302. Hand Hygiene (HH) Compliance: The Patientís Burden
Session: Poster Abstract Session: Hand Hygiene in Healthcare Settings
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • HH patient Burden for upload.pdf (327.0 kB)
  • Background: HH guidelines from the World Health Organization, Healthcare Infection Control Practices Advisory Committee of the Centers for Disease Control, Society for Healthcare Epidemiology of America, and the Infectious Diseases Society of America suggest involving patients in their own infection prevention (IP) efforts by “empowering” them to monitor HH compliance among providers, often encouraging them to "speak up" for noncompliance; however, little is known about the burden this places on the patient. This study sought to determine the number of provider HH opportunities encountered for a single patient receiving treatment at an academic medical center.

    Methods: Provider HH opportunities were prospectively recorded from 10/2010 - 3/2013 by a patient receiving care for breast cancer. Opportunities were categorized by type of visit (inpatient, outpatient clinic, laboratory, or ambulatory procedure) and by type of provider (physician, student, nurse, or ancillary staff).

    Results: Over the study period the patient had 4 inpatient admissions (10 hospital days), 70 outpatient clinic visits, 27 laboratory, 8 radiology and 33 ambulatory procedure visits. Overall, the number of provider HH opportunities recorded was 697 (558 outpatient and 139 inpatient) (Table); however, the number of inpatient opportunities is under-recorded as the patient was too ill to collect data for 5 (50%) hospital days.

    Conclusion: Guidelines suggest healthcare facilities educate patients about the importance of HH for IP and to encourage them to monitor providers for compliance. This study reveals that the patient burden associated just with identifying opportunities for compliance is significant (at least 697 over the course of treatment for a common medical illness). Research is needed to further characterize this burden placed on a vulnerable patient including issues surrounding the provider-patient relationship.

    Provider HH Opportunities over a 30 Month Period

     

    Physician

    Student

    Nurse

    Ancillary staff

    Inpatient visits

     

     

     

     

    Surgery

    4

    0

    14

    12

    Surgery

    3

    0

    2

    2

    Surgery

    15

    10

    34

    20

    Surgery

    3

    0

    12

    8

    totals

    25

    10

    62

    42

    Outpatient visits

     

     

     

     

    Clinic

    67

    0

    84

    54

    Lab

    0

    0

    0

    27

    Radiology

    0

    0

    0

    8

    Radiology procedures

    4

    0

    4

    4

    Cancer therapies and procedures

    5

    0

    198

    103

    totals

    76

    0

    286

    196

    Total Opportunities

    101

    10

    348

    238

    Cassandra Salgado, MD, MS, Division of Infectious Diseases, Medical University of South Carolina, Charleston, SC

    Disclosures:

    C. Salgado, AHRQ: Investigator, Research grant

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