Observational studyInfection control and hospital epidemiology2019
A multimodal regional intervention strategy framed as friendly competition to improve hand hygiene compliance.
Observational study in Infection control and hospital epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed.
- Patterns of early-life microbial exposure and infection risk in hospital-born neonates in a tertiary hospital setting in Ghana.BMC microbiology · 2026Article
- Effect of the implementation of infection prevention measures by an infection prevention link physician in trauma/orthopaedics surgery on hygiene-relevant processes and nosocomial infections.Infection prevention in practice · 2024Article
- Incentivized self-vaccination for global measles eradication.Journal of virus eradication · 2022Article
- Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment.Antimicrobial resistance and infection control · 2022Article
- Improving Hand Hygiene Compliance of Intensive Care Unit by Using Pender's Model.Ethiopian journal of health sciences · 2021Article
- Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia.International journal of environmental research and public health · 2021Article
- Current practices and evaluation of barriers and facilitators to surgical site infection prevention measures in Jimma, Ethiopia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the effects of friendly competition on hand hygiene compliance as part of a multimodal intervention program.
designProspective observational study in which the primary outcome was hand hygiene compliance. Differences were analyzed using the Pearson χ2 test. Odds ratios (ORs) with 95% confidence interval were calculated using multilevel logistic regression.
settingObservations were performed in 9 public hospitals and 1 rehabilitation center in Rotterdam, Netherlands.ParticipantsFrom 2014 to 2016, at 5 time points (at 6-month intervals) in 120 hospital wards, 20,286 hand hygiene opportunities were observed among physicians, nurses, and other healthcare workers (HCWs).InterventionThe multimodal, friendly competition intervention consisted of mandatory interventions: monitoring and feedback of hand hygiene compliance and optional interventions (ie, e-learning, kick-off workshop, observer training, and team training). Hand hygiene opportunities, as formulated by the World Health Organization (WHO), were unobtrusively observed at 5 time points by trained observers. Compliance data were presented to the healthcare organizations as a ranking.
resultsThe overall mean hand hygiene compliance at time point 1 was 42.9% (95% confidence interval [CI], 41.4-44.4), which increased to 51.4% (95% CI, 49.8-53.0) at time point 5 (P<.001). Nurses showed a significant improvement between time points 1 and 5 (P<.001), whereas the compliance of physicians and other HCWs remained unchanged. In the multilevel logistic regressions, time points, type of ward, and type of HCW showed a significant association with compliance.
conclusionBetween the start and the end of the multimodal intervention program in a friendly competition setting, overall hand hygiene compliance increased significantly.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.