患者和访客参与改善医疗保健人员的手部卫生:一个多医院试点计划
Dianne Auld1, Marissa Broadley1, Alison de Abreu1
1Department of Epidemiology & Infection Prevention, Brown University Health, Providence, RI.
患者审计医疗保健人员 (HCP) 手部卫生提高了问责制. 这种以患者为中心的方法是可行的和可以接受的,它补充了传统的感染预防计划.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防和控制感染的预防和控制.
- 患者参与 患者参与
背景情况:
- 医疗保健人员 (HCP) 遵守手部卫生对于预防感染至关重要,但通常很难维持.
- 让患者和访客参与手部卫生计划可以提高问责制和合规率.
研究的目的:
- 评估患者/访客审计计划对HCP手部卫生的可行性和可接受性.
- 评估患者/访客审计对HCP手部卫生遵守和患者舒适性的影响.
主要方法:
- 在4家医院实施了一项试点计划,涉及患者和访客审计HCP手部卫生实践.
- 通过QR码或纸质表格匿名提交审计,记录手部卫生事件和员工舒适度.
- 该计划从最初的试点单位扩展到所有住院病房和选择门诊区域.
主要成果:
- 总共完成了360次手部卫生审计,观察到卫生保健人员的遵守率为86%.
- 观察到的遵守情况因医院而异,从77%到97%不等.
- 78%的参与者感到舒服地提示HCP,不适与观察到的遵守率较低有关.
结论:
- 患者和访客对HCP手部卫生进行审计是一个可行的和可接受的策略.
- 这种以患者为中心的方法可以提高问责制,并作为现有合规计划的可扩展补充.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
相关概念视频
Hand hygiene
Hand washing...
Handwashing III: During the Procedure and Post-Procedure Steps
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
Handwashing I: Introduction and Types of Equipment
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
