使用患者的观察来评估医疗保健工作者以酒精为基础的手与Pulpe'friction审计:一个有希望的方法?
Fanny Velardo1, Muriel Péfau1, Raymond Nasso2
1Center for Prevention of Healthcare Associated Infections of Nouvelle Aquitaine, CPias Nouvelle-Aquitaine, Bordeaux, France.
患者 患者 患者 患者
科学领域:
- 预防与医疗保健相关的感染
- 患者的安全和参与.
- 鼻腔传染病感染控制
背景情况:
- 手部卫生对于预防由医疗保健工作者传播的医疗保健相关感染至关重要.
- 患者参与可以增强手部卫生实践.
- 法国"Pulpe'friction"审计评估了HCW的做法和阻碍基于酒精的手部摩擦 (ABHR) 使用的障碍.
研究的目的:
- 确定HCWs自我报告的基于酒精的手按摩 (ABHR) 合规性和患者对HCW合规性的观察之间的关联.
- 探索患者对HCW手部卫生实践的看法.
主要方法:
- 利用了2019年进行的"脉摩擦"审计数据.
- 采用混合线性模型来分析HCW自我报告与患者在与患者接触之前使用ABHR的患者声明之间的关联.
主要成果:
- 在患者的观察和医疗卫生工作者宣布的手部卫生实践之间发现了积极的关联.
- 这种相关性在年轻 (<45) 和老年 (>64) 患者的医院和护理人员中观察到,但不是医生或长期护理机构.
- 接受关于手部卫生信息的患者更有动力遵守HCW实践.
结论:
- 患者愿意参与评估专业实践.
- 患者的观察与HCW自我报告的手部卫生遵守一致.
- 将患者观察结果纳入监测系统可以改善感染控制策略.
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