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Positive deviance: A program for sustained improvement in hand hygiene compliance

Marra, Alexandre R., MD ; Reis Guastelli, Luciana, RN ; Pereira de Araújo, Carla Manuela, RN ; Saraiva dos Santos, Jorge L., RN ; Filho, Miguel Almeida O., RN ; Silva, Claudia Vallone, RN ; Kawagoe, Julia Yaeko, RN ; Cendoroglo Neto, Miguel, MD ; Pavão dos Santos, Oscar Fernando, MD ; Edmond, Michael B., MD, MPH, MPA

American journal of infection control, 2011-02, Vol.39 (1), p.1-5 [Periódico revisado por pares]

New York, NY: Mosby, Inc

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Título:
Positive deviance: A program for sustained improvement in hand hygiene compliance
Autor: Marra, Alexandre R., MD ; Reis Guastelli, Luciana, RN ; Pereira de Araújo, Carla Manuela, RN ; Saraiva dos Santos, Jorge L., RN ; Filho, Miguel Almeida O., RN ; Silva, Claudia Vallone, RN ; Kawagoe, Julia Yaeko, RN ; Cendoroglo Neto, Miguel, MD ; Pavão dos Santos, Oscar Fernando, MD ; Edmond, Michael B., MD, MPH, MPA
Assuntos: alcohol gel ; Biological and medical sciences ; Cross Infection - epidemiology ; Cross Infection - prevention & control ; Disease prevention ; epidemiology ; Epidemiology. Vaccinations ; General aspects ; Guideline Adherence - statistics & numerical data ; Hand Disinfection - methods ; Hands ; Hospitals ; Humans ; Hygiene ; Infection Control ; Infection Control - methods ; Infections ; Infectious Disease ; Infectious diseases ; Medical sciences ; observational study ; positive deviance strategy ; Step-down unit ; sustainability
É parte de: American journal of infection control, 2011-02, Vol.39 (1), p.1-5
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Background There is a paucity of data evaluating whether positive deviance (PD) can sustain improvement in hand hygiene compliance. Methods An observational study comparing the effect of PD on compliance with hand hygiene was conducted in two 20-bed step-down units (SDUs) at a private tertiary care hospital. In a 3-month baseline period (April-June 2008), hand hygiene counts were performed by electronic handwashing counters. Between July 1, 2008, and November 30, 2009, (East SDU) and between September 30, 2008, and December 2009 (West SDU), PD was applied in both units. Results There was more than a 2-fold difference in the number of alcohol gel aliquots dispensed per month from April 2008 (before PD) to November 2009 (last month in PD) in the East SDU. There was also a 2-fold difference in the number of alcohol gel aliquots dispensed per month from September 2008 (before PD) to December 2009 (last month in PD) in the West SDU. The difference in the rate of health care‒associated infections (HAIs) between the baseline period and 2009 was statistically significant in the East SDU (5.8 vs 2.8 per 1,000 device-days; P = .008) and in the West SDU (3.7 vs 1.7 per 1,000 device-days; P = .023). Conclusions PD was responsible for a sustained improvement in hand hygiene in the inpatient setting and was associated with a decrease in the incidence of device-associated HAIs.
Editor: New York, NY: Mosby, Inc
Idioma: Inglês

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Positive deviance: A program for sustained improvement in hand hygiene compliance

New York, NY: Mosby, Inc

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