Complication of Surgical Procedure Clinical Trial
Official title:
Reduction in 30-Day Postoperative Healthcare-Associated Infections Through Use of a Novel Hand Hygiene System
Healthcare-associated infections (HCAIs) and evolving bacterial resistance are major public
health concerns that impact all areas of healthcare. Further work is needed to better
understand these healthcare issues so that effective preventive measures can be developed.
The investigators have developed and validated an experimental model for studying the risk
factors for bacterial cross contamination in the surgical operating room. The investigators
have confirmed in our previous work that intraoperative bacterial transmission events occur
frequently both within and between surgical cases and that these transmission events are
linked to 30-day postoperative HCAIs and increased patient mortality.
In response, the investigators have implemented various strategies designed to bacterial
transmission in the operating room, including anesthesia provider hand hygiene compliance.
The investigators' recent work in the intensive care unit suggests that the hand hygiene
system the investigators have previously studied could be further optimized.
The investigators now propose to evaluate the effectiveness of a multimodal hand hygiene
system enhanced with novel wireless technology designed to facilitate real-time group and
individual performance feedback.
The investigators hypothesize that the use of this system will increase hourly hand
decontamination events of anesthesia and circulating nurse providers and reduce 30-day
postoperative healthcare-associated infections HCAIs (primary outcome), reduce hospital stay
duration, and hospital re-admission rates, and mortality(secondary outcomes).
Healthcare-associated infections (HCAIs) and evolving bacterial resistance are major public
health concerns that impact all healthcare arenas. Further work is indicated to better
understand these healthcare issues in order that effective preventive measures can be
developed.
The investigators have developed and validated an experimental model for studying the
mechanisms, risk factors for, and implications of bacterial cross contamination in the
surgical operating room. The investigators have confirmed through use of this model that
intraoperative bacterial transmission events occur frequently within and between operative
cases and that these transmission events are linked to 30-day postoperative HCAIs and to
increased patient mortality. In response, the investigators have implemented and evaluated
various strategies designed to target risk factors for intraoperative bacterial transmission
events including anesthesia provider hand hygiene compliance, improved handling and design of
intravascular catheters, and improved environmental decontamination of high-risk objects.
While these focused strategies have been successful in reducing transmission events and the
incidence of 30-day postoperative infections, the investigators' recent work in the intensive
care unit suggests that the hand hygiene system the investigators studied could be further
optimized. The investigators now propose to evaluate the effectiveness of a multimodal hand
hygiene system enhanced with novel wireless technology designed to facilitate real-time group
and individual performance feedback, two evidence-based educational interventions, in
reducing 30-day postoperative HCAIs (primary outcome) and intraoperative bacterial
transmission events, hospital stay duration, and hospital re-admission rates (secondary
outcomes).
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