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Health-care worker hand hygiene rates increase three-fold when auditors visible
Date:7/8/2014

lly measured while the auditors were visible, and were compared to the same locations prior to the arrival of the auditors at one, two and three weeks before the audit, as well as to a different area of the unit not visible to the auditor. Auditors typically did not go into patient rooms, so separate hand washing rates were determined for dispensers inside patient rooms and those in hallways. Twelve audits were included between November 2012 and March 2013.

The study found that there was an approximately three-fold increase in the rate of hallway hand washes per hour amongst healthcare staff when an auditor was visible (3.75 per hour), compared to a location where the auditor was not visible (1.48 per hour) and to the previous weeks (1.07 per hour). Hand washing rates with the auditor present were compared to separate groups at different time periods and locations to ensure that the differences found were not due to hand hygiene patterns that could be attributable to time of day or location. In each instance, the hand washing rates were significantly higher when the auditors were present, with the increase occurring after the auditors' arrival, suggesting that the arrival of the auditor triggered the increase in hand hygiene.

"The difference in hand hygiene rates, when an auditor is present compared to those times when one is not, is huge in this study, and we showed this effect to be very consistent," says Dr. Gardam, who is also an Associate Professor of Medicine at the University of Toronto.

"The magnitude of what we found calls into question the accuracy of directly observed hand hygiene rates and the usefulness of measuring and reporting them," says Dr. Gardam. "That said, human auditing of hand hygiene has been helpful to draw attention to this important preventative measurewe just can't stop focusing on it because our posted rates are not nearly as high as we think they are."

Dr. Srigley says that although the researc
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Contact: Alex Radkewycz
Alexandra.Radkewycz@uhn.ca
416-340-2895
University Health Network
Source:Eurekalert

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