Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/19686
Full metadata record
DC FieldValueLanguage
dc.contributor.authorGrayson, M Lindsay-
dc.contributor.authorStewardson, Andrew J-
dc.contributor.authorRusso, Philip L-
dc.contributor.authorRyan, Kate E-
dc.contributor.authorOlsen, Karen L-
dc.contributor.authorHavers, Sally M-
dc.contributor.authorGreig, Susan-
dc.contributor.authorCruickshank, Marilyn-
dc.date2018-09-28-
dc.date.accessioned2018-10-23T22:28:42Z-
dc.date.available2018-10-23T22:28:42Z-
dc.date.issued2018-
dc.identifier.citationThe Lancet. Infectious diseases 2018; 18(11): 1269-1277-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/19686-
dc.description.abstractThe National Hand Hygiene Initiative (NHHI) is a standardised culture-change programme based on the WHO My 5 Moments for Hand Hygiene approach to improve hand hygiene compliance among Australian health-care workers and reduce the risk of health-care-associated infections. We analysed its effectiveness. In this longitudinal study, we assessed outcomes of the NHHI for the 8 years after implementation (between Jan 1, 2009, and June 30, 2017), including hospital participation, hand hygiene compliance (measured as the proportion of observed Moments) three times per year, educational engagement, cost, and association with the incidence of health-care-associated Staphylococcus aureus bacteraemia (HA-SAB). Between 2009 and 2017, increases were observed in national health-care facility participation (105 hospitals [103 public and two private] in 2009 vs 937 hospitals [598 public and 339 private] in 2017) and overall hand hygiene compliance (36 213 [63·6%] of 56 978 Moments [95% CI 63·2-63·9] in 2009 vs 494 673 [84·3%] of 586 559 Moments [84·2-84·4] in 2017; p<0·0001). Compliance also increased for each Moment type and for each health-care worker occupational group, including for medical staff (4377 [50·5%] of 8669 Moments [95% CI 49·4-51·5] in 2009 vs 53 620 [71·7%] of 74 788 Moments [71·4-72·0]; p<0·0001). 1 989 713 NHHI online learning credential programmes were completed. The 2016 NHHI budget was equivalent to AUD$0·06 per inpatient admission nationally. Among Australia's major public hospitals (n=132), improved hand hygiene compliance was associated with declines in the incidence of HA-SAB (incidence rate ratio 0·85; 95% CI 0·79-0·93; p≤0·0001): for every 10% increase in hand hygiene compliance, the incidence of HA-SAB decreased by 15%. The NHHI has been associated with significant sustained improvement in hand hygiene compliance and a decline in the incidence of HA-SAB. Key features include sustained central coordination of a standardised approach and incorporation into hospital accreditation standards. The NHHI could be emulated in other national culture-change programmes. Australian Commission on Safety and Quality in Health Care.-
dc.language.isoeng-
dc.titleEffects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study.-
dc.typeJournal Article-
dc.identifier.journaltitleThe Lancet. Infectious diseases-
dc.identifier.affiliationDepartment of Medicine, University of Melbourne, Melbourne, VIC, Australiaen
dc.identifier.affiliationHand Hygiene Australia, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Infectious Diseases, Monash University, Melbourne, VIC, Australiaen
dc.identifier.affiliationDepartment of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationAustralian Commission on Safety and Quality in Health Care, Sydney, NSW, Australiaen
dc.identifier.affiliationDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australiaen
dc.identifier.affiliationCentre for Quality and Patient Safety Research, Alfred Health Partnership, Deakin University, Melbourne, VIC, Australiaen
dc.identifier.doi10.1016/S1473-3099(18)30491-2-
dc.identifier.pubmedid30274723-
dc.type.austinJournal Article-
local.name.researcherGrayson, M Lindsay
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.openairetypeJournal Article-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptHand Hygiene Australia-
crisitem.author.deptHand Hygiene Australia-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

58
checked on Oct 14, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.