Study on improvement of hand hygiene compliance and correctness of health care workers in a large hospital
10.3969/j.issn.1671-9638.2015.09.012
- VernacularTitle:大型医院提高医务人员手卫生依从性和正确性研究
- Author:
Weijia YIN
;
Wenzhi HUANG
;
Fu QIAO
;
Hui ZHANG
;
Zhiyong ZONG
;
Li RAO
- Publication Type:Journal Article
- Keywords:
hand hygiene;
compliance;
correctness;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(9):622-625
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore strategies and measures to improve hand hygiene (HH)compliance and correctness of health care workers (HCWs)in a large hospital.Methods The WHO multimodal hand hygiene improvement strategy was adopted by healthcare-associated infection(HAI)management department of a hospital,measures consisted of five key com-ponents,including:system change,education and training,evaluation and feedback,reminders in the workplace,and insti-tutional safety climate.HH compliance and correctness of HCWs were observed by infection control practitioners,HH compliance and correctness in January-June of 2012 (pre-intervention)and January-June of 2014 (post-intervention)were compared,effectiveness of intervention strategies were evaluated.Results HH compliance rate and correctness rate of post-intervention were both higher than pre-intervention (75.92% [8 369/11 023]vs 53.67% [5 127/9 553],P <0.001;94.11%[7 782/8 269]vs 83.88%[3 642/4 342],P <0.001).Of different occupations,HH compliance rates of doctors and nurses were significantly different before and after intervention (both P <0.001),while workers and staff of other oc-cupations before and after intervention were not significantly different(both P >0.05).Except ‘after body fluid exposure’, HH compliance rates of the other four indications for HH before and after intervention were significantly different(all P <0.001).Conclusion HH compliance and correctness of HCWs can be improved after adopting WHO multimodal hand hy-giene improvement strategy.
