Improving hand hygiene in a medical ward: a multifaceted approach.
| Autor: | Poulose V; Respiratory and Critical Care Medicine, Changi General Hospital, Singapore., Punithavathi A; Nursing, Changi General Hospital, Singapore., Ali M; Nursing, Changi General Hospital, Singapore., Mohamad Assalam F; Nursing, Changi General Hospital, Singapore., Phyo KK; Radiography, Changi General Hospital, Singapore., Soh A; Rehabilitative Services, Changi General Hospital, Singapore., Tan SH; Rehabilitative Services, Changi General Hospital, Singapore., Li J; Infection Prevention and Control, Changi General Hospital, Singapore., Ang WB; Office of Improvement Science, Changi General Hospital, Singapore., Chew A; Office of Improvement Science, Changi General Hospital, Singapore Alvin_Chew@cgh.com.sg. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ open quality [BMJ Open Qual] 2022 Apr; Vol. 11 (2). |
| DOI: | 10.1136/bmjoq-2021-001659 |
| Abstrakt: | Background: Hand hygiene is a fundamental action which is simple, inexpensive and an effective tool in reducing hospital-acquired infections, yet compliance remains low in healthcare settings. In 2014, Changi General Hospital embarked on a pilot project to improve hand hygiene compliance in a pilot ward with the intention to eventually spread a multifaceted set of interventions hospital wide. Methods: A before and after interventional study of a pilot project. Hand hygiene data collection was through direct observations by auditors using WHO monitoring standards and techniques based on the five-moment model. Setting: A medical ward in an acute hospital in Singapore. Results: Overall hand hygiene compliance improved from a median of 53% in 2015 to 80% by end of 2017. Hand hygiene compliance of doctors increased from 43% to 60% (p=0.00), nurses from 62% to 89% (p=0.014) and allied health staff from 67% to 83% (p=0.002). Conclusions: A multifaceted set of interventions developed by the project team was effective in improving hand hygiene compliance of doctors, nurses and allied health staff. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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