Evaluation of the National Tool for Observation of Infection Prevention Measures in the Healthcare (NOST) - a Cluster Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 600
- 试验地点
- 2
- 主要终点
- Hand hygiene observations
研究概览
简要总结
The Norwegian Institute of Public Health (NIPH) is introducing a new electronic tool for direct observation of compliance with recommended infection prevention and control measures in healthcare. The solution is called the National Tool for Observation of Infection Prevention Measures (NOST). NOST is a quality improvement tool that includes a web-based solution for observing compliance with recommendations for hand hygiene and other IPC measures. Through NOST, healthcare personnel will be able to identify the local level of compliance, which in turn can reveal areas for improvement.
This protocol includes the evaluation of NOST in hospitals. The evaluation is designed as a cluster-randomized controlled trial with two arms where eligible wards in hospitals are randomly allocated into an intervention and a control arm. NOST is implemented in the intervention wards at the start of the evaluation period, and compliance with hand hygiene and other outcomes are measured in both the interventions and control wards one year later.
The objective of evaluating NOST is to:
- measure if implementation of NOST leads to improved infection prevention and control in the form of increased compliance with hand hygiene recommendations, and
- measure if changes in the quality of infection prevention and control as a result of implemented NOST affects the epidemiology of healthcare-associated infections in healthcare institutions and the length of hospital stays.
详细描述
The evaluation og NOST is designed as a cluster-randomized controlled trial with two arms where eligible wards in hospitals are randomly allocated into an intervention and a control arm. NOST is implemented in the intervention wards at the start of the evaluation period, and compliance with hand hygiene and other outcomes are measured in both the interventions and control wards one year later.
Intervention
The intervention in the study is to implement NOST, which includes:
- observation and recording of compliance with hand hygiene recommendations
- identification of areas for improvement
- training or other actions taken to improve IPC in general or compliance with hand hygiene.
Thus, the intervention includes both observation of compliance and any additional improvement measures initiated as a result of the introduced NOST.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
The reserachers who evaluates the outcome of interest will be masked for the group allocation.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Hospital wards with day- and night care.
排除标准
- •Intensivecare units.
结局指标
主要结局
Hand hygiene observations
时间窗: Day 1 to one year later
Self-reported proportion of correct compliance, in total and by occupation
次要结局
- Surveillance of postoperative site infections(Day 1 to one year later)
- Outbreaks of infectious diseases(Day 1 to one year later)
- Surveillance of healthcare-associated infections(Day 1 to one year later)
- Length of stay(Day 1 to one year later)