通过在六家乌干达医院使用质量改善方法遵守手部卫生来加强感染预防和控制
Hassan Kasujja1, J P Waswa1, Reuben Kiggundu1
1USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health, Kampala, Uganda.
Frontiers in public health
|November 6, 2024
概括
实施世界卫生组织 (WHO) 的手部卫生战略与持续质量改进 (CQI) 显著提高了医疗保健工作者在资源有限的医院的合规性和知识. 这种方法提高了感染预防和控制能力.
科学领域:
- 预防与医疗相关的感染 (HAI).
- 公共卫生干预措施 公共卫生干预措施
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 手部卫生 (HH) 对于减少HAI至关重要.
- 在资源有限的环境中提高高温合规性仍然是一个重大挑战.
- 需要有效的策略来增强医疗保健工作者 (HCWs) 中的HH实践.
研究的目的:
- 通过使用持续质量改进 (CQI) 方法实施和评估世界卫生组织 (WHO) 的健康改善战略.
- 评估干预对卫生保健知识和卫生保健工作者遵守规定的影响.
- 评估世卫组织工具 (IPCAF,HHSAF) 在改善资源有限的环境中改善HH和感染预防和控制 (IPC) 计划的有效性.
主要方法:
- 从2019年5月到2023年4月,在乌干达的六家医院进行了一项纵向研究.
- 世卫组织的健康改善战略是使用CQI技术实施的.
- 世卫组织的感染预防和控制评估框架 (IPCAF) 和手部卫生自我评估框架 (HHSAF) 工具被用于监测和评估.
主要成果:
- 所有医院的IPC和HH容量得分都显著改善.
- 医疗保健工作者的医疗保健知识从平均45.0%增加到76.0%,特别是在护士中.
- 医疗卫生遵守率至少翻了一番,从19.9%上升到53.8%,在"接触患者前"时刻观察到的最大改善.
结论:
- 世卫组织的卫生保健改善战略,当使用CQI方法实施时,会在资源有限的医院环境中大幅提高卫生保健能力,知识和合规性.
- 这项研究证明了CQI的成功应用,以提高HH作为IPC计划的基本元素.
- 这些发现突出了世卫组织工具在评估和改进IPC和HH实践在不同的医疗环境中的实用性.
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