The definitive hand hygiene video!

Tired of explaining (and re-explaining) the importance of hand hygiene? Fatigued from answering questions about various aspects of hand hygiene, such as what to say about jewelry and fingernails, or fire hazards?

Then let the New England Journal of Medicine explain it for you! Didier Pittet and colleagues have put together an instructional video on hand hygiene--many of you have probably seen it already, but if you haven't, take a look.

One concern is whether anyone will have the stamina to stick with the video for the full 15 minutes, but the player allows you to click around to a topic of interest if your attention begins to wane. Also, it might have been more effective with a human voice (if it is a human voice, my sincere apologies to that person--but it sounds robotic or synthetic). On second thought, robots may be just what we need on the units: robotic hand hygiene observers who confront healthcare workers on their way out of the room with a detailed assessment of their HH performance!

Weekend Wash Your Hands Video by Chromeo

My kids reminded me to wash my hands before playing the piano.  I asked them why and they said it was because we share pianos and if we share something, we should wash our hands.  I was a proud dad but then asked them how they knew this. They responded "Yo Gabba Gabba."  Oh well.

Empowering patients to ask providers to wash their hands

"2000 miles

Is very far through the snow

I'll think of you

Wherever you go"
- Chrissie Hynde

We moved our family to Iowa City last week. There is something about being back in the Middle West that gets me singing old Pretenders' songs. I can't really explain it. One thing I've immediately noticed is that people say "hand washing" here and not "hand warshing" like I heard often back east.

Enough of that. There is a qualitative study out in the June issue of the Journal of Patient Safety by Amanda Garcia-Williams and colleagues from the CDC's DHQP that assessed the CDC video "Hand Hygiene Saves Lives" as a tool of patient empowerment. They conducted four focus groups using laypersons without hospital exposure in the past year, laypersons with hospital exposure, nurses and physicians. There are a lot of interesting findings within the study and many should be subject to further analysis.

The primary finding was that laypersons were much more likely to ask a nurse to wash his/her hands after watching the video, however, those with recent hospital exposure stated that they would still be "nervous" or "scared" to do so. Interestingly, laypersons with hospital exposure were more likely to ask physicians to wash their hands after watching the video but those without hospital exposure were not influenced by the video to ask physicians to wash their hands.

A very interesting finding was that laypersons with hospital exposure had lower levels of perceived risk for HAIs than persons who hadn't been in the hospital recently. Perhaps fear of the unknown is playing a role here. I suspect this fear could be used positively to get them to monitor compliance among their healthcare providers. Overall, I found the results of this study promising. Hopefully they will continue to analyze the impact of this video through quasi-experimental study or using other methods to see if this video intervention actually results in changed patient behavior, improved hand hygiene compliance, and dare I dream, reduced HAIs.

Article in the Journal of Patient Safety (here)