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One nudge for hand hygiene
BMJ Innovations ( IF 1.4 ) Pub Date : 2021-04-01 , DOI: 10.1136/bmjinnov-2020-000599
Donald A Redelmeier , Richard H Thaler

### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? The COVID-19 pandemic has caused over a 100 million cases and substantial numbers of admissions to acute care hospitals. Hand hygiene is a practical, affordable, acceptable, safe, reliable and effective strategy to mitigate the risks of nosocomial transmission to other patients in hospital for other reasons. Hand hygiene is also critical for ensuring the safety of healthcare workers and maintaining overall hospital staffing. However, hand hygiene is fallible because of many cognitive biases in everyday care.1 Clinicians, for example, have no easy way to determine if they are contaminated, whether their hand hygiene is sufficient, or if they are recalling correctly a repetitive activity.2–4 One strategy for improving hand hygiene is to increase the availability of hand sanitizer dispensers in public places is to structure more convenient opportunities for repeated hand washing. Each dispenser installation requires no electricity, plumbing or batteries and can be retrofitted onto existing infrastructure quickly and cheaply (figure 1). The logistics mostly require finding a wall …

中文翻译:

一位小手卫生

###摘要框####有哪些新发现?####将来对医疗保健有何影响?COVID-19大流行已导致超过1亿病例,并有大量急诊医院入院。手卫生是一种可行的,可负担的,可接受的,安全,可靠和有效的策略,可减轻因其他原因导致医院传播给其他患者的风险。手部卫生对于确保医护人员的安全和维持医院整体人员配备也至关重要。但是,由于日常护理中的许多认知偏见,手卫生是容易犯错的。1例如,临床医生没有简便的方法来确定他们是否受到污染,手卫生是否足够,或者他们是否正确地回忆起重复性活动。2-4改善手部卫生的一种策略是增加公共场所洗手液分配器的利用率,以构造更方便的机会重复洗手。每个分配器安装都不需要电力,管道或电池,并且可以快速,廉价地改装到现有基础设施上(图1)。物流大多需要找一堵墙……
更新日期:2021-04-20
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