A Multifaceted Intervention to Improve Hand Hygiene
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Purpose
This randomized controlled trial will evaluate the effect of a multifaceted intervention including performance feedback on adherence to hand hygiene among healthcare workers. A key component of the study is to demonstrate whether improved adherence to hand hygiene leads to a reduction in rates of infection.
| Condition | Intervention |
|---|---|
|
Handwashing Infection |
Behavioral: feedback Behavioral: Education Other: usual care |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Cluster Randomized Controlled Trial of a Multifaceted Intervention to Improve Hand Hygiene Among Healthcare Workers |
- Incidence of MRSA [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
- Adherence to hand hygiene [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Incidence of multi-resistant bacteria other than MRSA [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
- Catheter-related blood stream infections [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
- Clostridium difficile related diarrhea [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 1500 |
| Study Start Date: | January 2007 |
| Study Completion Date: | July 2008 |
| Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Hand hygiene promotion
|
Behavioral: feedback Behavioral: Education |
|
Active Comparator: 2
usual care
|
Other: usual care |
Detailed Description:
A cluster randomized controlled trial of the intervention will be conducted where hospital units (wards) in three hospitals will be allocated to either the intervention or usual practise. We will stratify by hospital site in order to minimize confounding by hospital-level factors. The unit of allocation, intervention, and analysis will be at the level of the hospital unit. Thirty hospital units will be randomized to either the intervention or comparison arm. We will compare adherence to hand hygiene, MRSA rates, and other outcomes between the two study arms.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
A. Study units Inclusion: Medical and subspecialty units, surgical units, critical care units
Exclusion: pediatric units, neonatal intensive care units
B. Healthcare workers
Inclusion: any hospital staff with direct patient care who are affiliated with a single unit (includes registered nurses, nursing assistants, environmental aides, allied health professionals (occupational, physical, and respiratory therapists), and some physicians
C. Patients Clinical outcomes will be measured in patients on study units.
Contacts and Locations| Canada, Ontario | |
| McMaster University Medical Centre | |
| Hamilton, Ontario, Canada, L8N 3Z5 | |
| Henderson Hospital | |
| Hamilton, Ontario, Canada, L8V 1C3 | |
| Hamilton General Hospital | |
| Hamilton, Ontario, Canada, L8L 2X2 | |
| Principal Investigator: | Mark B Loeb, MD, MSc | Hamilton Health Sciences- McMaster University |
More Information
No publications provided
| Responsible Party: | Dr. Mark Loeb, McMaster University |
| ClinicalTrials.gov Identifier: | NCT00375037 History of Changes |
| Other Study ID Numbers: | 05-277 |
| Study First Received: | September 11, 2006 |
| Last Updated: | September 19, 2008 |
| Health Authority: | Canada: Health Canada |
Keywords provided by McMaster University:
|
hand washing cluster randomized trial performance feedback |
healthcare workers Hand hygiene hand washing adherence |
ClinicalTrials.gov processed this record on June 17, 2013