在干预前和干预后的变化以及ICU中对谁的洗手海报的遵守手卫生
Lada Lijović1,2, Josip Jaman3, Yannick Mudrovčić4
1Department of Intensive Care Medicine, Laboratory for Critical Care Computational Intelligence, Amsterdam Medical Data Science, Amsterdam Public Health, Amsterdam Cardiovascular Science, Amsterdam Institute for Infection and Immunity, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
实施有针对性的手部卫生 (HH) 海报显著改善了医疗保健工作人员的遵守,几乎使HH率翻了一番. 这种简单的干预措施通过减少与医疗相关的感染 (HAI) 来提高患者的安全性.
科学领域:
- 感染控制 感染控制
- 公共卫生 公共卫生
- 患者安全 患者安全
背景情况:
- 医疗相关感染 (HAI) 是欧盟的主要死亡原因.
- 手部卫生 (HH) 对于预防HAI至关重要,但遵守仍然低于50%.
- 世界卫生组织 (WHO) 的指导方针建议采取类似海报提醒的干预措施.
研究的目的:
- 评估标准化的WHO HH海报提醒对医疗保健工作者合规性的影响.
- 评估强调个人责任和患者结果的海报的有效性.
主要方法:
- 在一个月的时间里,在手术重症监护室进行了一项观察性研究.
- 通过直接观察使用世卫组织工具来测量手部卫生的遵守.
- 一个干预涉及在第15天用突出个人责任的标准海报取代标准海报.
主要成果:
- 整体HH遵守率从干预前的15.4%增加到干预后的28.3% (p<0.001).
- 暴露于体液后的合规性显著改善,从35.1%提高到58.7%.
- 肥和水是首选的HH方法;手套在98%的无菌程序中被使用,其中HH被遗漏.
结论:
- 带有关于后果和个人责任的信息的标准化海报可以增强HH合规性.
- 这种干预应被视为减少高血压感染的多式联运战略的一部分.
- 改善HH合规性有助于改善患者的治疗结果和安全.
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