Reducing post-cesarean wound infection at Muhororo Hospital by increasing hand hygiene practice
| Autor: | Victor Pawelzik, Rex Wong, Egide Kayonga Ntagungira, Eva Adomako, Adelphine Nibamureke |
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| Rok vydání: | 2016 |
| Předmět: |
030219 obstetrics & reproductive medicine
Quality management business.industry media_common.quotation_subject medicine.disease Wound infection Education Unit (housing) 03 medical and health sciences 0302 clinical medicine Nursing Hygiene Intervention (counseling) Health care Hospital-acquired infection medicine Observational study 030212 general & internal medicine business media_common |
| Zdroj: | On the Horizon. 24:357-362 |
| ISSN: | 1074-8121 |
| DOI: | 10.1108/oth-07-2016-0039 |
| Popis: | Purpose Post-cesarean wound infection (PCWI) is a common post-operative complication that can negatively affect patients and health systems. Poor hand hygiene practice of health care professionals is a common cause of PCWI. This case study aims to describe how strategic problem solving was used to introduce an alcohol-based hand rub in a district hospital in Rwanda to improve hand hygiene compliance among health care workers and reduce PCWI. Design/methodology/approach Pre- and post-intervention study design was used to address the poor hand hygiene compliance in the maternity unit. The hospital availed an alcohol-based hand rub and the team provided training on the importance of hand hygiene. A chart audit was conducted to assess the PCWI, and an observational study was used to assess hand hygiene compliance. Findings The intervention successfully increased hand hygiene compliance of health care workers from 38.2 to 89.7 per cent, p < 0.001, and was associated with reduced hospital-acquired infection rates from 6.2 to 2.5 per cent, p = 0.083. Practical implications This case study describes the implementation process of a quality improvement project using the eight steps of strategic problem solving to introduce an alcohol-based hand rub in a district hospital in Rwanda. The intervention improved hand hygiene compliance among health care workers and reduced PCWI using available resources and effective leadership skills. Originality/value The results will inform hospitals with similar settings of steps to create an environment that enables hand hygiene practice, and in turn reduces PCWI, using available resources and strategic problem solving. |
| Databáze: | OpenAIRE |
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