A multifaceted approach to improve hand hygiene practices in the adult intensive care unit of a tertiary-care center

被引:13
作者
Al-Dorzi, Hasan M. [1 ,2 ]
Matroud, Amal [3 ]
Al Attas, Khaled A. [4 ]
Azzam, Ahmad I. [5 ]
Musned, Adel [6 ]
Naidu, Brintha [7 ]
Govender, Tamara [8 ]
Yeni, Zandile [9 ]
Abarintos, Chinette [10 ]
White, David [11 ]
Balkhy, Hanan [12 ]
Arabi, Yaseen M. [1 ,2 ]
机构
[1] King Abdulaziz Med City Riyadh, Dept Intens Care, Riyadh 11426, Saudi Arabia
[2] King Saud Bin Abdulaziz Univ Hlth Sci, Coll Med, Riyadh 11426, Saudi Arabia
[3] King Abdulaziz Med City Riyadh, Adult ICU, Riyadh 11426, Saudi Arabia
[4] King Abdulaziz Med City Riyadh, Dept Anesthesiol, Riyadh 11426, Saudi Arabia
[5] King Abdulaziz Med City Riyadh, Infect Prevent & Control Dept, Riyadh 11426, Saudi Arabia
[6] King Abdulaziz Med City Riyadh, Resp Serv Dept, Riyadh 11426, Saudi Arabia
[7] King Abdulaziz Med City Riyadh, Surg Intens Care Unit, Riyadh 11426, Saudi Arabia
[8] King Abdulaziz Med City Riyadh, Burn Unit, Riyadh 11426, Saudi Arabia
[9] King Abdulaziz Med City Riyadh, Intermediate Care Unit, Riyadh 11426, Saudi Arabia
[10] King Abdulaziz Med City Riyadh, Neuro ICU, Riyadh 11426, Saudi Arabia
[11] King Abdulaziz Med City Riyadh, Crit Care Serv, Riyadh 11426, Saudi Arabia
[12] King Abdulaziz Med City Riyadh, Infect Control & Prevent Program, Riyadh 11426, Saudi Arabia
关键词
Hand hygiene; Critical care; Quality improvement Intensive care unit; IMPACT;
D O I
10.1016/j.jiph.2014.02.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A multidisciplinary team was formed to improve hand hygiene (HH) practices in a tertiary-care ICU. At baseline, an audit revealed that the overall HH compliance was 64% and was significantly lower at night than during the day shift. After implementing a stepwise multifaceted approach that included education, workplace reminders, active feedback and later universal contact precautions, the HH compliance improved significantly to >80%, and the improvement was sustained over several months. This improvement was noted during the day and night and affected different healthcare workers as well as visitors. (C) 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:360 / 364
页数:5
相关论文
共 5 条
  • [1] Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care
    Erasmus, Vicki
    Daha, Thea J.
    Brug, Hans
    Richardus, Jan Hendrik
    Behrendt, Myra D.
    Vos, Margreet C.
    van Beeck, Ed F.
    [J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2010, 31 (03) : 283 - 294
  • [2] The impact of gown-use requirement on hand hygiene compliance
    Golan, Y
    Doron, S
    Griffith, J
    El Gamal, H
    Tanios, M
    Blunt, K
    Barefoot, L
    Bloom, J
    Gamson, K
    Snydman, LK
    Hansjosten, K
    Elnekave, E
    Nasraway, SA
    Snydman, DR
    [J]. CLINICAL INFECTIOUS DISEASES, 2006, 42 (03) : 370 - 376
  • [3] Mortell Manfred, 2012, Br J Nurs, V21, P1011
  • [4] Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach over 13 Years in 51 Cities of 19 Limited-Resource Countries from Latin America, Asia, the Middle East, and Europe
    Rosenthal, Victor D.
    Pawar, Mandakini
    Leblebicioglu, Hakan
    Navoa-Ng, Josephine Anne
    Villamil-Gomez, Wilmer
    Armas-Ruiz, Alberto
    Cuellar, Luis E.
    Medeiros, Eduardo A.
    Mitrev, Zan
    Gikas, Achilleas
    Yang, Yun
    Ahmed, Altaf
    Kanj, Souha S.
    Duenas, Lourdes
    Gurskis, Vaidotas
    Mapp, Trudell
    Guanche-Garcell, Humberto
    Fernandez-Hidalgo, Rosalia
    Kuebler, Andrzej
    [J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2013, 34 (04) : 415 - 423
  • [5] Redesigning Health Systems for Quality: Lessons from Emerging Practices
    Wang, Margaret C.
    Hyun, Jenny K.
    Harrison, Michael, I
    Shortell, Stephen M.
    Fraser, Irene
    [J]. JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2006, 32 (11) : 599 - 611