Hand Contamination, Cross‐Transmission, and Risk‐Associated Behaviors: An Observational Study of Team Members in ORs. (27th November 2015)

• Record Type: Journal Article
• Authors: Megeus, Veronika; Nilsson, Kerstin; Karlsson, Jón; Eriksson, Bengt I.; Andersson, Annette Erichsen
• Is Part Of: AORN journal. Volume 102:Number 6(2015.Dec.)
• Page Start: 645.e1
• Page End: 645.e12
• Publication Date: 2015-11-27
• Subjects: hand hygiene -- hand contamination -- infection control -- infectious disease transmission -- professional‐to‐patient; Operating room nursing -- Periodicals; Soins infirmiers en salle d'opération -- Périodiques; Nursing -- Periodicals; Operating Room Nursing -- Periodicals; Perioperative Nursing -- Periodicals; Societies, Nursing -- Periodicals; 617.917
• DOI: 10.1016/j.aorn.2015.06.018
• Languages: English
• ISSNs: 0001-2092

Abstract

Abstract: Team members in ORs have frequent hand contact with many surfaces and sites during high workload, thus increasing the risk for microorganism cross‐transmission. This study aimed at identifying risks for hand contamination and microorganism cross‐transmission during invasive procedures in ORs. We carried out observations during 22 daytime sessions and analyzed data using qualitative content analysis. The results revealed that clinicians' hands may be contaminated by self‐contamination, via objects, or by touching the patient. Contamination may occur before, during, or directly after performing an invasive procedure requiring the use of aseptic technique, which risks cross‐transmitting microorganisms. The results of the study contribute detailed knowledge about risk‐associated activities and behaviors in relation to performing invasive procedures in the OR. This knowledge provides clinicians, managers, and educators with specific information that can be used in nursing and medical education and in quality improvement projects aimed at improving hand hygiene routines and enhancing aseptic technique.