TY  - CONF
  - Smiddy MP, Murphy OM, Savage E, Browne J
  - Healthcare Infection Society Conference
  - Does observational hand hygiene auditing reduce the incidence of healthcare-associated infection? A retrospective interrupted time series analysis 2009 – 2013.
  - Lyon, France
  - Poster Presentation
  - 2014
  - ()
  - 0
  - Background Observational hand hygiene auditing (OHHA) is hailed as the gold standard in improving compliance with hand hygiene guidelines. Results from many studies support this theory reporting significant improvement in hand hygiene performance after the introduction of OHHA. The relationship between reported compliance and the incidence of healthcare-associated infection needs to be explored to further examine the efficacy of OHHA. Objectives • To describe the impact of a national OHHA intervention on hand hygiene compliance in three study sites. • To examine the effect of OHHA on the incidence of hospital-acquired Methicillin Resistant Staphylococcus aureus (HA-MRSA). Methodology Retrospective time series analysis using data collected by infection prevention and control surveillance teams based in three acute hospitals in the south of Ireland. Participants: All patients admitted to three study sites between 1st January 2009 and 31st December 2013. Intervention: Launch of observational hand hygiene auditing standard operating procedure with national reporting in the summer of 2011. Outcome Measures: Change in amount of alcohol-based hand rub (ABHR) use and occurrence of cases of HA-MRSA (count data). Analysis: Segmented regression analysis of time series data. Results The proportion of observed compliance in all three sites increased since the intervention in 2011. The incidence of HA-MRSA decreased (p<0.01) and alcohol hand gel usage increased (p<0.01). Discussion This segmented regression analysis of time series data has shown a significant decrease in the number of HA-MRSA cases after the introduction of OHHA in 2011. The findings also demonstrate an increase in reported compliance with hand hygiene guidelines and increased use of ABHR. While further analysis will be required to control for confounders the study is strengthened by multiple data points to control for seasonality.
DA  - 2014/NaN
ER  - 

@unpublished{V280928860,
   = {Smiddy MP,  Murphy OM and  Savage E,  Browne J },
   = {Healthcare Infection Society Conference},
   = {{Does observational hand hygiene auditing reduce the incidence of healthcare-associated infection? A retrospective interrupted time series analysis 2009 – 2013.}},
   = {Lyon, France},
   = {Poster Presentation},
   = {2014},
   = {()},
   = {0},
   = {{Background Observational hand hygiene auditing (OHHA) is hailed as the gold standard in improving compliance with hand hygiene guidelines. Results from many studies support this theory reporting significant improvement in hand hygiene performance after the introduction of OHHA. The relationship between reported compliance and the incidence of healthcare-associated infection needs to be explored to further examine the efficacy of OHHA. Objectives • To describe the impact of a national OHHA intervention on hand hygiene compliance in three study sites. • To examine the effect of OHHA on the incidence of hospital-acquired Methicillin Resistant Staphylococcus aureus (HA-MRSA). Methodology Retrospective time series analysis using data collected by infection prevention and control surveillance teams based in three acute hospitals in the south of Ireland. Participants: All patients admitted to three study sites between 1st January 2009 and 31st December 2013. Intervention: Launch of observational hand hygiene auditing standard operating procedure with national reporting in the summer of 2011. Outcome Measures: Change in amount of alcohol-based hand rub (ABHR) use and occurrence of cases of HA-MRSA (count data). Analysis: Segmented regression analysis of time series data. Results The proportion of observed compliance in all three sites increased since the intervention in 2011. The incidence of HA-MRSA decreased (p<0.01) and alcohol hand gel usage increased (p<0.01). Discussion This segmented regression analysis of time series data has shown a significant decrease in the number of HA-MRSA cases after the introduction of OHHA in 2011. The findings also demonstrate an increase in reported compliance with hand hygiene guidelines and increased use of ABHR. While further analysis will be required to control for confounders the study is strengthened by multiple data points to control for seasonality.}},
  source = {IRIS}
}