Usage of ultraviolet test method for monitoring the efficacy of surgical hand rub technique among medical students

Erzsebet Vanyolos, Katalin Peto, Aida Viszlai, I. Mikó, I. Furka, N. Németh, Piroska Orosi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background Adequate hand movements are essential in surgical hand rub, so it is important for medical students to learn it correctly. To assess its efficacy, we aimed to use ultraviolet (UV) light test after applying fluorescent solution. Methods Digital images of the hands of 253 medical students were analyzed during "Basic Surgical Techniques" course on the 10th (Survey 1) and 14th (Survey 2) week of the curriculum to check the process and the skills development. The last step of the surgical hand rub was performed with a fluorescent solution, and then the hands were placed under UV light. Photographs were taken and analyzed. Every uncovered area was considered an error. Number and the localization of missed spots and its extent was determined. For evaluation, palmar (P) and dorsal (D) sides of the hands were divided into regions of interest (1-distal phalanxes, 2-thumb and first metacarpus, 3-second to fifth fingers, and 4-second to fifth metacarpals). Results Various magnitude and number of failure occurred in 123 (48.61%) students in survey 1 and in 65 (25.69%) in survey 2. The most frequent sites of the missed spots were D/2 and P/4 region in survey 1 and D/1 and P/4 in survey 2. There was an improvement seen in survey 2, as shown by a decrease in the number and extent of missed spots. Right-handed students made fewer mistakes on their nondominant hands than left-handed students (n = 23) did. Discussion The method was suitable to monitor the efficacy of surgical hand rub technique and identify the mistakes and the critical sites. The main advantage of the UV test was the immediate feedback, which resulted in a distinct improvement. Conclusion Applying the UV test to the medical education and training may contribute to improvement in the compliance and the efficacy of the technique of surgical hand rub among the students.

Original languageEnglish
Pages (from-to)530-535
Number of pages6
JournalJournal of Surgical Education
Volume72
Issue number3
DOIs
Publication statusPublished - May 1 2015

Fingerprint

Medical Students
medical student
Hand
monitoring
Students
Ultraviolet Rays
student
Metacarpus
Metacarpal Bones
Thumb
Medical Education
Surveys and Questionnaires
Curriculum
Fingers
Compliance
curriculum
evaluation
education

Keywords

  • Evaluation
  • Medical education
  • Surgical hand rub
  • UV test

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Usage of ultraviolet test method for monitoring the efficacy of surgical hand rub technique among medical students. / Vanyolos, Erzsebet; Peto, Katalin; Viszlai, Aida; Mikó, I.; Furka, I.; Németh, N.; Orosi, Piroska.

In: Journal of Surgical Education, Vol. 72, No. 3, 01.05.2015, p. 530-535.

Research output: Contribution to journalArticle

@article{5a89f2804b224fc39ad21370bec318b0,
title = "Usage of ultraviolet test method for monitoring the efficacy of surgical hand rub technique among medical students",
abstract = "Background Adequate hand movements are essential in surgical hand rub, so it is important for medical students to learn it correctly. To assess its efficacy, we aimed to use ultraviolet (UV) light test after applying fluorescent solution. Methods Digital images of the hands of 253 medical students were analyzed during {"}Basic Surgical Techniques{"} course on the 10th (Survey 1) and 14th (Survey 2) week of the curriculum to check the process and the skills development. The last step of the surgical hand rub was performed with a fluorescent solution, and then the hands were placed under UV light. Photographs were taken and analyzed. Every uncovered area was considered an error. Number and the localization of missed spots and its extent was determined. For evaluation, palmar (P) and dorsal (D) sides of the hands were divided into regions of interest (1-distal phalanxes, 2-thumb and first metacarpus, 3-second to fifth fingers, and 4-second to fifth metacarpals). Results Various magnitude and number of failure occurred in 123 (48.61{\%}) students in survey 1 and in 65 (25.69{\%}) in survey 2. The most frequent sites of the missed spots were D/2 and P/4 region in survey 1 and D/1 and P/4 in survey 2. There was an improvement seen in survey 2, as shown by a decrease in the number and extent of missed spots. Right-handed students made fewer mistakes on their nondominant hands than left-handed students (n = 23) did. Discussion The method was suitable to monitor the efficacy of surgical hand rub technique and identify the mistakes and the critical sites. The main advantage of the UV test was the immediate feedback, which resulted in a distinct improvement. Conclusion Applying the UV test to the medical education and training may contribute to improvement in the compliance and the efficacy of the technique of surgical hand rub among the students.",
keywords = "Evaluation, Medical education, Surgical hand rub, UV test",
author = "Erzsebet Vanyolos and Katalin Peto and Aida Viszlai and I. Mik{\'o} and I. Furka and N. N{\'e}meth and Piroska Orosi",
year = "2015",
month = "5",
day = "1",
doi = "10.1016/j.jsurg.2014.12.002",
language = "English",
volume = "72",
pages = "530--535",
journal = "Journal of Surgical Education",
issn = "1931-7204",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Usage of ultraviolet test method for monitoring the efficacy of surgical hand rub technique among medical students

