Dirty doctors risking patient health

Hospital staff pay dramatically less attention to hand hygiene when they feel no one is watching, a new study reveals.

UNSW medical researchers have found that hand hygiene rates in hospital staff drop sharply when humans undertaking compliance monitoring are replaced by machines.

A government-led mandatory hand hygiene program has operated in Australian hospitals for the past eight years, with human auditors ensuring staff follow hand hygiene guidelines, which require a minimum of 70 per cent compliance.  

But compliance rates fell from more than 90 per cent to 30 per cent when the human auditors were relieved by automated surveillance, creating infection risks for patients, the study's authors said.

The researchers compared human and automated methods of surveillance in an Australian teaching hospital over a period of two years. 

Automated surveillance consisted of hand hygiene dispensers at sinks and bedsides recording hand hygiene by touch, while human surveillance was direct observation of healthcare workers by human auditors.

“Regular hand hygiene among healthcare workers is a cornerstone of hospital hygiene to prevent the transmission of pathogens and potential infection,” said UNSW Medicine Professor MaryLouise McLaws, an infection control expert and World Health Organisation health adviser.

“In our study, we found that as soon as human eyes were off the clock outside of the mandatory 20-minute audit and our automated method continued to monitor compliance, hand hygiene compliance went from 94 per cent to 30 per cent – which is gravely concerning.”

Do you trust the doctors at your hospital to take care of their hygiene properly?

Read the full UNSW report.

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From the link to UNSW above:

The mandatory national hand hygiene program requires Australian public hospitals to use direct human auditing to establish compliance rates.

A large tertiary Australian teaching hospital previously trialed automated surveillance while simultaneously performing mandatory human audits for 20 minutes daily on a medical and a surgical ward … for each of the 3 quarterly reporting periods for 2014 and 2015.

Conclusions
Mandatory compliance necessitates accuracy that only automated surveillance can achieve, whereas daily hand hygiene ambassadors or reminder technology could harness clinicians' ability to hyperrespond to produce habitual compliance.

So am I reading this right from above link info?

• Australia has a mandatory national hand hygiene program for Australian public hospitals using human auditing.
• The info above is referring to one trial 3 years ago in one hospital to compare human/automated monitoring techniques.

Based on that info, I am not overly concerned about medical hygiene.

More dangerous bacteria found on supermarket trollies, money, public touch screen devices and the sponge near the kitchen sink IMO.

"More dangerous bacteria found on supermarket trollies, money, public touch screen devices and the sponge near the kitchen sink IMO."

True..but doctors deal with open wounds..they have to be more careful..

 

True..but doctors deal with open wounds..they have to be more careful..

Yep, obviously Sophie. BTW, was admitted to emergency in a public hospital a couple of weeks ago and had follow-up scans in a private hospital last week. From what I observed all staff were meticulous in their attention to hygiene in both. Good to see.

Sadly a lot of the Hospitals have Superbugs

Sorry to read of your emergency admission RnR...yes..it is good to know the message is getting through.

A couple of weeks ago I drove a friend to a private eye hospital and was happy to see automatic hand sanitisers at various points.

Even at my local shopping centre (not the centre I mentioned above) there's an automatic sanitiser outside the toilet entrance..so there's no excuse!


VRE, a bacterium reistant to certain antibiotics is only found in the hospital environment, and is passed on by medical staff. It can be very serious for certain patients.

When a patient has contracted this they are put in isolation every time they need to be in hospital in order that other patients aren't infected.

It is reportable to the health authority, and lasts some years.  Tests are needed to confirm a carrier is VRE free.

 

 

 

I was in a public toilet once at a shopping centre and was very surprised to see a pharmacist I know leave the toilet cubicle and return to the pharmacy without washing her hands..

I wish I had said to her..you haven't washed your hands!


