Evaluation of the National Tool for Observation of Infection Prevention Measures in the Healthcare (NOST)

NCT05721183 | Unknown

• 1 other identifier: NOST
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

The Norwegian Institute of Public Health (NIPH) is introducing a new electronic tool for direct observation of compliance with recommended infection prevention and control measures in healthcare. The solution is called the National Tool for Observation of Infection Prevention Measures (NOST). NOST is a quality improvement tool that includes a web-based solution for observing compliance with recommendations for hand hygiene and other IPC measures. Through NOST, healthcare personnel will be able to identify the local level of compliance, which in turn can reveal areas for improvement. This protocol includes the evaluation of NOST in hospitals. The evaluation is designed as a cluster-randomized controlled trial with two arms where eligible wards in hospitals are randomly allocated into an intervention and a control arm. NOST is implemented in the intervention wards at the start of the evaluation period, and compliance with hand hygiene and other outcomes are measured in both the interventions and control wards one year later. The objective of evaluating NOST is to:

• measure if implementation of NOST leads to improved infection prevention and control in the form of increased compliance with hand hygiene recommendations, and
• measure if changes in the quality of infection prevention and control as a result of implemented NOST affects the epidemiology of healthcare-associated infections in healthcare institutions and the length of hospital stays.

Conditions

Infections, Respiratory; Healthcare Worker Patient Transmission

Outcome Measures

Primary Outcomes (1)

• Hand hygiene observations

  Self-reported proportion of correct compliance, in total and by occupation

  Day 1 to one year later

Secondary Outcomes (4)

• Outbreaks of infectious diseases

  Day 1 to one year later

• Surveillance of healthcare-associated infections

  Day 1 to one year later

• Surveillance of postoperative site infections

  Day 1 to one year later

• Length of stay

  Day 1 to one year later

Study Arms (2)

NOST

EXPERIMENTAL

The intervention is to implement NOST, which includes: observation and recording of compliance with hand hygiene recommendations identification of areas for improvement training or other actions taken to improve IPC in general or compliance with hand hygiene. Thus, the intervention includes both observation of compliance and any additional improvement measures initiated as a result of the introduced NOST. When the intervention group has implemented and followed NOST for a year, the investigators will measure compliance with hand hygiene recommendations and reported HAIs, in wards that have had NOST and in wards that have not introduced NOST. The intervention arm will be followed over time with repeated measurements of both compliance with hand hygiene and other outcome measures, to see if the effect increases in line with implemented observations and quality improvement measures, or if the effect decreases during the study period.

Behavioral: NOST

Control

NO INTERVENTION

Participants in the no intervention arm arm are asked not to implement NOST.

Interventions

NOST BEHAVIORAL

The intervention is to implement NOST, which includes: observation and recording of compliance with hand hygiene recommendations identification of areas for improvement training or other actions taken to improve IPC in general or compliance with hand hygiene. Thus, the intervention includes both observation of compliance and any additional improvement measures initiated as a result of the introduced NOST. When the intervention group has implemented and followed NOST for a year, the investigators will measure compliance with hand hygiene recommendations and reported HAIs, in wards that have had NOST and in wards that have not introduced NOST. The intervention arm will be followed over time with repeated measurements of both compliance with hand hygiene and other outcome measures, to see if the effect increases in line with implemented observations and quality improvement measures, or if the effect decreases during the study period.

NOST

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Hospital wards with day- and night care.

You may not qualify if:

• Intensivecare units.

Sponsors & Collaborators

• Norwegian Institute of Public Health: lead

Study Sites (1)

Norwegian Institute of Public Health

Oslo, 0213, Norway

Location

MeSH Terms

Conditions

Respiratory Tract Infections

Condition Hierarchy (Ancestors)

Infections; Respiratory Tract Diseases

Study Officials

• Petter Elstrøm, PhD

  Norwegian Institute of Public Health

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Petter Elstrøm, PhD

CONTACT

+4721077000; petter.elstrom@fhi.no

Mette Fagernes, PhD

CONTACT

mette.fagernes@fhi.no

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The reserachers who evaluates the outcome of interest will be masked for the group allocation.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Model Details: The intervention is to implement NOST, which includes: * observation and recording of compliance with hand hygiene recommendations * identification of areas for improvement * training or other actions taken to improve IPC in general or compliance with hand hygiene. Thus, the intervention includes both observation of compliance and any additional improvement measures initiated as a result of the introduced NOST. When the intervention group has implemented and followed NOST for a year, investigators will measure compliance with hand hygiene recommendations and reported HAIs, in wards that have had NOST and in wards that have not introduced NOST. The intervention arm will be followed over time with repeated measurements of both compliance with hand hygiene and other outcome measures, to see if the effect increases in line with implemented observations and quality improvement measures, or if the effect decreases during the study period.

Study Record Dates

• First Submitted: January 31, 2023
• First Posted: February 9, 2023
• Study Start: February 20, 2023
• Primary Completion: January 1, 2025
• Study Completion: February 1, 2025
• Last Updated: February 21, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)