Author Interviews, Hand Washing, Hospital Acquired, Infections, JAMA / 13.10.2018
Mandated Audit-and-Feedback Did Not Improve Hospital Hand Hygiene
MedicalResearch.com Interview with:
Dr. Daniel J. Livorsi, MD
Assistant Professor
INFECTIOUS DISEASE SPECIALIST
University of Iowa
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: One of the Joint Commission’s standards is that hospitals audit and provide feedback on hand hygiene compliance among healthcare workers. Audit-and-feedback is therefore commonly practiced in US hospitals, but the effective design and delivery of this intervention is poorly defined, particularly in relation to hand hygiene improvement.
We studied how 8 hospitals had implemented audit-and-feedback for hand hygiene improvement. We found that hospitals were encountering several barriers in their implementation of audit-and-feedback. Audit data on hand hygiene compliance was challenging to collect and was frequently questioned. The feedback of audit results did not motivate positive change.
(more…)