Details

Autor(en) / Beteiligte

• Scheithauer, Simone, PD, MD
• Rosarius, Anna
• Rex, Steffen, MD
• Post, Peter, MD
• Heisel, Hans
• Krizanovic, Vedranka
• Schulze-Röbbecke, Roland, PD, MD
• Rossaint, Rolf, MD
• Lemmen, Sebastian W., MD

Titel

Improving hand hygiene compliance in the anesthesia working room work area: More than just more hand rubs

Ist Teil von

• American journal of infection control, 2013-11, Vol.41 (11), p.1001-1006

Ort / Verlag

New York, NY: Mosby, Inc

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• Background The anesthesia working area represents an environment with a high density of invasive and, thus, infection-prone procedures. The 2 primary goals of this study were (1) to perform a precise analysis of anesthesia-related hand hygiene (HH) procedures and (2) to optimize HH compliance. Methods We conducted a prospective, triphase before/after study to determine opportunities for and compliance with hand disinfection (World Health Organization definition) in an anesthesia working area. Standard operating procedures were optimized for invasive procedures during 2 predefined intervention periods to improve work flow practices. Results Seven hundred fifty anesthesia procedures were evaluated with 12,142 indications for HH. Compliance significantly increased from 10% (465/4,636) to 30% (1,202/4,029) and finally to 55% (1,881/3,477; all P  < .001) in phases I, II, and III, respectively. We identified a significant increase in the number of hand rubs performed during 1 anesthesia procedure (2 to 8, respectively; P  < .001) in parallel with a significant decrease in number of opportunities needing a hand rub (24 to 14, respectively; P  < .0001) because of improved work flow practices. Notably, the greatest improvement was seen before aseptic tasks (8% to 55%, respectively). Conclusion Our study provides the first detailed data on anesthesia-related and indication-specific HH. Importantly, HH compliance improved significantly without a noticeable increasing workload.