This randomized controlled trial will evaluate the effect of a multifaceted intervention including performance feedback on adherence to hand hygiene among healthcare workers. A key component of the study is to demonstrate whether improved adherence to hand hygiene leads to a reduction in rates of infection.
A cluster randomized controlled trial of the intervention will be conducted where hospital units (wards) in three hospitals will be allocated to either the intervention or usual practise. We will stratify by hospital site in order to minimize confounding by hospital-level factors. The unit of allocation, intervention, and analysis will be at the level of the hospital unit. Thirty hospital units will be randomized to either the intervention or comparison arm. We will compare adherence to hand hygiene, MRSA rates, and other outcomes between the two study arms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
1,500
Hamilton General Hospital
Hamilton, Ontario, Canada
McMaster University Medical Centre
Hamilton, Ontario, Canada
Henderson Hospital
Hamilton, Ontario, Canada
Incidence of MRSA
Time frame: 12 months
Adherence to hand hygiene
Time frame: 12 months
Incidence of multi-resistant bacteria other than MRSA
Time frame: 12 months
Catheter-related blood stream infections
Time frame: 12 months
Clostridium difficile related diarrhea
Time frame: 12 months
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