世卫组织关于改善医疗保健中的手部卫生的全球研究议程:德尔菲共识研究
Benedetta Allegranzi1, Ermira Tartari1,2, Claire Kilpatrick1
1Infection Prevention and Control Unit and Hub, Department of Integrated Health Services, World Health Organization, Geneva, Switzerland.
Infection control and hospital epidemiology
|March 20, 2025
概括
全球专家确定了178个卫生保健机构手部卫生研究重点. 该议程旨在改善患者安全,并减少全球的医疗保健相关感染.
科学领域:
- 医疗保健的质量和安全
- 预防传染病 预防传染病
- 全球卫生研究全球卫生研究
背景情况:
- 手部卫生对于预防医疗相关感染至关重要.
- 现有的知识差距阻碍了有效的全球手部卫生改善策略.
- 需要一个协调的研究议程来提高医疗保健质量和患者安全.
研究的目的:
- 确定医疗保健机构手部卫生的全球研究重点.
- 为2023-2030年制定一个全面的研究议程.
- 引导手部卫生的资金,研究协调,投资和政策.
主要方法:
- 一项国际专家共识研究,使用修改后的Delphi过程.
- 参与了由全球手部卫生专家组成的105名成员小组.
- 一个多阶段的方法,包括meta-review和两轮Delphi调查,有192个初步优先级.
主要成果:
- 在192个优先事项中有178个 (92.7%) 达成共识.
- 优先事项被分为六个领域:系统变化,培训,评估,沟通,安全气候和对HAI/抗菌素耐药性的影响.
- 121个优先事项达到了80%以上的共识,而德尔菲的响应率为92%.
结论:
- 一个结构化的共识过程成功地确定了手部卫生的主要研究重点.
- 开发的研究议程解决了改善手部卫生方面的关键缺口.
- 这一议程支持提高全球医疗保健质量和安全.
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