THE EFFECT OF TEACHING IN IMPROVEMENT OF FIVE MOMENTS OF HAND HYGIENE AMONG HEALTHCARE WORKERS IN EMERGENCY DEPARTMENT SHAH ALAM

Introduction: 
Data shows poor hand hygiene compliance in busy emergency department prompted a quality improvement initiative to improve hand hygiene compliance. To date, there have been no comprehensive reviews on hand hygiene in emergency department (ED) within Malaysia. The aim of this study was to investigate hand hygiene compliance rate and to measure the impact of intervention on hand hygiene compliance among staff in the emergency department.  

Methods: 
This is a clinical audit conducted in emergency department of Hospital Shah Alam for 1 month. Prospective 2 phase pre and post intervention study to determine compliance of hand hygiene and the effect of intervention. The intervention included regular reminders via social media, online continuous medical educations, educational hand hygiene video sharing,  rewards, and interviewed staff with poor compliance of hand hygiene.  

Results: 
Total of 36 healthcare professionals participated in the study. The compliance rate was 55.6% in the pre intervention phase. Compliance minimally increases to 59.76% after intervention.  

Conclusion: 
Hand hygiene compliance was low in Hospital Shah Alam ED setting. Compliance rates remain unsatisfactory despite measures implemented. The review findings indicate that there is a room for improvement in hand hygiene in EDs. Future multilevel modalities are necessary to advocate hand hygiene compliance in EDs.

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