Effect of comprehensive medical goal appraisal on hand hygiene compli-ance rate of health care workers
10.3969/j.issn.1671-9638.2015.01.003
- VernacularTitle:医疗综合目标评估对医务人员手卫生依从率的影响
- Author:
Liuyi LI
;
Jianfeng YUAN
;
Yanchun ZHAO
;
Jianxia JIA
;
Xiuli ZHAO
;
Junhong REN
;
Huixue JIA
;
Ling LI
;
Xi YAO
;
Huan YIN
;
Yisheng PAN
- Publication Type:Journal Article
- Keywords:
hand hygiene;
hand washing;
compliance rate;
comprehensive medical goal appraisal;
hawthorne effect;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(1):16-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the comprehensive medical goal appraisal system on hand hygiene compliance rate of health care workers(HCWs).Methods Comprehensive medical goal appraisal system was adopted to inter-vene hand hygiene compliance rate of HCWs in a comprehensive hospital ,hand hygiene compliance rates of HCWs and consumption of instant hand sanitizer per bed-day before (December 2012)and after intervention (January 2013-June 2014)were compared.Results Hand hygiene compliance rate after intervention was higher than before interven-tion (85.17% [18 208/21 379]vs 39.92%[853/2 137]),hand hygiene compliance rate enhanced by 113.35%(χ2 =2 590. 81,P <0.001).Hand hygiene compliance rates of HCWs of different departments,different occupations and different hand hygiene moments were all higher than before intervention (all P <0.001);after intervention ,hand hygiene compliance rate revealed a increased tendency,and has maintained high since October 2013 (>90%),consumption of instant hand sanitizer before and after intervention was 7.24 mL/bed-day(4 200 L/579 841 bed-day)and 10.54 mL/bed-day(9 323.5L/884 489 bed-day)respectively,the consumption after intervention increased by 45.58% compared with that before intervention. Conclusion Comprehensive medical goal appraisal can effectively enhance hand hygiene compliance rate ,and maintains at a high level;the measure can affect hand hygiene behavior of HCWs by hawthorne effect,and is an effective and long-term measure to improve hand hygiene compliance of HCWs.