Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews

@article{Price2018InterventionsTI,
  title={Interventions to improve healthcare workers’ hand hygiene compliance: A systematic review of systematic reviews},
  author={Lesley Price and Jennifer J Macdonald and Lucyna Gozdzielewska and Tracey E. Howe and Paul Flowers and Lesley Shepherd and Yvonne Watt and Jacqui Reilly},
  journal={Infection Control \& Hospital Epidemiology},
  year={2018},
  volume={39},
  pages={1449 - 1456}
}
Abstract Objective To synthesize the existing evidence base of systematic reviews of interventions to improve healthcare worker (HCW) hand hygiene compliance (HHC). Methods PRISMA guidelines were followed, and 10 information sources were searched in September 2017, with no limits to language or date of publication, and papers were screened against inclusion criteria for relevance. Data were extracted and risk of bias was assessed. Results Overall, 19 systematic reviews (n=20 articles) were… 

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TLDR
A systematic review showed that single and combined interventions do improve hand hygiene practices among nurses; however, there is a need for more methodologically robust studies to define the most effective and sustainable interventions.

Comparative efficacy of interventions to promote hand hygiene in hospital: systematic review and network meta-analysis

TLDR
Network meta-analysis indicated considerable uncertainty in the relative effectiveness of interventions, but nonetheless provided evidence that WHO-5 is effective and that compliance can be further improved by adding interventions including goal setting, reward incentives, and accountability.

Efficacy of interventions to improve hand hygiene compliance in neonatal units: a systematic review and meta-analysis

TLDR
Strategies to improve HHC in NICUs seem to be more effective when they include performance feedback at the personal or group levels, and Randomised controlled trials (RCTs) specifically assessing the benefits of performance feedback in improving HHC are needed.

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TLDR
Three studies evaluated the interventions education, reminders, feedback, administrative support, and access to alcohol-based hand rub as a bundle, which was associated with improved hand hygiene compliance and should be further studied using high-quality study designs and compared with other interventions.

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TLDR
Reminders appear effective in improving different clinical behaviors across a range of settings and the effect size is consistent with other interventions that have been used to improve professional behavior.

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TLDR
By focussing on determinants of behaviour change, this work found hidden and valuable components in HH improvement strategies that prompt good HH behaviour.

Features of educational interventions that lead to compliance with hand hygiene in healthcare professionals within a hospital care setting. A BEME systematic review: BEME Guide No. 22

TLDR
It was not possible to identify individual features of educational interventions due to each study reporting multicomponent interventions, however, multiple, continuous interventions were better than single interventions in terms of eliciting and sustaining behaviour change.

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