Identifying the World Health Organization's fifth moment for hand hygiene: Infection prevention in the operating room

Fiona Smith; Karen Lee; Eleanor Binnie-McLeod; Mark Higgins; Elizabeth Irvine; Angela Henderson; Ann Orr; Fiona Clark; Joanne Spence

doi:10.1177/1757177419879996

Identifying the World Health Organization's fifth moment for hand hygiene: Infection prevention in the operating room

Fiona Smith (Lead / Corresponding author)
, Karen Lee
, Eleanor Binnie-McLeod
, Mark Higgins
, Elizabeth Irvine
, Angela Henderson
, Ann Orr
, Fiona Clark
, Joanne Spence

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Background: The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR).

Aim/Objectives: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR.

Methods: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster.

Results: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed.

Discussion: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR.

Conclusion: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.

Original language	English
Pages (from-to)	28-34
Number of pages	7
Journal	Journal of Infection Prevention
Volume	21
Issue number	1
Early online date	5 Nov 2019
DOIs	https://doi.org/10.1177/1757177419879996
Publication status	Published - Jan 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Patient zone
environmental contacts
equipment
hand hygiene
high-touch
intraoperative
operating room

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health
Advanced and Specialised Nursing
Infectious Diseases

Access to Document

10.1177/1757177419879996

Cite this

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title = "Identifying the World Health Organization's fifth moment for hand hygiene: Infection prevention in the operating room",

abstract = "Background: The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR).Aim/Objectives: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR.Methods: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster.Results: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed.Discussion: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR.Conclusion: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.",

keywords = "Patient zone, environmental contacts, equipment, hand hygiene, high-touch, intraoperative, operating room",

author = "Fiona Smith and Karen Lee and Eleanor Binnie-McLeod and Mark Higgins and Elizabeth Irvine and Angela Henderson and Ann Orr and Fiona Clark and Joanne Spence",

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AU - Higgins, Mark

AU - Irvine, Elizabeth

AU - Henderson, Angela

AU - Orr, Ann

AU - Clark, Fiona

AU - Spence, Joanne

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N2 - Background: The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR).Aim/Objectives: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR.Methods: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster.Results: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed.Discussion: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR.Conclusion: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.

AB - Background: The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR).Aim/Objectives: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR.Methods: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster.Results: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed.Discussion: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR.Conclusion: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.

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Identifying the World Health Organization's fifth moment for hand hygiene: Infection prevention in the operating room

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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