Stepwise interventions for improving hand hygiene compliance in a level 3 academic neonatal intensive care unit in north India.
Shridhar GopalakrishnanSuman ChaurasiaMari Jeeva SankarV K PaulA K DeorariM JoshiRamesh AgarwalPublished in: Journal of perinatology : official journal of the California Perinatal Association (2021)
Hand-hygiene compliance changed from 61.8% (baseline) to 77% (end) with overall relative change: 24.6% (95% CI 18, 32; p value= 0.003); compared with preceding phase, relative changes of 21% (15, 28; <0.001), 4% (0, 8; 0.008), -10% (-13, -6; <0.001), and 10% (5, 15; <0.001) during phases II, III, IV, and V, respectively were observed. Rise in hand-hygiene compliance was higher for after-WHO-moments (12.7%; upto 2.5-folds for moment 5, <0.001) compared to before-WHO-moments (5.2%). Educational interventions, feedback and monitoring WHO moments can improve hand-hygiene compliance significantly among health-care providers in NICU.