Cluster Randomized Controlled Trial of a Multifaceted Intervention to Improve Hand Hygiene Among Healthcare Workers
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 1,500
- Locations
- 3
- Primary Endpoint
- Incidence of MRSA
Study Overview
Brief Summary
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.
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •A. Study units Inclusion: Medical and subspecialty units, surgical units, critical care units
Exclusion Criteria
- •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.
Arms & Interventions
Hand hygiene
Hand hygiene promotion
Intervention: feedback (Behavioral)
Hand hygiene
Hand hygiene promotion
Intervention: Education (Behavioral)
Usual care
usual care
Intervention: usual care (Other)
Outcomes
Primary Outcomes
Incidence of MRSA
Time Frame: 12 months
Adherence to hand hygiene
Time Frame: 12 months
Secondary Outcomes
- Incidence of multi-resistant bacteria other than MRSA(12 months)
- Catheter-related blood stream infections(12 months)
- Clostridium difficile related diarrhea(12 months)