| The World Health Organization '5 Moments of Hand Hygiene': The scientific foundation. | |
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MedLine Citation:
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PMID: 22434456 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The World Health Organization (WHO) launched the first Global Patient Safety Challenge in 2005 and introduced the '5 moments of hand hygiene' in 2009 in an attempt to reduce the burden of health care associated infections. Many NHS trusts in England adopted this model of hand hygiene, which prompts health care workers to clean their hands at five distinct stages of caring for the patient. Our review analyses the scientific foundation for the five moments of hand hygiene and explores the evidence, as referenced by WHO, to support these recommendations. We found no strong scientific support for this regime of hand hygiene as a means of reducing health care associated infections. Consensus-based guidelines based on weak scientific foundations should be assessed carefully to prevent shifting the clinical focus from more important issues and to direct limited resources more effectively. We recommend caution in the universal adoption of the WHO '5 moments of hand hygiene' by orthopaedic surgeons and other health care workers and emphasise the need for evidence-based principles when adopting hospital guidelines aimed at promoting excellence in clinical practice. |
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Authors:
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D T S Chou; P Achan; M Ramachandran |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 94 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-03-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 441-5 Citation Subset: AIM; IM |
Affiliation:
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Royal London Hospital, Barts and The London NHS Trust, Whitechapel Road, London E1 1BB, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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