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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
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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
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Secondary ID [1]
301348
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nil known
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Universal Trial Number (UTN)
U1111-1252-4322
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prevention of infection
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Hand hygiene practice
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Condition category
Condition code
Infection
315650
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0
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Other infectious diseases
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Public Health
315956
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0
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Other public health
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Intervention/exposure
Study type
Interventional
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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.
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Intervention code [1]
317644
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Behaviour
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Comparator / control treatment
Performance without weekly feedback
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Control group
Active
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Outcomes
Primary outcome [1]
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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.
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Assessment method [1]
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Timepoint [1]
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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.
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Secondary outcome [1]
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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.
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Assessment method [1]
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Timepoint [1]
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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.
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Eligibility
Key inclusion criteria
Health care workers who come in contact with the patient in the post anaesthetic recovery unit
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Visitors and family who are not healthcare workers that come in contact with the patient in post anaesthetic recovery unit.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Not applicable
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Not applicable
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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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.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/08/2020
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Actual
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Date of last participant enrolment
Anticipated
10/08/2020
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Actual
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Date of last data collection
Anticipated
5/10/2020
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
30342
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3050 - Royal Melbourne Hospital
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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The Royal Melbourne Hospital
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Address [1]
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The Department of Anaesthesia and Pain Management, The Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Airway Research Group
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Address
The Department of Anaesthesia and Pain Management, The 300 Grattan st, Parkville, Victoria, 3050
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
306224
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Address [1]
306224
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Country [1]
306224
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Melbourne Health Human Research Ethics Committee - Quality Assurance Committee
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Ethics committee address [1]
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300 Grattan st, Parkville, Victoria, 3050.
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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06/05/2020
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Approval date [1]
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23/07/2020
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Ethics approval number [1]
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QA2020081
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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.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Irene Ng
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Address
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Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
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Country
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Australia
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Phone
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+613 9342 7540
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Irene Ng
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Address
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Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
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Country
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Australia
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Phone
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+613 9342 7540
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Irene Ng
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Address
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Royal Melbourne Hospital, 300 Grattan st, Parkville, Victoria, 3050
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Country
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Australia
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Phone
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+613 9342 7540
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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.
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