TY  - JOUR
AU  - Lehotsky, Ákos
AU  - Szilágyi, László
AU  - Ferenci, Tamás
AU  - Kovács, Levente
AU  - Pethes, Róbert
AU  - Wéber, György
AU  - Haidegger, Tamás
TI  - Quantitative impact of direct, personal feedback on hand hygiene technique
JF  - JOURNAL OF HOSPITAL INFECTION
J2  - J HOSP INFECT
VL  - 91
PY  - 2015
IS  - 1
SP  - 81
EP  - 84
PG  - 4
SN  - 0195-6701
DO  - 10.1016/j.jhin.2015.05.010
UR  - https://m2.mtmt.hu/api/publication/2915614
ID  - 2915614
LA  - English
DB  - MTMT
ER  - 

TY  - JOUR
AU  - Szilágyi, László
AU  - Haidegger, Tamás
AU  - Lehotsky, Ákos
AU  - Melinda, Nagy
AU  - Erik-Artur, Csonka
AU  - Xiuying, Sun
AU  - Kooi, Li Ooi
AU  - Dale, Fisher
TI  - A large-scale assessment of hand hygiene quality and the effectiveness of the “WHO 6-steps”
JF  - BMC INFECTIOUS DISEASES
J2  - BMC INFECT DIS
VL  - 13
PY  - 2013
PG  - 10
SN  - 1471-2334
DO  - 10.1186/1471-2334-13-249
UR  - https://m2.mtmt.hu/api/publication/2372410
ID  - 2372410
N1  - Department of Control Engineering and Information Technology (BME-IIT), Budapest University of Technology and Economics, Budapest H-1117, Magyar tudósok krt. 2, Hungary            
            Faculty of Technical and Human Sciences, Sapientia University, Tîrgu Mureş, Romania            
            Austrian Center for Medical Innovation and Technology (ACMIT), Wiener Neustadt, Austria            
            Department of Nursing, National University Health System (NUHS), Singapore, Singapore            
            Division of Infectious Diseases, University Medicine Cluster, National University Hospital, Singapore, Singapore            
            Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore            
            Export Date: 13 March 2025; Cited By: 58; Correspondence Address: T. Haidegger; Department of Control Engineering and Information Technology (BME-IIT), Budapest University of Technology and Economics, Budapest H-1117, Magyar tudósok krt. 2, Hungary; email: haidegger@eestec.hu; CODEN: BIDMB
AB  - Background

Hand hygiene compliance is generally assessed by observation of adherence to the “WHO five moments” using numbers of opportunities as the denominator. The quality of the activity is usually not monitored since there is no established methodology for the routine assessment of hand hygiene technique. The aim of this study was to objectively assess hand rub coverage of staff using a novel imaging technology and to look for patterns and trends in missed areas after the use of WHO’s 6 Step technique.
Methods

A hand hygiene education and assessment program targeted 5200 clinical staff over 7 days at the National University Hospital, Singapore. Participants in small groups were guided by professional trainers through 5 educational stations, which included technique-training and UV light assessment supported by digital photography of hands. Objective criteria for satisfactory hand hygiene quality were defined a priori. The database of images created during the assessment program was analyzed subsequently. Patterns of poor hand hygiene quality were identified and linked to staff demographic.
Results

Despite the assessment taking place immediately after the training, only 72% of staff achieved satisfactory coverage. Failure to adequately clean the dorsal and palmar aspects of the hand occurred in 24% and 18% of the instances, respectively. Fingertips were missed by 3.5% of subjects. The analysis based on 4642 records showed that nurses performed best (77% pass), and women performed better than men (75% vs. 62%, p<0.001). Further risk indicators have been identified regarding age and occupation.
Conclusion

Ongoing education and training has a vital role in improving hand hygiene compliance and technique of clinical staff. Identification of typical sites of failure can help to develop improved training.
LA  - English
DB  - MTMT
ER  -