Easy Hands: Impact of a 3-Step Versus WHO 6-Step Hand Hygiene Technique on Healthcare-Associated Infections in Intensive Care and Hospitalization Units. (EASY HANDS)
Easy Hands: A Cluster Randomized Cross-Over Trial Evaluating a Simplified 3-Step Hand Hygiene Technique Versus the WHO 6-Step Technique on the Incidence of Healthcare-Associated Infections.
Healthcare-associated infections (HAIs) remain a major cause of morbidity, mortality, and healthcare costs worldwide. Hand hygiene is the cornerstone of infection prevention; however, adherence to the full WHO 6-step hand hygiene technique may be limited in routine clinical practice due to time constraints and workflow barriers. Simplified hand hygiene approaches may improve compliance while preserving clinical effectiveness.
The Easy Hands study is a pragmatic cluster randomized cross-over trial designed to compare a simplified 3-step hand hygiene technique with the standard WHO 6-step technique in clinical care units. Hospital services were randomized to one of two sequences of intervention and crossed over after the first study period. The primary objective is to evaluate whether the simplified 3-step technique is associated with differences in time to first healthcare-associated infection among hospitalized patients.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Bogota D.C.
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Bogotá, Bogota D.C., Colombia, 110121
- Fundación Clínica Shaio
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Admission to a participating cluster during an active intervention period.
- Adult or pediatric hospitalized patient.
- Availability of admission and discharge dates.
- Eligibility for institutional infection surveillance.
Exclusion Criteria:
- Admission to Emergency Department or Operating Rooms.
- HAI present at baseline (t0).
- HAI occurring during the first two hospital days.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Crossover opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: 3-Step Hand Hygiene Technique
Simplified 3-step hand hygiene protocol implemented in assigned clusters during the intervention period
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Simplified 3-step hand hygiene protocol implemented in assigned clusters during the intervention period.
|
|
Aktiv komparator: WHO 6-Step Hand Hygiene Technique
Standard WHO 6-step hand hygiene protocol implemented in assigned clusters during the comparator period.
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Standard WHO 6-step hand hygiene protocol implemented in assigned clusters during the comparator period.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to First Healthcare-Associated Infection
Tidsramme: During hospitalization, up to 30 days
|
Time from hospital admission to first documented healthcare-associated infection according to institutional surveillance criteria.
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During hospitalization, up to 30 days
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence Density of Healthcare-Associated Infections
Tidsramme: During hospitalization, up to 30 days
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Cases per 1,000 patient-days.
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During hospitalization, up to 30 days
|
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Cumulative Incidence of Healthcare-Associated Infections
Tidsramme: During hospitalization, up to 30 days
|
Proportion of patients developing at least one HAI during follow-up.
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During hospitalization, up to 30 days
|
|
Hand Hygiene Compliance
Tidsramme: During hospitalization, up to 30 days
|
Percentage adherence to the assigned hand hygiene technique measured through direct observational audits using institutional hand hygiene monitoring procedures.
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During hospitalization, up to 30 days
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Julia Alejandra Ortiz Aroca, M.Sc, Fundación Clínica Shaio
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- DIB-25-29
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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