Observation-based evaluation of hand hygiene practices and the effects of an intervention at a public hospital cafeteria.

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dc.contributor.author Filion, Katie
dc.contributor.author KuKanich, Kate S.
dc.contributor.author Chapman, Ben
dc.contributor.author Hardigree, Megan K.
dc.contributor.author Powell, Douglas A.
dc.date.accessioned 2012-02-08T21:33:38Z
dc.date.available 2012-02-08T21:33:38Z
dc.date.issued 2012-02-08
dc.identifier.uri http://hdl.handle.net/2097/13454
dc.description.abstract Background: Hand hygiene is important before meals, especially in a hospital cafeteria where patrons may have had recent contact with infectious agents. Few interventions to improve hand hygiene have had measureable success. This study was designed to use a poster intervention to encourage hand hygiene among health care workers (HCWs) and hospital visitors (HVs) upon entry to a hospital cafeteria. Methods: Over a 5-week period, a poster intervention with an accessible hand sanitizer unit was deployed to improve hand hygiene in a hospital cafeteria. The dependent variable observed was hand hygiene attempts. Study phases included a baseline, intervention, and follow-up phase, with each consisting of 3 randomized days of observation for 3 hours during lunch. Results: During the 27 hours of observation, 5,551 participants were observed, and overall hand hygiene frequency was 4.79%. Hygiene attempts occurred more frequently by HCWs than HVs (P 5 .0008) and females than males (P 5 .0281). Hygiene attempts occurred more frequently after poster introduction than baseline (P 5 .0050), and this improvement was because of an increase in frequency of HV hand hygiene rather than HCW hand hygiene. Conclusion: The poster intervention tool with easily accessible hand sanitizer can improve overall hand hygiene performance in a US hospital cafeteria. en_US
dc.relation.uri http://www.ajicjournal.org/issues en_US
dc.subject Hand hygiene en_US
dc.subject Infectious disease en_US
dc.subject Cafeteria en_US
dc.subject Sanitizer en_US
dc.subject Poster en_US
dc.title Observation-based evaluation of hand hygiene practices and the effects of an intervention at a public hospital cafeteria. en_US
dc.type Article (author version) en_US
dc.date.published 2011 en_US
dc.citation.doi doi: 10.1016/j.ajic.2010.09.016 en_US
dc.citation.epage 470 en_US
dc.citation.issue 6 en_US
dc.citation.jtitle American Journal of Infection Control en_US
dc.citation.spage 464 en_US
dc.citation.volume 39 en_US
dc.contributor.authoreid dpowell en_US
dc.contributor.authoreid kstenske en_US
dc.contributor.authoreid bjchapman en_US

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