July 26, 2019Comments are off for this post.

Reduction of hospital-acquired infections using the Sani nudge system

Figure 1: Schematic illustration of clinically relevant results
Sani nudgeTM is a comprehensive system for preventing infectious disease transmission. The system is designed to empower healthcare professionals to reach compliance goals. In this paper, we show how implementation of the Sani nudgeTM and the 5-step improvement tool has improved hand hygiene compliance by 200% and reduced hospital-acquired infections (HAIs) by up to 64%. In addition, we show the cost savings associated with improved hand hygiene and reduction in HAIs.
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May 7, 2019Comments are off for this post.

Antibiotic use in nursing facilities halved after a 2-hours course

Approx. 50% of all antibiotic use in the elderly population is prescribed due to urinary tract infections, thereby significantly increasing the risk of multi-resistant bacteria development. Thus, it is crucial to reduce the number of infections in the first place.
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April 15, 2019Comments are off for this post.

Differences in behaviour among healthcare workers with high vs low hygiene compliance

During our time working with hospitals on improving the hand hygiene compliance (HHC) of healthcare workers (HCWs), we often come across the high achievers who appear to succeed in sanitizing according to the guidelines. Most HCWs know when to sanitize, but can underlying behavioural patterns of those high achievers be identified? And can data show us why they remember to sanitize hands when needed? What is it that they are doing differently that enables them to sanitize when needed and thus achieve better compliance than their co-workers?

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March 25, 2019Comments are off for this post.

Will 2019 be the year of fewer hospital acquired infections?

Health care professionals know the vital importance of hand hygiene in preventing the spread of disease in health care settings. In the day to day life of most, the simple act of washing hands can dramatically reduce the spread of bacteria in any hospital setting.

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March 20, 2019Comments are off for this post.

Discrepancy between hygiene knowledge and behaviour – How we can overcome the barrier?


Every hospital has a set of hand hygiene compliance (HHC) guidelines as set out by the World Health Organisation (WHO)[1] with the objective of reducing hospital-acquired infections and antibiotic use. In this paper, we look at the healthcare workers’ (HCWs) knowledge of the hygiene guidelines gathered by questionnaires and compare these results with actual HHC measurements from an electronic hygiene system (the Sani nudge system)[2].

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March 17, 2019Comments are off for this post.

Incentives or transparency – what will decrease hospital acquired infections the most?

Credit: www.cookmedical.com

When the Affordable Care Act came into effect in 2010, it introduced the Pay-for-Performance (P4P) Program, which consists of three main categories—the Hospital Readmission Reduction ProgramHospital Value-Based Purchasing Program, and the Hospital-Acquired Condition (HAC) Reduction Program—to evaluate hospitals and incentivize them to provide more affordable, more efficient, and safer patient care.

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March 12, 2019Comments are off for this post.

Tying employee bonuses to infection reduction – will it work?

a medical consultant with two nurses walk along a hospital corridor

Most of us want to get out of a hospital as soon as we have been admitted and we can all agree that the biggest reason is the risk of catching something worse than what put us in the hospital in the first place. According to the WHO, every 10th person admitted to the hospital will acquire an infection after they have been admitted to the hospital.

So our fear is not uncounted for.

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March 2, 2019Comments are off for this post.

If an orangutan can why can’t paramedics?

I received two different news in my inbox today: A positive and a negative one. The positive story was about an orangutan in Borneo was recently filmed performing hand hygiene in the middle of the jungle. Basically orangutans are starting to imitate humans’ hygiene behaviour. In contrast, the second news in my inbox stated that the healthcare workers, who are supposed to help us when we need it the most, have stopped cleaning their hands. I found it kind of ironic and gave me food for thought. 

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February 25, 2019Comments are off for this post.

Would you rather have 100% compliance with subjective data or 80% compliance with objective data?

If the law of diminishing returns applies to hand hygiene, is achieving 100% compliance always worth the cost? Do you think there is a point at which the returns are less than the time or money invested in increasing hand hygiene compliance?

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February 22, 2019Comments are off for this post.

Yes, the lack of handwashing does kill people.

Actually it kills more than 100,000 people in the US every single year.

A lot of attention has been produced around the announcement by Pete Hegseth the host of Fox & Friends that he has not washed his hands for ten years because “germs are not a real thing – I can’t see them, therefore they’re not real”. What might be a better question to ask has been expressed in an article on The Guardian website, which asked “What would be on your hands if you hadn’t washed them for 10 years?”

The report by Paula Cocozza, appropriately focuses on the way that restorative specialists are not inspired. That likely could be a critical modest representation of the truth.

By way of example, Ms Cocozza quotes Professor Val Curtis of the London School of Hygiene and Tropical Medicine who listed E coli, norovirus and salmonella as being germs that “hitchhike on hands”.

“Hands are the most important vector of infectious diseases” she added.

This is not an etiquette issue

The most telling opinion in the article comes from Professor Curtis, who is quoted as saying

“It is antisocial not to wash hands… It puts other people at risk of sickness.” This is not an etiquette issue, she says.  “This is a moral issue.”

The World Health Organization in it’s Global HandwashingDay campaiginformation document, quotes Dr Edward Kelley, Director, Service Delivery and Safety, WHO as saying,

“Health care-associated infection is such a big problem, we need to focus the world on something that is truly actionable and can save many, many lives. This action is hand hygiene, a flagship element of WHO’s patient safety work.”

What would be on your hands if you hadn’t washed them for 10 years? »