand Hygiene is the leading measure for preventing the spread of antimicrobial resistance and reducing healthcare-associated infections (HCAIs), but healthcare worker compliance with optimal practices remains low in most settings. This paper reviews factors influencing Hand Hygiene compliance, the impact of Hand Hygiene promotion on healthcare-associated pathogen cross-transmission and infection rates, and challenging issues related to the universal adoption of alcohol-based Hand rub as a critical system change for successful promotion. Available evidence highlights the fact that multimodal intervention strategies lead to improved Hand Hygiene and a reduction in HCAI. However, further research is needed to evaluate the relative efficacy of each strategy component and to identify the most successful interventions, particularly in settings with limited resources. The main objective of the First Global Patient Safety Challenge, launched by the World Health Organization (WHO), is to achieve an improvement in Hand Hygiene practices worldwide with the ultimate goal of promoting a strong patient safety culture. We also report considerations and solutions resulting from the implementation of the multimodal strategy proposed in the WHO Guidelines on Hand Hygiene in Health Care.
Johannes Brug - One of the best experts on this subject based on the ideXlab platform.
-
o 133 computer screen saver Hand Hygiene information curbs a negative trend in Hand Hygiene behaviour
Archives of Disease in Childhood, 2014Co-Authors: Onno K Helder, Anne Marie Weggelaar, Daniel C J Waarsenburg, Caspar W N Looman, Johannes Brug, J Goudoever B Van, Rene F KornelisseAbstract:Background and aims Appropriate Hand Hygiene among healthcare workers is the most important infection prevention measure; however, compliance is generally low. Gain-framed messages (i.e. messages that emphasise the benefits of Hand Hygiene rather than the risks of noncompliance) may be most effective. The aim of this study was to test the impact of gain-framed messages on the frequency of Handdisinfection events and compliance with the Hand Hygiene protocol. Methods The study was conducted in a 27-bed neonatal intensive care unit. We performed an interrupted time series analysis of objectively measured Hand disinfection events. We used electronic devices in Hand alcohol dispensers, which continuously documented the frequency of Hand disinfection events. In addition, Hand Hygiene compliance before and after the intervention period were directly observed. Results The negative trend in Hand Hygiene events per patient-day before the intervention (decrease by 2.3 [standard error, 0.5] per week) changed to a significant positive trend (increase of 1.5 [0.5] per week) after the intervention (p 0 .001). The direct observations confirmed these results, showing a significant improved in Hand Hygiene compliance from 193 of 303 (63.6%) observed Hand Hygiene events at pretest to 201 of 281 (71.5%) at posttest (p = 0.05). Conclusions We conclude that gain-framed messages concerning Hand Hygiene presented on screen savers may improve Hand Hygiene compliance.
-
computer screen saver Hand Hygiene information curbs a negative trend in Hand Hygiene behavior
American Journal of Infection Control, 2012Co-Authors: Onno K Helder, Anne Marie Weggelaar, Daniel C J Waarsenburg, Caspar W N Looman, Johannes B Van Goudoever, Johannes Brug, Rene F KornelisseAbstract:Background Appropriate Hand Hygiene among health care workers is the most important infection prevention measure; however, compliance is generally low. Gain-framed messages (ie, messages that emphasize the benefits of Hand Hygiene rather than the risks of noncompliance) may be most effective, but have not been tested. Methods The study was conducted in a 27-bed neonatal intensive care unit. We performed an interrupted time series analysis of objectively measured Hand disinfection events. We used electronic devices in Hand alcohol dispensers, which continuously documented the frequency of Hand disinfection events. In addition, Hand Hygiene compliance before and after the intervention period were directly observed. Results The negative trend in Hand Hygiene events per patient-day before the intervention (decrease by 2.3 [standard error, 0.5] per week) changed to a significant positive trend (increase of 1.5 [0.5] per week) after the intervention ( P Conclusions We conclude that gain-framed messages concerning Hand Hygiene presented on screen savers may improve Hand Hygiene compliance.
-
a qualitative exploration of reasons for poor Hand Hygiene among hospital workers lack of positive role models and of convincing evidence that Hand Hygiene prevents cross infection
Infection Control and Hospital Epidemiology, 2009Co-Authors: V Erasmus, W Brouwer, E F Van Beeck, Anke Oenema, T J Daha, Jan Hendrik Richardus, Johannes BrugAbstract:Objective. To study potential determinants of Hand Hygiene compliance among healthcare workers in the hospital setting. Design. A qualitative study based on structured‐interview guidelines, consisting of 9 focus group interviews involving 58 persons and 7 individual interviews. Interview transcripts were subjected to content analysis. Setting. Intensive care units and surgical departments of 5 hospitals of varying size in the Netherlands. Participants. A total of 65 nurses, attending physicians, medical residents, and medical students. Results. Nurses and medical students expressed the importance of Hand Hygiene for preventing of cross‐infection among patients and themselves. Physicians expressed the importance of Hand Hygiene for self‐protection, but they perceived that there is a lack of evidence that Handwashing is effective in preventing cross‐infection. All participants stated that personal beliefs about the efficacy of Hand Hygiene and examples and norms provided by senior hospital staff are of majo...
