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Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees

The aim of this study is to achieve 100% compliance in surgical hand antisepsis along with identification of areas of worst compliance and efficacies of various interventions best suited to deal with them. This audit was performed over 6 days in a tertiary care hospital in Calcutta, India, with 42 s...

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Detalles Bibliográficos
Autores principales: Mukherjee, Ramanuj, Roy, Pritha, Parik, Madhav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538262/
https://www.ncbi.nlm.nih.gov/pubmed/33041566
http://dx.doi.org/10.1007/s12262-020-02619-8
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author Mukherjee, Ramanuj
Roy, Pritha
Parik, Madhav
author_facet Mukherjee, Ramanuj
Roy, Pritha
Parik, Madhav
author_sort Mukherjee, Ramanuj
collection PubMed
description The aim of this study is to achieve 100% compliance in surgical hand antisepsis along with identification of areas of worst compliance and efficacies of various interventions best suited to deal with them. This audit was performed over 6 days in a tertiary care hospital in Calcutta, India, with 42 surgical internees. Compliance to ideal hand washing technique was recorded after each attempt with the first attempt as baseline. Video demonstration, personal demonstration by a consultant, and individual instruction were used as subsequent interventions to achieve 100% compliance. The baseline level of compliance was found to be 33.59%. A total of 6 attempts was required to achieve 100% compliance, with the increase in compliance being statistically significant (p = 0.0294). Personal instruction was found to be the most effective intervention. Hand washing technique was the criterion that needed the most number of attempts (n = 6) to rectify. This study found video-based instruction and individual guidance effective teaching tools for surgical hand disinfection and gave novel data regarding the reasons responsible for poor compliance to proper hand washing in a general surgical setting. This study demonstrated the efficiency of audit cycles in the improvement of surgical hand washing and can be the preferred mode of intervention in future studies aimed at achieving ideal hand antisepsis.
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spelling pubmed-75382622020-10-07 Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees Mukherjee, Ramanuj Roy, Pritha Parik, Madhav Indian J Surg Original Article The aim of this study is to achieve 100% compliance in surgical hand antisepsis along with identification of areas of worst compliance and efficacies of various interventions best suited to deal with them. This audit was performed over 6 days in a tertiary care hospital in Calcutta, India, with 42 surgical internees. Compliance to ideal hand washing technique was recorded after each attempt with the first attempt as baseline. Video demonstration, personal demonstration by a consultant, and individual instruction were used as subsequent interventions to achieve 100% compliance. The baseline level of compliance was found to be 33.59%. A total of 6 attempts was required to achieve 100% compliance, with the increase in compliance being statistically significant (p = 0.0294). Personal instruction was found to be the most effective intervention. Hand washing technique was the criterion that needed the most number of attempts (n = 6) to rectify. This study found video-based instruction and individual guidance effective teaching tools for surgical hand disinfection and gave novel data regarding the reasons responsible for poor compliance to proper hand washing in a general surgical setting. This study demonstrated the efficiency of audit cycles in the improvement of surgical hand washing and can be the preferred mode of intervention in future studies aimed at achieving ideal hand antisepsis. Springer India 2020-10-06 2021-10 /pmc/articles/PMC7538262/ /pubmed/33041566 http://dx.doi.org/10.1007/s12262-020-02619-8 Text en © Association of Surgeons of India 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Mukherjee, Ramanuj
Roy, Pritha
Parik, Madhav
Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees
title Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees
title_full Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees
title_fullStr Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees
title_full_unstemmed Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees
title_short Achieving Perfect Hand Washing: an Audit Cycle with Surgical Internees
title_sort achieving perfect hand washing: an audit cycle with surgical internees
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538262/
https://www.ncbi.nlm.nih.gov/pubmed/33041566
http://dx.doi.org/10.1007/s12262-020-02619-8
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