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Acta pediátrica de México
versión On-line ISSN 2395-8235versión impresa ISSN 0186-2391
Resumen
HERNANDEZ-OROZCO, HG et al. One-to-one training to increase correct hand hygiene technique. Acta pediatr. Méx [online]. 2017, vol.38, n.5, pp.299-307. ISSN 2395-8235. https://doi.org/10.18233/apm38no5pp299-3071469.
INTRODUCTION:
Hand hygiene (HH) is considered the most important strategy to prevent healthcare associated infections. At our institution, a previous survey showed that 93% of hospital staff said they knew the hand's hygiene technique. But active surveillance observations did not reflect these results.
OBJECTIVE:
Improve appropriate hand hygiene technique through a strategy "one to one".
METHODS:
Before and after study, conducted from 2012 to 2013 including the nursing staff. The study was done in three stages: 1st stage: we observed nurse performing HH and reinforced verbally if technique was incorrect. 2nd stage: we invited a nurse to perform a HH, if technique was incorrect, we asked the nurse to do HH together with a trained observer. 3rd stage: was performed with at least 15 days after 2nd stage and consisted in a final HH technique assessment. We analyzed and compared frequencies of correct events with ji2 and McNemar.
RESULTS:
The McNemar test showed statistically significant difference between the frequencies of correct hand hygiene (HH) at stage 1 compared with subsequent stages (35 versus 85%; P < .001).
CONCLUSIONS:
We confirmed that led intervention increased cooperation by the staff and improved the correct technique of HH in the short term.
Palabras llave : hand hygiene compliance; correct technique.