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Hand Hygiene clinical trials

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NCT ID: NCT03948672 Completed - Infection Clinical Trials

CleanHands Sensor Based System to Improve Hand Hygiene and Reduce Infection

SHHRI
Start date: October 7, 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to determine if use of the CleanHands system can improve hand hygiene/personal protective equipment (PPE) compliance and reduce infections in the hospital ICUs through reminders to wash hands and use PPE as appropriate.

NCT ID: NCT03588221 Completed - Hand Hygiene Clinical Trials

Simplifying the World Health Organization (WHO) Protocol for Hand Hygiene

SIHAG
Start date: July 16, 2018
Phase: N/A
Study type: Interventional

Non-inferiority in terms of reduction of bacterial counts will be investigated when combining the simpler three-step hand hygiene technique for the use of hand rub with a shorter application time of 15 seconds compared to the to the three steps technique with an application time of 30 seconds and the technique consisting in six steps.

NCT ID: NCT03445676 Completed - Hand Hygiene Clinical Trials

Effectiveness of an Alcohol-based Hand Rub to "Clean" Gloved Hands

Start date: March 15, 2017
Phase: N/A
Study type: Interventional

Although little is known about compliance with the World Health Organization (WHO) 5 Moments of hand hygiene, the few existing studies report a high number of opportunities and compliance ranging from just 22 to 60%. Previous studies have reported an increased density of opportunities, perceived insufficient time and glove use as factors associated with non-compliance. A healthcare worker performing multiple tasks in one encounter may spend up to half the time in the room doing hand hygiene. Strategies to reduce the time required for hand hygiene may in turn promote increased compliance and may ultimately be most effective in limiting microbial transmission. In this study, the investigators examine whether cleansing gloves at each hand hygiene opportunity at the point of care and reusing the same gloves is as effective as standard practice and the current recommendation (remove gloves, perform hand hygiene, and don new gloves).

NCT ID: NCT03204175 Completed - Hand Hygiene Clinical Trials

Fit Plus: Assessing the Impact of a School-based Intervention on Toilet Quality

Start date: July 10, 2017
Phase: N/A
Study type: Interventional

This study will assess the impact of a school-based water, sanitation, and hygiene management intervention on toilet use and pupil handwashing in the Philippines.

NCT ID: NCT03165799 Completed - Mindfulness Clinical Trials

Mindfulness to the Clinical Setting: The Mind Hand Connection Study

MHC
Start date: January 31, 2017
Phase: N/A
Study type: Interventional

This is a single center, randomized study that assessed the effects of mindfulness training on physician teaching teams at a VA hospital.

NCT ID: NCT03119389 Completed - Hand Hygiene Clinical Trials

Direct Gloving Strategy: A Cluster-randomized Trial

Start date: January 1, 2016
Phase: N/A
Study type: Interventional

The necessity of Hand hygiene (HH) before donning non-sterile gloves is unknown. Furthermore, because of the additional time required to cleanse hands and then don gloves, as well as the cumbersome nature of applying gloves to recently washed hands, this practice leads to non-compliance with both HH and glove use - placing patients at risk. In a pilot study, the investigators performed a randomized trial of 230 healthcare workers and demonstrated no difference in total bacterial colony counts or identification of pathogenic bacteria from the gloves of persons who either performed HH or did not perform HH prior to putting on non-sterile gloves. If unnecessary, HH before non-sterile glove use wastes valuable time, which might otherwise be spent engaged in direct patient care. And removing this unnecessary step may lead to increased compliance with infection prevention measures. In Aim A, the investigators will perform a multi-center randomized control trial to evaluate the efficacy of a direct gloving strategy to improve compliance with infection prevention practices. In Aim B, the investigators will perform a nested multi-center validation study, where the gloved hands of healthcare workers will be randomly sampled to determine bacterial contamination of non-sterile gloves after donning.

NCT ID: NCT02396836 Completed - Hand Hygiene Clinical Trials

Randomised Controlled Trial (RCT) of 6 Versus 3 Steps for Hand Hygiene

SHoRT
Start date: November 2013
Phase: N/A
Study type: Interventional

The aim is to compare the effectiveness of the 6 step hand rub technique versus 3 step hand rub technique in hand coverage and in reducing bacterial contamination on the hands of healthcare workers in practice. Research questions 1. What is the effectiveness of the 6 step technique in hand coverage compared to the 3 step technique? 1. What are the most frequently missed sites in hand surface coverage using 6 steps compared to 3 steps? 2. What is the reduction in bacterial contamination of the hand with the 6 step compared to the 3 step technique? 2. Does site missed or coverage relate to bacterial load? 3. What is the time taken for 6 step technique versus 3 step technique?

NCT ID: NCT02223455 Completed - Compliance Clinical Trials

Building an Optimal Hand Hygiene Bundle

Start date: October 1, 2014
Phase: N/A
Study type: Interventional

Hand hygiene is the single most effective practice in preventing the spread of hospital-acquired infections. Despite the strength of the evidence, hospital staff continue to sanitize their hands less than half of the time required by guidelines. Effective interventions are needed to improve hand hygiene compliance rates among hospital staff, but most are of poor quality and do not examine the specific effects of individual interventions. This study will build a "bundle" of three hand hygiene interventions using a research design that allows for the effectiveness of each intervention to be measured individually and combined.

NCT ID: NCT01571778 Completed - Hand Hygiene Clinical Trials

Hand Hygiene Before Non-sterile Glove Use

Start date: April 2012
Phase: N/A
Study type: Interventional

The importance of healthcare worker hand hygiene in decreasing bacterial transmission between patients is well documented. Healthcare workers may don non-sterile gloves in routine care of patients, particularly for those patients known or suspected to harbor epidemiologically important microorganisms. Governing bodies currently recommend performing hand hygiene prior to donning gloves and after glove removal. The importance of hand hygiene post glove removal is well shown, however few studies exist to show utility of hand hygiene prior to donning gloves. In fact, data suggests that glove use is an impediment to hand hygiene and may reduce compliance with hand washing. In light of this and the fact that no evidence exists that washing hands BEFORE glove use is important, the aim of the study is to asses the utility of routine hand hygiene prior to donning non-sterile gloves before a patient contact.