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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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epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England

TL;DR: These guidelines (epic3) provide comprehensive recommendations for preventing HCAI in hospital and other acute care settings based on the best currently available evidence, and the synopses of evidence underpinning the guideline recommendations have been updated.
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Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care

TL;DR: Noncompliance with hand hygiene guidelines is a universal problem, which calls for standardized measures for research and monitoring andoretical models from the behavioral sciences should be used internationally and should be adapted to better explain the complexities of hand hygiene.
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Health care-associated infections – an overview

TL;DR: Several studies suggest that simple infection-control procedures such as cleaning hands with an alcohol-based hand rub can help prevent HCAIs and save lives, reduce morbidity, and minimize health care costs.
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The World Health Organization Guidelines on Hand Hygiene in Health Care and Their Consensus Recommendations

TL;DR: The World Health Organization's Guidelines on Hand Hygiene in Health Care have been issued by WHO Patient Safety on 5 May 2009 on the occasion of the launch of the Save Lives: Clean Your Hands initiative as mentioned in this paper.
References
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The use of a ward-based educational teaching package to enhance nurses' compliance with infection control procedures

TL;DR: The feasibility of using a ward-based teaching package to enhance nurses' compliance with key infection control precautions was tested in a quasi-experimental research study conducted on matched surgical wards in a teaching hospital.
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Effect of an automated sink on handwashing practices and attitudes in high-risk units.

TL;DR: Automated devices must be flexible enough to allow adjustments based on staff acceptance and application of new technology to improve hand hygiene requires a multifaceted approach to behavior change.
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Reduction of bloodstream infections associated with catheters in paediatric intensive care unit: stepwise approach

TL;DR: Significant decreases in rates of infection occurred over the intervention period, and these were sustained over the three year follow-up.
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Searching for an Optimal Hand Hygiene Bundle: a Meta-Analysis

TL;DR: Three studies evaluated the interventions education, reminders, feedback, administrative support, and access to alcohol-based hand rub as a bundle, which was associated with improved hand hygiene compliance and should be further studied using high-quality study designs and compared with other interventions.
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Economic burden of healthcare-associated infection in US acute care hospitals: societal perspective.

TL;DR: The enormous clinical and economic burden of infection places HAIs high on the list of devastating and costly illnesses, such as cancer, heart attack, stroke, and diabetes, thereby mandating further research and greater efforts to contain a pressing healthcare problem.
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