Abstract：
BACKGROUND: Good hand hygiene techniques (HHTs), like those of the World Health Organization (WHO), prevent microbial contamination of aseptic preparations. The objective of this study was to assess the efficacy of a game-based training (GBT) tool (the Handtastic Box) to improve the compliance of hospital pharmacy operators (HPOs) with handwashing guidelines.
METHODS: A camera recorded handwashing by HPOs for 1 month before the training day, for 1 month after the training day (M1), and between month 1 and month 3 (M2&3). Movements were scored as fully executed, partially executed or not executed. Compliance rates of each HPO with HHTs were compared between observation periods. During 1-h training sessions, pairs of HPO trainees watched handwashing videos and noted which of five guideline steps was missing. They examined wooden hands with areas stained with fluorescein under ultraviolet light to find the hand showing the matching contamination.
RESULTS: The mean compliance score for nine HPOs increased from 44.6% (before training, N=32 videos) to 86.7% (M1, N=40) to 82.5% (M2&3, N=45). Compliance with every step improved from before training to M1 and generally stabilized in M2&3, except for the fingertip washing step which dropped significantly in M2&3.
CONCLUSIONS: To the authors\' knowledge, this is the first study to assess the efficacy of a GBT tool to improve HPO compliance with the WHO HHTs. The tool improved handwashing scores significantly, and maintained them at the same level for 3 months after training. The separate results for each step highlight the need to train every movement.
CONCLUSIONS: This GBT tool successfully improved compliance with the WHO HHTs for 3 months. This training could be used for other healthcare professionals.
METHODS: A camera recorded handwashing by HPOs for 1 month before the training day, for 1 month after the training day (M1), and between month 1 and month 3 (M2&3). Movements were scored as fully executed, partially executed or not executed. Compliance rates of each HPO with HHTs were compared between observation periods. During 1-h training sessions, pairs of HPO trainees watched handwashing videos and noted which of five guideline steps was missing. They examined wooden hands with areas stained with fluorescein under ultraviolet light to find the hand showing the matching contamination.
RESULTS: The mean compliance score for nine HPOs increased from 44.6% (before training, N=32 videos) to 86.7% (M1, N=40) to 82.5% (M2&3, N=45). Compliance with every step improved from before training to M1 and generally stabilized in M2&3, except for the fingertip washing step which dropped significantly in M2&3.
CONCLUSIONS: To the authors\' knowledge, this is the first study to assess the efficacy of a GBT tool to improve HPO compliance with the WHO HHTs. The tool improved handwashing scores significantly, and maintained them at the same level for 3 months after training. The separate results for each step highlight the need to train every movement.
CONCLUSIONS: This GBT tool successfully improved compliance with the WHO HHTs for 3 months. This training could be used for other healthcare professionals.
摘要：
背景：良好的手部卫生技术（HHT），就像世界卫生组织(WHO)一样，防止无菌制剂的微生物污染。这项研究的目的是评估基于游戏的培训（GBT）工具（HandasticBox）的功效，以提高医院药房操作员（HPO）对洗手指南的依从性。
方法：一台摄像机记录了训练日前1个月的HPO洗手，训练日（M1）后1个月，在第1个月和第3个月之间（M2和3）。运动被评分为完全执行，部分执行或未执行。在观察期之间比较了每种HPO与HHT的依从率。在1小时的培训课程中，一对HPO学员观看了洗手视频，并指出缺少五个指导步骤中的哪一个。他们在紫外线下检查了带有荧光素染色区域的木制手，发现手显示出匹配的污染。
结果：9个HPO的平均依从性得分从44.6％增加（训练前，N=32个视频）到86.7％（M1，N=40）到82.5％（M2＆3，N=45）。每个步骤的依从性从训练前提高到M1，并且在M2和3中通常稳定，除了指尖洗涤步骤在M2和3中明显下降。
结论：据作者所知，这是第一项评估GBT工具改善HPO对WHOHHT的依从性的有效性的研究.该工具显著提高了洗手分数，并在训练后3个月保持在同一水平。每个步骤的单独结果突出了训练每个动作的需要。
结论：该GBT工具成功地提高了3个月对WHOHHT的依从性。此培训可用于其他医疗保健专业人员。
方法：一台摄像机记录了训练日前1个月的HPO洗手，训练日（M1）后1个月，在第1个月和第3个月之间（M2和3）。运动被评分为完全执行，部分执行或未执行。在观察期之间比较了每种HPO与HHT的依从率。在1小时的培训课程中，一对HPO学员观看了洗手视频，并指出缺少五个指导步骤中的哪一个。他们在紫外线下检查了带有荧光素染色区域的木制手，发现手显示出匹配的污染。
结果：9个HPO的平均依从性得分从44.6％增加（训练前，N=32个视频）到86.7％（M1，N=40）到82.5％（M2＆3，N=45）。每个步骤的依从性从训练前提高到M1，并且在M2和3中通常稳定，除了指尖洗涤步骤在M2和3中明显下降。
结论：据作者所知，这是第一项评估GBT工具改善HPO对WHOHHT的依从性的有效性的研究.该工具显著提高了洗手分数，并在训练后3个月保持在同一水平。每个步骤的单独结果突出了训练每个动作的需要。
结论：该GBT工具成功地提高了3个月对WHOHHT的依从性。此培训可用于其他医疗保健专业人员。
