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.
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.