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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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Hand washing and use of gloves while managing patients receiving mechanical ventilation in the ICU.

TL;DR: Simple measures such as the placement of warning labels on mechanical ventilators can significantly improve hand washing and use of gloves by RCPs in the ICU.
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Evaluation of a training programme on knowledge and compliance of nurse assistants' hand hygiene in nursing homes

TL;DR: Examination of the impact of a comprehensive training programme in hand hygiene for nurse assistants in northern Taiwan on their knowledge and compliance, as well as on the infection rate of nursing home residents found that three months after hand-hygiene training the NAs had significantly more knowledge and better compliance.
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Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review

TL;DR: Pharmacist-led medication reconciliation, the Keystone ICU intervention for central line-associated bloodstream infections, chlorhexidine for vascular catheter site care, and standard surgical sponge counts were economically attractive strategies for improving patient safety.
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The Impact of Gown-Use Requirement on Hand Hygiene Compliance

TL;DR: The hypothesis that a gown-use requirement might improve hand hygiene Compliance in the intensive care unit could not be confirmed and improvement in hand hygiene compliance associated with the gown- use requirement was small and did not affect precare rates.
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Hand hygiene compliance by physicians: marked heterogeneity due to local culture?

TL;DR: The remarkable heterogeneity in physicians' hand hygiene compliance among sites within the same institution is consistent with an important role of the local ward culture.
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