Improving hand hygiene compliance rates in the haemodialysis setting: more than just more hand rubs
Optimised hand hygiene SOPs combined with a set of interventions reduce the number of recontaminations and improve hand hygiene compliance in the haemodialysis setting considerably
The prospective, three-phase, observational intervention study was conducted at the University Hospital of the RWTH Aachen University between March and September 2010. Observations were carried out during three observation phases (phase I, II, III), which were divided by two 2-week intervention phases (intervention I, II). A total of 8,897 indications for hand rubs were observed. The mean number of performed hand rubs per dialysis procedure increased from 6 before interventions (phase I) to 9 after interventions I and II (phase III), whereas the indications for hand rubs per dialysis procedure decreased from 21 (phase I) to 15 (phase III). The overall hand rub compliance improved from 30% in phase I to 62% in phase III. Considering all three observation phases, the highest compliance rate was achieved for the indication ‘before touching a patient’ in phase III (88%). The greatest improvement of 148%, however, was observed for the indication ‘before clean/aseptic procedures’ (from 21% in phase I to 52% in phase III), which is the indication with the greatest impact on preventing healthcare-associated infections.