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Interventions to improve hand hygiene compliance in patient care

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TLDR
The quality of intervention studies intended to increase hand hygiene compliance remains disappointing and although multifaceted campaigns with social marketing or staff involvement appear to have an effect, there is insufficient evidence to draw a firm conclusion.
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This article is published in Journal of Hospital Infection.The article was published on 2017-09-01 and is currently open access. It has received 503 citations till now. The article focuses on the topics: Psychological intervention.

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Effectiveness and Limitations of Hand Hygiene Promotion on Decreasing Healthcare–Associated Infections

TL;DR: Implementation of a HHP reduces preventable HAIs and is cost effective, and the disease severity score increased during the intervention period, but there was no discernable impact on HAI rates in the hematology/oncology wards.
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Automated and electronically assisted hand hygiene monitoring systems: A systematic review

TL;DR: A systematic review of the existing evidence surrounding the adoption and accuracy of automated systems or electronically enhanced direct observations and the effectiveness of such systems in health care settings finds limited data are currently available to recommend adoption of specific automatic or electronically assisted hand hygiene surveillance systems.
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Preoperative chlorhexidine shower or bath for prevention of surgical site infection: a meta-analysis.

TL;DR: Meta-analysis of available clinical trials suggests no appreciable benefit of preoperative whole-body chlorhexidine bathing for prevention of SSI, and better designed trials with a specified duration and frequency of exposed patients are needed.
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Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series

TL;DR: The initiative was associated with a large and significant hospital-wide improvement in HH which was sustained through the following year and a significant, sustained reduction in the incidence of healthcare-associated infection.
References
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Journal ArticleDOI

The theory of planned behavior

TL;DR: Ajzen, 1985, 1987, this article reviewed the theory of planned behavior and some unresolved issues and concluded that the theory is well supported by empirical evidence and that intention to perform behaviors of different kinds can be predicted with high accuracy from attitudes toward the behavior, subjective norms, and perceived behavioral control; and these intentions, together with perceptions of behavioral control, account for considerable variance in actual behavior.
Journal ArticleDOI

Audit and feedback: effects on professional practice and healthcare outcomes

TL;DR: The results indicated that feedback may be more effective when baseline performance is low, the source is a supervisor or colleague, it is provided more than once, and the role of context and the targeted clinical behaviour was assessed.

Chapter 8: Assessing risk of bias in included studies

TL;DR: The Cochrane Handbook for Systematic Reviews of Interventions (ISBN 978-0470057964) is published by John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, England.
Book

Management and the Worker

TL;DR: In this article, the authors describe the development of the interviewing program and the practical operation of the Plan the Training of Supervisors and the Investigation of Complaints, as well as the analysis of complaints fact vs. sentiment.
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