Cluster Randomized Controlled Trial of a Multifaceted Intervention to Improve Hand Hygiene Among Healthcare Workers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,500
- 试验地点
- 3
- 主要终点
- Incidence of MRSA
研究概览
简要总结
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.
详细描述
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.
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
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •A. Study units Inclusion: Medical and subspecialty units, surgical units, critical care units
排除标准
- •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.
研究组 & 干预措施
Hand hygiene
Hand hygiene promotion
干预措施: feedback (Behavioral)
Hand hygiene
Hand hygiene promotion
干预措施: Education (Behavioral)
Usual care
usual care
干预措施: usual care (Other)
结局指标
主要结局
Incidence of MRSA
时间窗: 12 months
Adherence to hand hygiene
时间窗: 12 months
次要结局
- Incidence of multi-resistant bacteria other than MRSA(12 months)
- Catheter-related blood stream infections(12 months)
- Clostridium difficile related diarrhea(12 months)