Improving hand hygiene executive ability by administrative intervention_West China Medical Journal

Authors：

 MA Hongqiu ¹ , TAO Xiubin ² , XIANG Mei ¹ , ZHANG Lei ¹

1. Nosocomial Infection Control Department, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P. R. China;
2. Nosocomial Infection Control Department, Yiji Mountain Hospital of Wannan Medical College, Wuhu, Anhui 241001, P. R. China;

Corresponding?author：

MA Hongqiu, Email: hefeimhq@126.com

Keywords：

Hand hygiene; Intervention; Multimodal; Executive force

DOI：

10.7507/1002-0179.201803014

Video：

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Objective To improve hand hygiene executive ability of healthcare workers in medical institutions in Anhui Province by multi-modal interventions with the administrative intervention as the guide. Methods The PDCA management mode was adopted in a step-by-step implementation of plan, implementation, inspection, improvement, and effectiveness evaluation in Anhui Province from April 2014 to December 2016. The management indicators of hand hygiene before and after the intervention in 1 353 hospitals were investigated and evaluated. Results The overall evaluation of the hand hygiene at the end of the implemention showed that 85.29% (58/68) of the tertiary hospitals, 84.07% (227/270) of the second-class hospitals and 66.63% (595/893) of the primary-level hospitals had well-equipped hand hygiene facilities. About 92.65% (63/68) of the tertiary hospitals, 100.00% (270/270) of the second-class hospitals and 50.06% (447/893) of the primary-level hospitals had staff training of hand hygiene knowledge. The compliance of hand hygiene before and after intervention increased from 36.68% to 61.93%, the correct rate of hand washing increased from 37.60% to 89.28%, the awareness rate of related knowledge increased from 41.20% to 86.07%, and the dosage of hand disinfectant increased from 2.59 mL to 7.10 mL. Conclusion To take multi-model interventions with the administrative intervention as the guide, can effectively improve the quality of hand hygiene management and the executive force.

Citation： MA Hongqiu, TAO Xiubin, XIANG Mei, ZHANG Lei. Improving hand hygiene executive ability by administrative intervention. West China Medical Journal, 2018, 33(3): 275-278. doi: 10.7507/1002-0179.201803014 Copy

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6.	曾慶會, 張川莉, 黃文治, 等. 綜合干預措施對提高血液病房醫護人員手衛生依從性的影響. 華西醫學, 2015, 30(7): 1324-1326.
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10.	李文紅, 莫蓓蓉, 楊華露, 等. 品管圈在提高醫護人員手衛生依從性中的效果評價. 護士進修雜志, 2015, 30(15): 1368-1370.
11.	周艷華, 晏娟, 伍俊玲, 等. 開展手衛生活動對醫務人員手衛生依從性的影響. 中國感染控制雜志, 2016, 15(3): 186-188.
12.	成燕, 楊薇, 侯章梅, 等. 應用品管圈提高神經科醫務人員手衛生依從性. 中國感染控制雜志, 2016, 15(11): 852-856.

1. Chen Y, Zhao W, Liu H, et al. Occurrence of nosocomial methicillin-resistant Staphylococcus aureus as a marker for transmission in a surgical intensive care unit in China. Am J Infect Control, 2014, 42(4): 436-438.
2. 苗勤, 朱明華, 白澤梅, 等. 不同培訓方式對醫護人員手衛生依從性的影響. 中國感染控制雜志, 2015, 14(6): 416-418.
3. 劉冰蕊. 醫護人員手衛生依從性現狀及改進措施. 大家健康: 學術版, 2016, 10(8): 295-296.
4. Organization WH. Report on the burden of endemic health care-associated infection worldwide. Geneva: WHO, 2011.
5. Allegranzi B, Gayet-Ageron A, Damani N, et al. Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study. Lancet Infect Dis, 2013, 13(10): 843-851.
6. 曾慶會, 張川莉, 黃文治, 等. 綜合干預措施對提高血液病房醫護人員手衛生依從性的影響. 華西醫學, 2015, 30(7): 1324-1326.
7. 徐艷, 牟霞, 楊懷, 等. 貴州省 19 所醫院手衛生促進項目研究. 中華醫院感染學雜志, 2014, 10(10): 2566-2568.
8. 尹丹萍, 肖鵬云. 實施手衛生持續改進方案提高手衛生依從性. 中華醫院感染學雜志, 2014, 24(11): 2834-2836.
9. Reichardt C, K?niger D, Bunte-Sch?nberger K, et al. Three years of National hand hygiene campaign in Germany: what are the key conclusions for clinical practice? J Hosp Infect, 2013, 83(Suppl 1): S11-S16.
10. 李文紅, 莫蓓蓉, 楊華露, 等. 品管圈在提高醫護人員手衛生依從性中的效果評價. 護士進修雜志, 2015, 30(15): 1368-1370.
11. 周艷華, 晏娟, 伍俊玲, 等. 開展手衛生活動對醫務人員手衛生依從性的影響. 中國感染控制雜志, 2016, 15(3): 186-188.
12. 成燕, 楊薇, 侯章梅, 等. 應用品管圈提高神經科醫務人員手衛生依從性. 中國感染控制雜志, 2016, 15(11): 852-856.

West China Medical Journal

Improving hand hygiene executive ability by administrative intervention

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