Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia

We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization’s (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University...

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Autores principales: Berman, Leigh, Kavalier, Meredith, Gelana, Beshea, Tesfaw, Getnet, Siraj, Dawd, Shirley, Daniel, Yilma, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553035/
https://www.ncbi.nlm.nih.gov/pubmed/34710135
http://dx.doi.org/10.1371/journal.pone.0258662
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author Berman, Leigh
Kavalier, Meredith
Gelana, Beshea
Tesfaw, Getnet
Siraj, Dawd
Shirley, Daniel
Yilma, Daniel
author_facet Berman, Leigh
Kavalier, Meredith
Gelana, Beshea
Tesfaw, Getnet
Siraj, Dawd
Shirley, Daniel
Yilma, Daniel
author_sort Berman, Leigh
collection PubMed
description We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization’s (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University Medical Center (JUMC), a tertiary care hospital in Jimma, Ethiopia, between November 2018 and August 2020 and consisted of three phases: baseline assessment, intervention, and follow-up assessment. We conducted questionnaires addressing HH knowledge and attitudes, interviews to identify HH barriers and facilitators within the SEIPS framework, and observations at the WHO’s 5 moments of HH amongst healthcare workers (HCWs) at JUMC. We then implemented HH interventions based on WHO guidelines and results from our baseline assessment. Follow-up HH observations were conducted months later during the Covid-19 pandemic. 250 HCWs completed questionnaires with an average knowledge score of 61.4% and attitude scores indicating agreement that HH promotes patient safety. Interview participants cited multiple barriers to HH including shortages and location of HH materials, inadequate training, minimal Infection Prevention Control team presence, and high workload. We found an overall baseline HH compliance rate of 9.4% and a follow-up compliance rate of 72.1%. Drastically higher follow-up compared to baseline compliance rates were likely impacted by our HH interventions and Covid-19. HCWs showed motivation for patient safety despite low HH knowledge. Utilizing the SEIPS model helped identify institution-specific barriers that informed targeted interventions beyond WHO guidelines aimed at increasing effectiveness and sustainability of HH efforts.
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spelling pubmed-85530352021-10-29 Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia Berman, Leigh Kavalier, Meredith Gelana, Beshea Tesfaw, Getnet Siraj, Dawd Shirley, Daniel Yilma, Daniel PLoS One Research Article We aimed to apply the Systems Engineering Initiative for Patient Safety (SEIPS) model to increase effectiveness and sustainability of the World Health Organization’s (WHOs) hand hygiene (HH) guidelines within healthcare systems. Our cross-sectional, mixed-methods study took place at Jimma University Medical Center (JUMC), a tertiary care hospital in Jimma, Ethiopia, between November 2018 and August 2020 and consisted of three phases: baseline assessment, intervention, and follow-up assessment. We conducted questionnaires addressing HH knowledge and attitudes, interviews to identify HH barriers and facilitators within the SEIPS framework, and observations at the WHO’s 5 moments of HH amongst healthcare workers (HCWs) at JUMC. We then implemented HH interventions based on WHO guidelines and results from our baseline assessment. Follow-up HH observations were conducted months later during the Covid-19 pandemic. 250 HCWs completed questionnaires with an average knowledge score of 61.4% and attitude scores indicating agreement that HH promotes patient safety. Interview participants cited multiple barriers to HH including shortages and location of HH materials, inadequate training, minimal Infection Prevention Control team presence, and high workload. We found an overall baseline HH compliance rate of 9.4% and a follow-up compliance rate of 72.1%. Drastically higher follow-up compared to baseline compliance rates were likely impacted by our HH interventions and Covid-19. HCWs showed motivation for patient safety despite low HH knowledge. Utilizing the SEIPS model helped identify institution-specific barriers that informed targeted interventions beyond WHO guidelines aimed at increasing effectiveness and sustainability of HH efforts. Public Library of Science 2021-10-28 /pmc/articles/PMC8553035/ /pubmed/34710135 http://dx.doi.org/10.1371/journal.pone.0258662 Text en © 2021 Berman et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Berman, Leigh
Kavalier, Meredith
Gelana, Beshea
Tesfaw, Getnet
Siraj, Dawd
Shirley, Daniel
Yilma, Daniel
Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_full Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_fullStr Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_full_unstemmed Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_short Utilizing the SEIPS model to guide hand hygiene interventions at a tertiary hospital in Ethiopia
title_sort utilizing the seips model to guide hand hygiene interventions at a tertiary hospital in ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553035/
https://www.ncbi.nlm.nih.gov/pubmed/34710135
http://dx.doi.org/10.1371/journal.pone.0258662
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