About this trial
Mental health settings are particularly vulnerable to outbreaks and transmission due to infectious pathogens like norovirus. This occurs since access to soap and water (sinks) is limited for safety reasons and alcohol hand rub is not available outside patient rooms because of concerns for ingestion and fire. Thus, novel hand hygiene improvement interventions are needed in mental health settings including new hand hygiene bundles tailored to VHA mental health settings and novel alcohol-free hand rubs that are safe for installation and use in mental health settings. Non-alcohol hand rub has been approved and is currently used in some VAs, but isn't currently a standard VA-wide practice. These products can expand access to hand hygiene in locations where alcohol-based products are not allowed.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
VA mental health care workers on inpatient mental health units
Quality improvement staff including infection control
Disqualifiers
Outpatient care settings
Trial design
Sequential
Treatments tested in this trial
Tailored Hand Hygiene Bundle
Other interventionAdapt and develop a hand hygiene bundle for mental health care settings with evidence-based best practices. Disseminate the hand hygiene bundle.
Non-Alcohol Based Hand Sanitizer
Other interventionInstall non-alcohol based hand sanitizer dispensers
Treatment groups
Trial outcomes
Primary outcomes
Hand Hygiene Compliance
The primary outcome entails direct observation of health care workers' compliance of HH to be measured as 4 hours of direct HH observations per VA facility. All data obtained from the direct observation by research staff will be entered into a structured survey form, REDCap, developed by the primary site.
Sponsors and contacts
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