MAybe they were aware that the Pharmacy had a better had washing area -- as so many public toilets have that darn blower for drying hands and quite frankly I can not get out of there fast enough I wash my hands BUT I scoot out and dry them on my clean hand towel I carry rather than get God knows what germs blown all over me with that hand blower

You are quite right Plan B ... he would have got more germs washing his hands in the bathroom.

Perhaps you could throw some light on why a male would be in an all female toilet?


 

Image result for lgbtiq toilets  ????

 avatarvery surprised to see a pharmacist I know leave the toilet cubicle and return to the pharmacy without washing her hands..

 

Might be worth your while stopping by Specsavers for an eye test..

meowww ! - why so bitchly old gal. 

chill

meowww ! - why so bitchly old gal. 

chill

Looks like a man to me ???

save image


dunno suze - maybe in the sophie family , the females look like that surgeon

Talking about "superbugs"..they don't exist only in hospitals!

Image result for superbugs

I have secondary breast cancer in my bones and liver and in May a cancer at the head of my femur pushed it apart and the bone broke.  As I live alone I was told I had to go into respite for 2 weeks.  Also while trying to get a medication to work I was given injections of a new treatment, not only did they not work but the backs of my hands and the whole of my left index finger broke out in horrid sores that needed dressing each day and sometime twice a day.  I was scared I may even loose my index finger it was so bad.

Why am I telling you this well in the nursing home respite room I had 2 of the nurses would not wear gloves when doing my dressings.  I asked them but they said it was OK not to do with gloves, one didn`t even wash her hands either.  I hate complaining but my Jane McGrath nurse advised me to which I did and the DON sat in one day and watched but said nothing in front of me but that nurse never did my dressings again.   I know its not really hospital but it is nursing all the same.  I would have thought for their own health reasons with open bleeding sores they would have used gloves because they only had my word I didn`t have any other health probs.  What if I had AIDS, I don`t but what if I did and never told anyone they would have been in a lot of trouble. 

ThankfullyI`m all OK now and on new meds that not only have heeled my hands but have shrunk the cancer a bit but these nuirses really didn`t help me at all.

Thanks for sharing your story with us Tathra

Hope your new medication keeps working and that you get back home soon.

Tathra, I am SO sorry to hear of your dreadful troubles and send you best wishes -- Not that they will do much good -- I really feel for you when you are the mercy of these uncaring people!

Always easy to see who has not suffered and would have NO idea as to what you are going through --

Tathra -  Thanks for sharing your story with us. You have certainly been through a lot. I used to care for young men with AIDS. We always wore gloves when tending to their needs. One of the boys asked why I was wearing gloves and I said that it was to protect him from catching any  germs from me. Thats how I handled it. 

Has anyone noticed ,when visiting a doctor's office, the Doctor doesn't wash his hands after each patient?. Well mine doesn't. When we were young ,I remember the Doctor always washed his hands when you came into his office. I also read that in America, the Doctors have been told to not wear a tie when visiting patients as the tie carries a multitude of germs. When you think of it, when was the last time your partner washed his tie? It can be used for wipeing the nose, blocking a sneeze and wiping the mouth. Yuk.

Of late I have had to have some blood taken, had an appointment at professional rooms at Nedlands, so I called in to the local Dracula Rooms. Was met by a male nurse some 7ft tall.    I kid you not.

He was the gentliest of nurses that I have experienced taking blood.  Good humoured and friendly, and the rooms were nice and clean.  No mark on my arm, no feeling of being stabbed.

Unlike two days ago when I had to have more blood taken.  Went to another Branch of the Dracula Organization and was met by a female nurse who left a lot to be desired.   My arm now has a big black bruise on it.  This nurse must have used a knitting needle, it was punched into my flesh and was not pleasant to take the samples.  While looking around the room I thought to myself this could do with a clean, dirty lights and light coverings with a lot of dead flies sitting there for all to see.  I am not impressed, so much so I sent them an email.

 

 

 

 

 

 

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