Evidence map›Paper›PMID 31670442›Full record

Observational studyInternational journal of nursing practice2020

Hand hygiene compliance in intensive care units: An observational study.

Magdalena Hoffmann, Gerald Sendlhofer, Veronika Gombotz, Gudrun Pregartner, Renate Zierler, Christine Schwarz, Christa Tax, Gernot Brunner

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International journal of nursing practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 53 citations in OpenAlex.

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  13. Hand hygiene compliance in intensive care units: An observational study.International journal of nursing practice · 2020
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Magdalena HoffmannExecutive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria.
Gerald SendlhoferExecutive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-6538-3116
Veronika GombotzExecutive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria.
Gudrun PregartnerInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Renate ZierlerDepartment of Surgery, University Hospital Graz, Graz, Austria.
Christine SchwarzResearch Unit for Safety in Health, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Christa TaxUniversity Hospital Graz, Graz, Austria.
Gernot BrunnerResearch Unit for Safety in Health, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATGraz University Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimHealth care-associated infections along with antibiotic resistance are a leading risk for patient safety in intensive care units. Hygienic hand disinfection is still regarded as the most effective, simplest, and most cost-effective measure to reduce health care-associated infections. To improve hand hygiene compliance and to prevent health care-associated infections, interventions of the "German Clean Hands Campaign" were implemented in a university hospital.

methodsObservational single-center study using direct observation and feedback. Hand hygiene performance was assessed in 12 intensive care units between 2013 and 2017. Linear mixed model regression analyses were used to estimate the compliance trend over time.

resultsIn total, 10 315 "my five moments for hand hygiene" were observed. The mean hand hygiene compliance rates increased from 75.1% to 88.6% during the study period, yielding an estimated increase of about 4.5% per year. However, there are differences in compliance between occupational groups (physicians: between 61.2% and 77.1%; nurses: between 80.2% and 90.9%; others: between 61.3% and 82.4%).

conclusionsAfter implementation of the "German Clean Hands Campaign" interventions, an overall significant improvement of hand hygiene was detected. Compliance measurements helped to raise awareness among health care professional groups.

Indexed as

Guideline AdherenceHand HygieneCross InfectionHospitals, UniversityHumansInfection ControlIntensive Care Unitscomplianceculturehand disinfectionhand hygieneintensive carenursing

Identifiers

PMID31670442
PMCPMC9285823
OpenAlexW2988416958

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.