Identifying the World Health Organization's fifth moment for hand hygiene: Infection prevention in the operating room.

Patient zone environmental contacts equipment hand hygiene high-touch intraoperative operating room

Journal

Journal of infection prevention
ISSN: 1757-1774
Titre abrégé: J Infect Prev
Pays: England
ID NLM: 101469725

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 17 12 2018
accepted: 07 08 2019
entrez: 8 2 2020
pubmed: 8 2 2020
medline: 8 2 2020
Statut: ppublish

Résumé

The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR). In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR. The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster. In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed. Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR. Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.

Sections du résumé

BACKGROUND BACKGROUND
The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR).
AIM/OBJECTIVES OBJECTIVE
In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR.
METHODS METHODS
The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster.
RESULTS RESULTS
In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed.
DISCUSSION CONCLUSIONS
Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR.
CONCLUSION CONCLUSIONS
Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.

Identifiants

pubmed: 32030101
doi: 10.1177/1757177419879996
pii: 10.1177_1757177419879996
pmc: PMC6978567
doi:

Types de publication

Journal Article

Langues

eng

Pagination

28-34

Informations de copyright

© The Author(s) 2019.

Déclaration de conflit d'intérêts

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

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Auteurs

Fiona Smith (F)

NHS Grampian Infection Prevention and Control Nurse, Aberdeen, UK.

Karen Lee (K)

University of Dundee Senior Lecturer Infection Prevention and Control, Dundee, Tayside, UK.

Eleanor Binnie-McLeod (E)

NHS Grampian Operating Room Department, Aberdeen, UK.

Mark Higgins (M)

NHS Grampian Operating Room Department, Aberdeen, UK.

Elizabeth Irvine (E)

NHS Grampian Operating Room Department, Aberdeen, UK.

Angela Henderson (A)

NHS Grampian Operating Room Department, Aberdeen, UK.

Ann Orr (A)

NHS Grampian Operating Room Department, Aberdeen, UK.

Fiona Clark (F)

NHS Grampian Operating Room Department, Aberdeen, UK.

Joanne Spence (J)

NHS Grampian Operating Room Department, Aberdeen, UK.

Classifications MeSH