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A Multifaceted Intervention to Improve Hand Hygiene

This study has been completed.
The Physicians' Services Incorporated Foundation
Information provided by:
McMaster University Identifier:
First received: September 11, 2006
Last updated: September 19, 2008
Last verified: September 2008

September 11, 2006
September 19, 2008
January 2007
July 2008   (Final data collection date for primary outcome measure)
  • Incidence of MRSA [ Time Frame: 12 months ]
  • Adherence to hand hygiene [ Time Frame: 12 months ]
  • Incidence of MRSA
  • Adherence to hand hygiene
Complete list of historical versions of study NCT00375037 on Archive Site
  • Incidence of multi-resistant bacteria other than MRSA [ Time Frame: 12 months ]
  • Catheter-related blood stream infections [ Time Frame: 12 months ]
  • Clostridium difficile related diarrhea [ Time Frame: 12 months ]
  • Incidence of multi-resistant bacteria other than MRSA
  • Catheter-related blood stream infections
  • Clostridium difficile related diarrhea
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A Multifaceted Intervention to Improve Hand Hygiene
Cluster Randomized Controlled Trial of a Multifaceted Intervention to Improve Hand Hygiene Among Healthcare Workers
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.
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.
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Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
  • Handwashing
  • Infection
  • Behavioral: feedback
  • Behavioral: Education
  • Other: usual care
  • Experimental: 1
    Hand hygiene promotion
    • Behavioral: feedback
    • Behavioral: Education
  • Active Comparator: 2
    usual care
    Intervention: Other: usual care
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
July 2008
July 2008   (Final data collection date for primary outcome measure)

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.

Sexes Eligible for Study: All
Child, Adult, Senior
Contact information is only displayed when the study is recruiting subjects
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Dr. Mark Loeb, McMaster University
Hamilton Health Sciences Corporation
The Physicians' Services Incorporated Foundation
Principal Investigator: Mark B Loeb, MD, MSc Hamilton Health Sciences- McMaster University
McMaster University
September 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP