Effectiveness of Multimodal Information Technology-enhanced Hand Hygiene Improvement Strategy on Healthcare-associated Infections in Nursing Homes
Phase: NA
Conditions: Accuracy, Compliance, Healthcare-associated Infections
Sponsor: Kaohsiung Medical University Chung-Ho Memorial Hospital

Study Protocol 
Official Title: 
Effectiveness of a Multimodal Information Technology-enhanced Hand Hygiene 
Improvement Strategy on Healthcare-associated Infections in Nursing Homes 
NCT Number: 
NCT06925620 
Document Date: 
January 27, 2022 
 
 

Study Protocol 
Study Objectives: 
1. To evaluate the effect of a multimodal hand hygiene intervention on 
healthcare workers' hand hygiene knowledge, compliance, and technique 
accuracy. 
2. To assess the impact of the intervention on healthcare-associated infection 
(HAI) density rates in nursing homes. 
Study Design: 
1. Cluster-randomized controlled trial. 
2. Four nursing homes were randomly assigned to the experimental group (two 
facilities) or the control group (two facilities). 
Participants: 
1. Nurses and nursing assistants working in participating nursing homes. 
2. Inclusion: Currently employed staff. 
3. Exclusion: Individuals who had submitted their resignation. 
Intervention: 
1. Experimental group: Received a three-month multimodal IT-enhanced hand 
hygiene program including amenities, reminders, education, observation with 
feedback, and patient safety climate improvements. 
2. Control group: Continued routine hand hygiene practices. 
Outcome Measures: 
1. Primary outcome: Hand hygiene knowledge, technique accuracy, and 
compliance. 
2. Secondary outcome: Healthcare-associated infection density. 
Data Collection: Baseline and post-intervention at 1, 2, and 3 months. 
Ethical Approval: Approved by Kaohsiung Medical University Chung-Ho Memorial 
Hospital Institutional Review Board (KMUHIRB-F(I)-20220007). 
Confidentiality: Participant data will be anonymized and securely stored. 
Publication Policy: Results will be published in journals.