Trial Review

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Trial registered on ANZCTR


Registration number
ACTRN12620000780954
Ethics application status
Approved
Date submitted
21/05/2020
Date registered
30/07/2020
Date last updated
30/07/2020
Date data sharing statement initially provided
30/07/2020
Type of registration
Prospectively registered

Titles & IDs
Public title

Remote video auditing of hand hygiene before and after feedback in the post anaesthetic recovery unit at the Royal Melbourne Hospital
Scientific title

Remote video auditing of hospital staff hand hygiene before and after feedback in the post anaesthetic recovery unit at the Royal Melbourne Hospital
Secondary ID [1] 301348 0
nil known
Universal Trial Number (UTN)
U1111-1252-4322
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Prevention of infection 317565 0
Hand hygiene practice 318434 0
Condition category
Condition code
Infection 315650 315650 0 0
Other infectious diseases
Public Health 315956 315956 0 0
Other public health

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
This study compares healthcare workers’ compliance rate of hand hygiene in the recovery room before and after feedback with the use of remote video monitoring. Participants working in recovery bay will be monitored daily via the remote video over a 10-hour period for 4 weeks without feedback, followed by 4 weeks of weekly feedback of performance reports to healthcare workers. Feedback will be provided to all peri-operative healthcare workers anonymously.

2 independent auditors will review and assess all the recorded video data retrospectively. During the 4-week feedback period, a weekly performance report will be displayed in multiple areas of the perioperative department and will also be emailed weekly to all floor staff. In the case that a department meeting is held, performance reports will also be announced periodically.
Intervention code [1] 317644 0
Behaviour
Comparator / control treatment
Performance without weekly feedback
Control group
Active

Outcomes
Primary outcome [1] 323886 0
Comparison of the overall compliance rate of hand hygiene before and after feedback is given. Compliance rate is the number of observed hand hygiene tasks completed as a percentage of total number of hand hygiene opportunities present during the observation period.

Compliance means the healthcare worker preforms hand hygiene: before contacting the patient or their environment; before donning gloves; after contacting the patient or their environment; after doffing gloves.
Timepoint [1] 323886 0
Non-feedback period is daily from the start of the study until the end of the 4th week since the beginning of the study.

Feedback period is daily from the end of the 4th week until the end of the 8th week post study-initiation.
Secondary outcome [1] 383173 0
Daily compliance rate will also be plotted against time to observe any obvious
changes in behavioural pattern over the study period.

Compliance rate is the number of observed hand hygiene tasks completed as a percentage of total number of hand hygiene opportunities present during the observation period.
Timepoint [1] 383173 0
Non-feedback period is daily from the start of the study until the end of the 4th week since the beginning of the study.

Feedback period is daily from the end of the 4th week until the end of the 8th week post study-initiation.

Eligibility
Key inclusion criteria
Health care workers who come in contact with the patient in the post anaesthetic recovery unit
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
Visitors and family who are not healthcare workers that come in contact with the patient in post anaesthetic recovery unit.

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Not applicable
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Not applicable
Phase
Not Applicable
Type of endpoint/s
Efficacy
Statistical methods / analysis
Analysis of compliance rate before and after providing feedback will be calculated using paired t-test. A P value < 0.05 is considered statistically significant.

Recruitment
Recruitment status
Not yet recruiting
Date of first participant enrolment
Anticipated
3/08/2020
Actual
Date of last participant enrolment
Anticipated
10/08/2020
Actual
Date of last data collection
Anticipated
5/10/2020
Actual
Sample size
Target
150
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
VIC
Recruitment postcode(s) [1] 30342 0
3050 - Royal Melbourne Hospital

Funding & Sponsors
Funding source category [1] 305786 0
Hospital
Name [1] 305786 0
The Royal Melbourne Hospital
Country [1] 305786 0
Australia
Primary sponsor type
Other Collaborative groups
Name
Airway Research Group
Address
The Department of Anaesthesia and Pain Management, The 300 Grattan st, Parkville, Victoria, 3050
Country
Australia
Secondary sponsor category [1] 306224 0
None
Name [1] 306224 0
Address [1] 306224 0
Country [1] 306224 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 306060 0
The Melbourne Health Human Research Ethics Committee - Quality Assurance Committee
Ethics committee address [1] 306060 0
300 Grattan st, Parkville, Victoria, 3050.
Ethics committee country [1] 306060 0
Australia
Date submitted for ethics approval [1] 306060 0
06/05/2020
Approval date [1] 306060 0
23/07/2020
Ethics approval number [1] 306060 0
QA2020081

Summary
Brief summary
The National Hand Hygiene Initiative (NHHI) was implemented in Australia aiming to improve healthcare worker hand hygiene and thus reduce the risk of healthcare-associated infections. However, health care associated infections are still ongoing issues in hospitals nationally. It is therefore important to monitor healthcare worker hand hygiene compliance and also its effectiveness.

The use of remote video auditing has been described in the operating theatre to improve patient quality care because it influences healthcare worker’s behaviour, encourages best practice and also helps objectively analyse any adverse events.

At the Royal Melbourne Hospital, we are installing remote video cameras in the operating theatre complex. The aim of this study is to assess healthcare worker hand hygiene compliance after contacting post-surgical patients in recovery rooms. We will compare the compliance rate before and after feedback with the use of remote video auditing.
Methods

This study will be conducted over an 8-week period – 4 weeks without feedback of results to healthcare workers (HCW), followed by 4 weeks of weekly feedback of performance reports to HCW.

We hypothesise that the compliance rate will improve after weekly feedback.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 102554 0
Dr Irene Ng
Address 102554 0
Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
Country 102554 0
Australia
Phone 102554 0
+613 9342 7540
Fax 102554 0
Email 102554 0
Irene.Ng@mh.org.au
Contact person for public queries
Name 102555 0
Irene Ng
Address 102555 0
Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
Country 102555 0
Australia
Phone 102555 0
+613 9342 7540
Fax 102555 0
Email 102555 0
Irene.Ng@mh.org.au
Contact person for scientific queries
Name 102556 0
Irene Ng
Address 102556 0
Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
Country 102556 0
Australia
Phone 102556 0
+613 9342 7540
Fax 102556 0
Email 102556 0
Irene.Ng@mh.org.au

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

Documents added manually
No documents have been uploaded by study researchers.

Documents added automatically
No additional documents have been identified.