We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely monitored physicians’ hand hygiene practices during outpatient examinations and calculated the adherence rate as follows: number of hand hygiene counts divided by the number of outpatients examined multiplied by 100. Physician individual adherence rates were also classified into 4 categories.
Two hundred and eighty physicians from 28 clinical departments were monitored for 3 months. The overall hand hygiene adherence rate was 10.7% at baseline, which improved significantly after feedback to 18.2% in the third month. Of the clinical departments, 78.6% demonstrated significant improvement in hand hygiene compliance. The change in the percentage of physicians in each category before and after feedback were as follows: very low (84.3% to 72.1%), low (8.6% to 14.3%), moderate (2.9% to 8.9%), and high (4.3% to 4.6%), from the first to third month, respectively. Based on category assessment, 17.1% of physicians were classified as responders.
Physicians’ adherence to hand hygiene practices during outpatient examinations was successfully monitored remotely using electronic counting devices. Audit and feedback of adherence data may have a positive impact on physicians’ hand hygiene compliance.
Utility of electronic hand hygiene counting devices for measuring physicians’ handwashing
American Journal of Infection Control, DOI: http://dx.doi.org/10.1016/j.ajic.2016.08.002
A Arai, M Tanabe, A Nakamura, D Yamasaki, Y Muraki, T Kaneko, A Kadowaki, M Ito
Doctors at Gandhi Hospital and Osmania General Hospital are regularly falling ill thanks to the poor hygiene at the mess being run at the two hospitals. Common complaints being made by the duty doctors after having their meals at the mess include vomiting sensation, stomach ache and low grade fever. In rare cases, a few have come down with typhoid too.
In fact, the situation is worse at the Gandhi Hospital mess above the emergency block, with the doctors claiming that it is infested with rodents. “It’s the worst place to have food, but we are helpless as 70-80 duty doctors working for 24 hours at a stretch cannot bring food from home. I have an upset stomach now,” said a senior doctor at Gandhi Hospital on condition of anonymity.
The mess at the hospital neither has a fridge to store vegetables nor proper containers to store cooked food. One can see rotten tomatoes, chillies and other vegetables left to dry on pieces of paper and half-eaten food kept in dirty plastic containers without lids. Leftovers from lunch being served for dinner is also quite common. Adding to the troubles is the fact that the wash basin is situated in the common eating area itself.
However, when contacted, both OGH and Gandhi Hospital authorities denied the allegations. “The hospital food is served to both doctors and patients only after it passes quality tests every day. However, if any individual doctor has any issues, it can be brought to our notice,” said Dr G V S Murthy, superintendent, OGH.
About 47 resident doctors were admitted at the Sion hospital after they complained of vomit and diarrhea. Authorities suspect sweets distributed at the hospital’s canteen to be a cause.
The doctors started fealing uneasy after 12.00 noon on Friday post their breakfast at the canteen. The contractor who is appointed by the BMC gives these doctors breakfast free of cost but since it was Independence Day, there were sweets prepared out of Khava which were brought from Sion Koliwada. About 150 doctors had consumed these sweets out of which 47 complained of health issues.
There’s a difference between saying what should be done – sick workers stay at home – and actually doing it – food service workers may get fired, whether they work with divas or in dives.
Medical doctors are the same.
The Associated Press reports more than half of doctors in training said in a survey that they’d shown up sick to work, and almost one-third said they’d done it more than once.
Dr. Anupam Jena, a medical resident at Massachusetts General Hospital in Boston, developed food poisoning symptoms halfway through an overnight shift last year, but said he didn’t think he was contagious or that his illness hampered his ability to take care of patients.
Jena, a study co-author, said getting someone else to take over his shift on short notice "was not worth the cost of working while a bit sick." He was not among the survey participants.
The researchers analyzed an anonymous survey of 537 medical residents at 12 hospitals around the country conducted last year by the Accreditation Council for Graduate Medical Education. The response rate was high; the hospitals were not identified.
The results appear in Wednesday’s Journal of the American Medical Association.
Nearly 58 percent of the respondents said they’d worked at least once while sick and 31 percent said they’d worked more than once while sick in the previous year.
My high school friend Dave used to say life is a series of hills and valleys: hills and valleys, Boog (that was my nickname, after Baltimore Orioles baseball great, Miller Lite spokesthingy and mesquite barbecue whiz, John “Boog” Powell).
Dave’s descriptor was insightful, to the point and accurate; or just really dull, I’m never quite sure which. I’m reminded of such adjectives when I find myself saying any approach to modifying food safety behavior requires a mixture of carrots and sticks.
An aide to Health Secretary Nicola Sturgeon said it was “unacceptable” for medical staff to flout hygiene rules, adding, “Hand hygiene is an important part of our drive to tackle healthcare associated infection. We are now adopting a zero-tolerance approach to non compliance.”