The effect of leadership on hand hygiene: assessing hand hygiene adherence prior to patient contact in 2 infectious disease units in Tuscany

Sarah R Lieber; Elisabetta Mantengoli; Sanjay Saint; Karen E Fowler; Carlo Fumagalli; Dario Bartolozzi; Lea Magistri; Fabrizio Niccolini; Alessandro Bartoloni

doi:10.1086/675296

The effect of leadership on hand hygiene: assessing hand hygiene adherence prior to patient contact in 2 infectious disease units in Tuscany

Infect Control Hosp Epidemiol. 2014 Mar;35(3):313-6. doi: 10.1086/675296. Epub 2014 Jan 31.

Authors

Sarah R Lieber¹, Elisabetta Mantengoli, Sanjay Saint, Karen E Fowler, Carlo Fumagalli, Dario Bartolozzi, Lea Magistri, Fabrizio Niccolini, Alessandro Bartoloni

Affiliation

¹ University of Michigan Medical School, Ann Arbor, Michigan.

PMID: 24521600
DOI: 10.1086/675296

Abstract

We assessed hand hygiene adherence in 2 infectious disease units. In one unit, adherence declined slightly from year 1 (84.2%) to year 4 (71.0%) after a multimodal intervention but remained much higher than before intervention. Adherence dropped in the second unit after a loss of leadership (from 50.7% to 5.7%). Strong leadership presence may improve hand hygiene adherence.

Publication types

Observational Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Cross Infection / prevention & control
Guideline Adherence / organization & administration
Guideline Adherence / statistics & numerical data*
Hand Hygiene / organization & administration
Hand Hygiene / statistics & numerical data*
Humans
Italy / epidemiology
Leadership*
Personnel, Hospital / statistics & numerical data