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Using environmental engineering to increase hand hygiene compliance: a cross-over study protocol.

Schmidtke, Kelly Ann and Aujla, Navneet and Marshall, Tom and Hussain, Abid and Hodgkinson, Gerard P and Arheart, Kristopher and Marti, Joachim and Birnbach, David J and Vlaev, Ivo (2017) Using environmental engineering to increase hand hygiene compliance: a cross-over study protocol. BMJ open, 7 (9). e017108. ISSN 2044-6055. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: http://bmjopen.bmj.com/content/7/9/e017108.long

Abstract

INTRODUCTION

Compliance with hand hygiene recommendations in hospital is typically less than 50%. Such low compliance inevitably contributes to hospital-acquired infections that negatively affect patients' well-being and hospitals' finances. The design of the present study is predicated on the assumption that most people who fail to clean their hands are not doing so intentionally, they just forget. The present study will test whether psychological priming can be used to increase the number of people who clean their hands on entering a ward. Here, we present the protocol for this study.

METHODS AND ANALYSIS

The study will use a randomised cross-over design. During the study, each of four wards will be observed during four conditions: olfactory prime, visual prime, both primes and neither prime. Each condition will be experienced for 42 days followed by a 7-day washout period (total duration of trial=189 days). We will record the number of people who enter each ward and whether they clean their hands during observation sessions, the amount of cleaning material used from the dispensers each week and the number of hospital-acquired infections that occur in each period. The outcomes will be compared using a regression analysis. Following the initial trail, the most effective priming condition will be rolled out for 3 months in all the wards.

ETHICS AND DISSEMINATION

Research ethics approval was obtained from the South Central-Oxford C Research Ethics Committee (16/SC/0554), the Health Regulatory Authority and the sponsor.

TRIAL REGISTRATION NUMBER

ISRCTN (15397624); Edge ID 86357.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WC Communicabable diseases
Divisions: Clinical Support > Infection Control
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 05 Dec 2017 14:01
Last Modified: 05 Dec 2017 14:01
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1545

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