AU - Vanyolos, Erzsebet

AU - Peto, Katalin

AU - Viszlai, Aida

AU - Mikó, I.

AU - Furka, I.

AU - Németh, N.

AU - Orosi, Piroska

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Background Adequate hand movements are essential in surgical hand rub, so it is important for medical students to learn it correctly. To assess its efficacy, we aimed to use ultraviolet (UV) light test after applying fluorescent solution. Methods Digital images of the hands of 253 medical students were analyzed during "Basic Surgical Techniques" course on the 10th (Survey 1) and 14th (Survey 2) week of the curriculum to check the process and the skills development. The last step of the surgical hand rub was performed with a fluorescent solution, and then the hands were placed under UV light. Photographs were taken and analyzed. Every uncovered area was considered an error. Number and the localization of missed spots and its extent was determined. For evaluation, palmar (P) and dorsal (D) sides of the hands were divided into regions of interest (1-distal phalanxes, 2-thumb and first metacarpus, 3-second to fifth fingers, and 4-second to fifth metacarpals). Results Various magnitude and number of failure occurred in 123 (48.61%) students in survey 1 and in 65 (25.69%) in survey 2. The most frequent sites of the missed spots were D/2 and P/4 region in survey 1 and D/1 and P/4 in survey 2. There was an improvement seen in survey 2, as shown by a decrease in the number and extent of missed spots. Right-handed students made fewer mistakes on their nondominant hands than left-handed students (n = 23) did. Discussion The method was suitable to monitor the efficacy of surgical hand rub technique and identify the mistakes and the critical sites. The main advantage of the UV test was the immediate feedback, which resulted in a distinct improvement. Conclusion Applying the UV test to the medical education and training may contribute to improvement in the compliance and the efficacy of the technique of surgical hand rub among the students.

AB - Background Adequate hand movements are essential in surgical hand rub, so it is important for medical students to learn it correctly. To assess its efficacy, we aimed to use ultraviolet (UV) light test after applying fluorescent solution. Methods Digital images of the hands of 253 medical students were analyzed during "Basic Surgical Techniques" course on the 10th (Survey 1) and 14th (Survey 2) week of the curriculum to check the process and the skills development. The last step of the surgical hand rub was performed with a fluorescent solution, and then the hands were placed under UV light. Photographs were taken and analyzed. Every uncovered area was considered an error. Number and the localization of missed spots and its extent was determined. For evaluation, palmar (P) and dorsal (D) sides of the hands were divided into regions of interest (1-distal phalanxes, 2-thumb and first metacarpus, 3-second to fifth fingers, and 4-second to fifth metacarpals). Results Various magnitude and number of failure occurred in 123 (48.61%) students in survey 1 and in 65 (25.69%) in survey 2. The most frequent sites of the missed spots were D/2 and P/4 region in survey 1 and D/1 and P/4 in survey 2. There was an improvement seen in survey 2, as shown by a decrease in the number and extent of missed spots. Right-handed students made fewer mistakes on their nondominant hands than left-handed students (n = 23) did. Discussion The method was suitable to monitor the efficacy of surgical hand rub technique and identify the mistakes and the critical sites. The main advantage of the UV test was the immediate feedback, which resulted in a distinct improvement. Conclusion Applying the UV test to the medical education and training may contribute to improvement in the compliance and the efficacy of the technique of surgical hand rub among the students.

KW - Evaluation

KW - Medical education

KW - Surgical hand rub

KW - UV test

UR - http://www.scopus.com/inward/record.url?scp=84926966746&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84926966746&partnerID=8YFLogxK

U2 - 10.1016/j.jsurg.2014.12.002

DO - 10.1016/j.jsurg.2014.12.002

M3 - Article

C2 - 25656633

AN - SCOPUS:84926966746

VL - 72

SP - 530

EP - 535

JO - Journal of Surgical Education

JF - Journal of Surgical Education

SN - 1931-7204

IS - 3

ER -