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1188. Calibrating a Product Use Metric for Hand Hygiene Compliance

BACKGROUND: Measuring hand hygiene (HH) by soap and alcohol hand rub product use is a relatively inexpensive and comprehensive way to estimate hand hygiene episodes per unit of patient care. Translating this number to compliance requires a reliable target for full compliance. Published data on this...

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Autor principal: Shelly, Mark A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808699/
http://dx.doi.org/10.1093/ofid/ofz360.1051
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author Shelly, Mark A
author_facet Shelly, Mark A
author_sort Shelly, Mark A
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description BACKGROUND: Measuring hand hygiene (HH) by soap and alcohol hand rub product use is a relatively inexpensive and comprehensive way to estimate hand hygiene episodes per unit of patient care. Translating this number to compliance requires a reliable target for full compliance. Published data on this are few. The our objective of this study was to calibrate estimates of HH targeted performance across diverse inpatient medical unit types based on actual product use data. METHODS: Retrospective review of monthly product use and patient volumes in 8 diverse hospitals in central Pennsylvania from 2017 through March 2019. RESULTS: Over 27 months we calculated 98.2 million HH episodes. Months with no dispenser changes recorded were dropped from consideration, as were months with extraordinarily high replacement counts secondary to remodeling or product expiration. To further correct for variations within and between units, the median and 95(th) percentile are used. Medians represent observed compliance between 60 and 85% (see table). Given the month to month product use variation, using a 3-month reporting window is appropriate to keep this estimate to ±10%. Using these values for full compliance, the 3-month average rarely exceeds the maximum of 100%. CONCLUSION: The product use values recorded here exceed published targets in half of the observed months. By adjusting the target for full compliance to the 95th percentile for the unit type, hand hygiene feedback by patient care area can more accurately estimate actual performance. As compliance improves further, recalibration will again be required. [Image: see text] DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-68086992019-10-28 1188. Calibrating a Product Use Metric for Hand Hygiene Compliance Shelly, Mark A Open Forum Infect Dis Abstracts BACKGROUND: Measuring hand hygiene (HH) by soap and alcohol hand rub product use is a relatively inexpensive and comprehensive way to estimate hand hygiene episodes per unit of patient care. Translating this number to compliance requires a reliable target for full compliance. Published data on this are few. The our objective of this study was to calibrate estimates of HH targeted performance across diverse inpatient medical unit types based on actual product use data. METHODS: Retrospective review of monthly product use and patient volumes in 8 diverse hospitals in central Pennsylvania from 2017 through March 2019. RESULTS: Over 27 months we calculated 98.2 million HH episodes. Months with no dispenser changes recorded were dropped from consideration, as were months with extraordinarily high replacement counts secondary to remodeling or product expiration. To further correct for variations within and between units, the median and 95(th) percentile are used. Medians represent observed compliance between 60 and 85% (see table). Given the month to month product use variation, using a 3-month reporting window is appropriate to keep this estimate to ±10%. Using these values for full compliance, the 3-month average rarely exceeds the maximum of 100%. CONCLUSION: The product use values recorded here exceed published targets in half of the observed months. By adjusting the target for full compliance to the 95th percentile for the unit type, hand hygiene feedback by patient care area can more accurately estimate actual performance. As compliance improves further, recalibration will again be required. [Image: see text] DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2019-10-23 /pmc/articles/PMC6808699/ http://dx.doi.org/10.1093/ofid/ofz360.1051 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Shelly, Mark A
1188. Calibrating a Product Use Metric for Hand Hygiene Compliance
title 1188. Calibrating a Product Use Metric for Hand Hygiene Compliance
title_full 1188. Calibrating a Product Use Metric for Hand Hygiene Compliance
title_fullStr 1188. Calibrating a Product Use Metric for Hand Hygiene Compliance
title_full_unstemmed 1188. Calibrating a Product Use Metric for Hand Hygiene Compliance
title_short 1188. Calibrating a Product Use Metric for Hand Hygiene Compliance
title_sort 1188. calibrating a product use metric for hand hygiene compliance
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808699/
http://dx.doi.org/10.1093/ofid/ofz360.1051
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