Time-motion analysis of health careworkers' contactwith patients and workers' hand hygiene: Open Vs closed units

Babar Khan, Ken Yon Hui, Siu Hui, Rajesh Gulati, Jason Tricker, Noll L. Campbell, Mark O. Farber, Malaz Boustani, John D. Buckley

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The effects of open (care provided by general medicine teams with a pulmonary intensivist consultant) vs closed (care provided by a dedicated critical care team) intensive care units on health care workers' contact with patients and their hand hygiene is uncertain. Objective: To determine if closed intensive care units have fewer visits of patients by health care providers and greater hand-washing compliance among providers than do open units. Methods: Time-motion analysis was used to observe 2 rooms in a medical intensive care unit at a teaching hospital affiliated with Indiana University School of Medicine, Indianapolis, for 96 hours before and after closure of the unit. The main outcome measures were frequency of health care providers' visits and their hand-washing hygiene compliance rates. Results: Mean number of visits per room per hour by physicians (1.53 in the open unit vs 1.27 in the closed unit; P = .93) and nurses (3.98 in open unit vs 4.14 in closed unit; P = .60) did not differ. No differences were observed in gold-standard hand washing among physicians (0.00% in open unit vs 2.63% in closed unit; P = .11) or nurses (2.50% in open unit vs 3.49% in closed unit; P= .51). However, hand washing decreased significantly in nurses in the closed unit (40.94% in open unit vs 29.84% in closed unit; P = .002). Conclusion: Closing the intensive care unit did not decrease the number of contacts between health care providers and patients nor did it increase the providers' compliance with hand hygiene.

Original languageEnglish
JournalAmerican Journal of Critical Care
Volume20
Issue number3
DOIs
StatePublished - May 2011

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Hand Hygiene
Hand Disinfection
Intensive Care Units
Health Personnel
Nurses
Health
Medicine
Physicians
Critical Care
Consultants
Teaching Hospitals
Gold
Compliance
Patient Care
Outcome Assessment (Health Care)
Delivery of Health Care
Lung

ASJC Scopus subject areas

  • Critical Care

Cite this

Time-motion analysis of health careworkers' contactwith patients and workers' hand hygiene : Open Vs closed units. / Khan, Babar; Hui, Ken Yon; Hui, Siu; Gulati, Rajesh; Tricker, Jason; Campbell, Noll L.; Farber, Mark O.; Boustani, Malaz; Buckley, John D.

In: American Journal of Critical Care, Vol. 20, No. 3, 05.2011.

Research output: Contribution to journalArticle

Khan, Babar ; Hui, Ken Yon ; Hui, Siu ; Gulati, Rajesh ; Tricker, Jason ; Campbell, Noll L. ; Farber, Mark O. ; Boustani, Malaz ; Buckley, John D. / Time-motion analysis of health careworkers' contactwith patients and workers' hand hygiene : Open Vs closed units. In: American Journal of Critical Care. 2011 ; Vol. 20, No. 3.
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