ArticleBMJ open2019
Modelling the costs and consequences of reducing healthcare-associated infections by improving hand hygiene in an average hospital in England.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A Crossover Randomized Controlled Trial of Priming Interventions to Increase Hand Hygiene at Ward Entrances.Frontiers in public health · 2021Trial
- A Nationwide Survey on Infection Prevention and Control in Acute Care Hospitals of Korea.Journal of Korean medical science · 2025Article
- Cost-effectiveness analysis of a hand hygiene monitoring system in a tertiary pediatric hospital in Mexico.Frontiers in public health · 2023Review
- Dual species dry surface biofilms; Bacillus species impact on Staphylococcus aureus survival and surface disinfection.Journal of applied microbiology · 2022Article
- Improving Hand Hygiene Compliance of Intensive Care Unit by Using Pender's Model.Ethiopian journal of health sciences · 2021Article
- Evaluation of the exposure risk of SARS-CoV-2 in different hospital environment.Sustainable cities and society · 2020Article
- Modelling the annual NHS costs and outcomes attributable to healthcare-associated infections in England.BMJ open · 2020Article
- Exploring the Applicability of Robot-Assisted UV Disinfection in Radiology.Frontiers in robotics and AI · 2020Article
- Preoperative Octenidine Application in Breast Reconstruction Surgery.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the potential clinical and economic impact of introducing an electronic audit and feedback system into current practice to improve hand hygiene compliance in a hypothetical general hospital in England, to reduce the incidence of healthcare-associated infections (HCAIs).
methodsDecision analysis estimated the impact of introducing an electronic audit and feedback system into current practice to improve hand hygiene compliance among front-line healthcare practitioners (HCPs).
resultsThe model assumed 4.7% of adult inpatients (ie, ≥18 years of age) and 1.72% of front-line HCPs acquire a HCAI in current practice. The model estimated that if use of the electronic audit and feedback system could lead to a reduction in the incidence of HCAIs of between 5% and 25%, then the annual number of HCAIs avoided could range between 184 and 921 infections per hospital and HCAI-related mortality could range between 6 and 31 deaths per annum per hospital. Additionally, up to 86 days of absence among front-line HCPs could be avoided and up to 7794 hospital bed days could be released for alternative use. Accordingly, the total annual hospital cost attributable to HCAIs could be reduced by between 3% and 23%, depending on the effectiveness of the electronic audit and feedback system. If introduction of the electronic audit and feedback system into current practice could lead to a reduction in the incidence of HCAIs by at least 15%, it would have a ≥0.75 probability of affording the National Health Service (NHS) a cost-effective intervention.
conclusionIf the introduction of the electronic audit and feedback system into current practice in a hypothetical general hospital in England can improve hand hygiene compliance among front-line HCPs leading to a reduction in the incidence of HCAIs by ≥15%, it would potentially afford the NHS a cost-effective intervention.
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