Investigation and Analysis on the Standardization of Surgical Hand-washing and Hand-disinfection_West China Medical Journal

Authors：

 ZhaoJingling ¹ , TangJia ¹ , HuangXiaoqin ¹ , SunDazhi ¹ ,  ZhaoFumei ² , LiDongxue ¹ , QinShuyu ¹ , QinXuezhen ¹

1. Operation Room;the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, P. R. China;
2. Department of Nosocomial Infection Management;the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, P. R. China;

Corresponding?author：

ZhaoFumei, Email: 952547496@qq.com

Keywords：

Surgical hand-washing; Hand-disinfection; Standard operation; Investigation; Strategy

DOI：

10.7507/1002-0179.201600119

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate on preoperative hand-washing for analyzing the underlying problems, in purpose of preventing operation-related infection via strengthening the standardization of surgical hand-washing and hand-disinfection. Methods From July to September 2014, surveillance video of pre-operative hand-washing was studied and analyzed. We randomly selected 100 subjects, and assessment was performed based on the self-made surgical hand-washing and hand-disinfection protocol. Grading was done strictly. The passing score was 60 or higher; a score of 70-79 meant good; and a score of 80-100 indicated excellence. Results In the survey, 91 in the 100 subjects were qualified. Among the qualified subjects, there were 53% of excellence and 20% of good. The major problems included erroneous methods, step omissions, time lacking, pollution, wrong flushing method or dry-hand method, and insufficient washing time. Conclusion Based on the survey, the administration department is advised to strengthen the regulatory supervision and education training based on standard surgical hand-washing and hand-disinfection criteria, especially training interns and new staff, in purpose of reducing the incidence of operation-related infection and improving hospitalization management qualities.

Citation： ZhaoJingling, TangJia, HuangXiaoqin, SunDazhi, ZhaoFumei, LiDongxue, QinShuyu, QinXuezhen. Investigation and Analysis on the Standardization of Surgical Hand-washing and Hand-disinfection. West China Medical Journal, 2016, 31(3): 440-443. doi: 10.7507/1002-0179.201600119 Copy

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11.	Pittet D. Hygiene:it's all about when and how[J]. Infect Contrl Hosp Epidemiol, 2008, 29(10):957-959.
12.	中華人民共和國衛生部. WS/T 367-2012醫療機構消毒技術規范[S]. 2012.
13.	韋敏玲, 蘇慶嬌, 駱如香, 等. 手術室實習護生外科手消毒效果監測與管理[J]. 微創醫學, 2013, 4(8):509-510.
14.	張安美. 外科醫生手衛生依從性與準確性調查分析[J]. 濰坊醫學院學報, 2012, 34(3):231-233.

1. 中華人民共和國衛生部. WS/T 313-2009 醫務人員手衛生規范[S]. 2009.
2. 中華人民共和國衛生部. GB 27950-2011手消毒劑衛生要求[S]. 2011.
3. 楊綺莉, 蔡麗娥, 肖麗穎, 等. 影響外科人員手消毒效果原因[J]. 中華醫院感染學雜志, 2002, 12(4):297.
4. 黃瓊華. 院科兩級醫務人員手衛生依從性和正確率調查結果比較[J]. 華西醫學, 2015, 30(4):717-720.
5. 蘭乖平, 楊曉艷. 從不同潔手方法及效果探討手衛生的必要性[J]. 中國地方病防治雜志, 2014, 29(1):342.
6. 張曉梅, 劉曉玲, 胡靜杰, 等. 醫務人員不同方法洗手效果監測[J]. 中國消毒學雜志, 2013, 30(11):1101-1102.
7. Perkins JJ. Principles and methods of sterilization in health sciences[M]. 2nd ed. Springfield:Charles C. Thomas Publisher Ltd, 1969:343.
8. 龔啟斌, 彭獻香. 醫務人員手污染的調查分析[J]. 中華醫院感染學雜志, 2007, 17(11):1407.
9. 李素芬. 消毒供應室醫務人員的職業暴露與防護[J]. 中華醫院感染學雜志, 2007, 17(7):857-858.
10. 王珂. 淺談"霍桑效應"在學生管理中的應用[J]. 上海教育, 2015(3):87.
11. Pittet D. Hygiene:it's all about when and how[J]. Infect Contrl Hosp Epidemiol, 2008, 29(10):957-959.
12. 中華人民共和國衛生部. WS/T 367-2012醫療機構消毒技術規范[S]. 2012.
13. 韋敏玲, 蘇慶嬌, 駱如香, 等. 手術室實習護生外科手消毒效果監測與管理[J]. 微創醫學, 2013, 4(8):509-510.
14. 張安美. 外科醫生手衛生依從性與準確性調查分析[J]. 濰坊醫學院學報, 2012, 34(3):231-233.

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