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An Organizational Climate Intervention Associated With Increased Handwashing and Decreased Nosocomial Infections
Abstract
Handwashing practices are persistently suboptimal among healthcare professionals and are also stubbornly resistant to change. The purpose of this quasi-experimental intervention trial was to assess the impact of an intervention to change organizational culture on frequency of staff handwashing (as measured by counting devices inserted into soap dispensers on four critical care units) and nosocomial infections associated with methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). All staff in one of two hospitals in the mid-Atlantic region received an intervention with multiple components designed to change organizational culture; the second hospital served as a comparison. Over a period of 8 months, 860,567 soap dispensings were recorded, with significant improvements in the study hospital after 6 months of follow-up. Rates of MRSA were not significantly different between the two hospitals, but rates of VRE were significantly reduced in the intervention hospital during implementation.
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Citations
Cited by
Guideline for hand hygiene in health-care settings
Boyce, J. M., & Pittet, D. (2002) · American Journal of Infection Control · doi:10.1067/mic.2002.130391 · Cited by 2,120
Management of multidrug-resistant organisms in health care settings, 2006
Siegel, J. D., Rhinehart, E., Jackson, M., & Chiarello, L. (2007) · American Journal of Infection Control · doi:10.1016/j.ajic.2007.10.006 · Cited by 1,283
Role of hand hygiene in healthcare-associated infection prevention
Allegranzi, B., & Pittet, D. (2009) · Journal of Hospital Infection · doi:10.1016/j.jhin.2009.04.019 · Cited by 1,044
Evidence-based model for hand transmission during patient care and the role of improved practices
Pittet, D., Allegranzi, B., Sax, H., Dharan, S., Pessoa-Silva, C. L., Donaldson, L., & Boyce, J. M. (2006) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(06)70600-4 · Cited by 790
Guidelines for Infection Control in Dental Health Care Settings
(2013) · Little and Falace's Dental Management of the Medically Compromised Patient · doi:10.1016/b978-0-323-08028-6.00032-4 · Cited by 696
Metadata
- Authors
- Larson, E. L., Early, E., Cloonan, P., Sugrue, S., & Parides, M.
- Venue
- Behavioral Medicine
- Publisher
- Informa UK Limited
- Published
- 2000-01
- Volume
- 26
- Issue
- 1
- Pages
- 14-22
- ISSN
- 0896-4289 (ISSN-L)
- 1940-4026
- OpenAlex
- W2058289471
- Cited by
- 404
- References
- 0
- FWCI
- 9.58
- Type
- journal article
- Language
- en
- Open access
- closed
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- Larson, E. L., Early, E., Cloonan, P., Sugrue, S., & Parides, M. (2000). An Organizational Climate Intervention Associated With Increased Handwashing and Decreased Nosocomial Infections. Behavioral Medicine. https://doi.org/10.1080/08964280009595749
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
