Patient-driven hand hygiene audit process at a regional cancer center

•Audit of hand hygiene within the privacy of the examination room is difficult.•Engagement of patient-auditors for before and after contact was piloted.•A total of 1,640 paired opportunities were observed for 4 health care provider groups.•Compliance differences before and after contact and by provi...

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Bibliographic Details
Published in:American journal of infection control 2018-01, Vol.46 (1), p.97-99
Main Authors: Bow, E.J., Bourrier, V., Trudel, J., Kostiuk, N., McLeod, J.M.
Format: Article
Language:English
Subjects:
Ambulatory Care Facilities - standards
Audit
Canada
Cancer Care Facilities - standards
Compliance
Cross Infection
Guideline Adherence
Hand Disinfection - methods
Hand Disinfection - standards
Hand hygiene
Hand Hygiene - methods
Hand Hygiene - standards
Health Personnel
Humans
Outpatient
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Summary:•Audit of hand hygiene within the privacy of the examination room is difficult.•Engagement of patient-auditors for before and after contact was piloted.•A total of 1,640 paired opportunities were observed for 4 health care provider groups.•Compliance differences before and after contact and by provider were detected.•Patient-driven audit appears to be an effective supplement to observer-driven audits. A patient-driven hand hygiene compliance audit strategy was piloted in a Canadian provincial cancer agency during routine provision of cancer outpatient care by health care providers (physicians, nurses, and health care aides) under conditions where the deployment of an independent external auditor was not feasible. The results of the audit suggest the feasibility of this approach as a routine institutional performance metric.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2017.06.011