CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Healthcare Infection   
Healthcare Infection
http://www.acipc.org.au
  Official Journal of the Australasian College for Infection Prevention and Control
 
blank image Search
 
blank image blank image
blank image
 
  Advanced Search
   

Journal Home
About the Journal
Editorial Committee
Contacts
Content
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Guidelines for Authors
Submit Article
For Referees
Referee Guidelines
Review Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates
For Advertisers

blue arrow e-Alerts
blank image
Subscribe to our Email Alert or RSS feeds for the latest journal papers.

red arrow Connect with us
blank image
facebook   youtube

red arrow Submit Article
blank image
Use the online submission system to send us your paper.

 

Article << Previous     |     Next >>   Contents Vol 17(1)

Evaluating the economics of the Australian National Hand Hygiene Initiative

Nicholas Graves A D, Adrian Barnett A, Katherine White A, Nerina Jimmieson B, Katie Page A, Megan Campbell A, Elizabeth Stevens A, Rebecca Rashleigh-Rolls A, Lindsay Grayson C and David Paterson B

A School of Public Health and Institute for Health & Biomedical Innovation, Queensland University of Technology, 60 Musk Avenue, Qld 4059, Australia.
B School of Psychology, McElwain Building, University of Queensland, St Lucia, Qld 4072, Australia.
C Infectious Diseases Department, Austin Health, Heidelberg, Vic. 3084, Australia.
D Corresponding author. Email: n.graves@qut.edu.au

Healthcare Infection 17(1) 5-10 http://dx.doi.org/10.1071/HI12003
Submitted: 16 January 2012  Accepted: 20 January 2012   Published: 5 April 2012


 
PDF (358 KB) $25
 Export Citation
 Print
  
Abstract

The National Hand Hygiene Initiative, implemented in Australia in 2009, is currently being evaluated for effectiveness and cost-effectiveness by a multidisciplinary team of researchers. Data from a wide range of sources are being harvested to address the research questions. The data are observational and appropriate statistical and economic modelling methods are being used. Decision makers will be provided with new knowledge about how hand hygiene interventions should be organised and what investment decisions are justified. This is novel research and the authors are unaware of any other evaluation of hand hygiene improvement initiatives. This paper describes the evaluation currently underway.



References

[1]  Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000; 356: 1307–12.
CrossRef | CAS |

[2]  Boyce JM, Pittet D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR Morb Mortal Wkly Rep 2002; 51: 1–45.

[3]  Schlesinger A, Paul M, Gafter-Gvili A, Rubinovitch B, Leibovici L. Infection-control interventions for cancer patients after chemotherapy: a systematic review and meta-analysis. Lancet Infect Dis 2009; 9: 97–107.
CrossRef |

[4]  Rosenthal VD. Central line-associated bloodstream infections in limited resource countries: a review of the literature. Clin Infect Dis 2009; 49: 1899–907.
CrossRef |

[5]  Graves N, Halton KA, Robertus L. Chapter 17 Costs of healthcare associated infection. In Cruickshank M and Ferguson J, editors. Reducing harm to patients from healthcare associated infection: the role of surveillance. Sydney: Commonwealth of Australia; 2008. Available online at http://www.health.gov.au/internet/safety/publishing.nsf/Content/prog-HAI_Surveillance [July 2008]

[6]  Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet . ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007; 67: 9–21.
CrossRef | CAS |

[7]  Graves N, Halton K, Lairson D. Economics and preventing hospital-acquired infection: broadening the perspective. Infect Control Hosp Epidemio 2007; 28: 178–84.

[8]  Graves N. Economics and preventing hospital-acquired infection. Emerg Infect Dis 2004; 10: 561–6.

[9]  Grayson ML, Russo PL. The national hand hygiene initiative. Med J Aust 2009; 191: 420–1.

[10]  Eisenberger R, Huntington R, Hutchison S, Sowa D. Perceived organisational support. J Appl Psychol 1986; 71: 500–7.
CrossRef |

[11]  Roberts RR, Frutos PW, Ciavarella GC, Gussow LM, Mansah EK, Kampe LM. Distribution of fixed vs variable costs of hospital care. JAMA 1999; 281: 644–9.
CrossRef | CAS |

[12]  Beyersmann J, Gastmeier P, Wolkewitz M, Schumacher M. Nosocomial infection, length of stay, and time-dependent bias. Infect Control Hosp Epidemiol 2009; 30: 273–6.
CrossRef |

[13]  Beyersmann J, Kneib T, Schumacher M, Gastmeier P. An easy mathematical proof showed that time-dependent bias inevitably leads to biased effect estimation. J Clin Epidemiol 2008; 61: 1216–21.
CrossRef |

[14]  Dobson A and Barnett AG. An introduction to generalized linear models . Florida: Chapman and Hall/CRC; 2008.

[15]  Harris A, et al Using economic evidence in reimbursement decisions for health technologies: experience of 4 countries. Pharmacoeconomics Outcomes Res 2001; 1: 7–12.
| CAS |

[16]  Black N. Why we need observational studies to evaluate the effectiveness of health care. BMJ 1996; 312: 1215–8.
CrossRef | CAS |

[17]  Wilcox CW. Bias: the unconcious deceiver. Bloomington: Xlibris Corporation; 2011.

[18]  World Health Organisation. WHO guidelines on hand hygiene in health care. World Alliance for Patient Safety. Global Patient Safety Challenge 2005–2006 “Clean care is safer care”; 2006. 33–101.


   
Subscriber Login
Username:
Password:  

 
    
Legal & Privacy | Contact Us | Help

CSIRO

© CSIRO 1996-2013