Contrast of Compliance and Accuracy of Hand Hygiene between Department and Hospital Medical Staff_West China Medical Journal

Authors：

 HUANGQiong-hua

Hospital Infection Management Department, the First People's Hospital of Shuangliu County, Shuangliu, Sichuan 610200, P. R. China;

Corresponding author：

Keywords：

Department and hospital; Hand hygiene; Compliance and accuracy; Contrast

DOI：

10.7507/1002-0179.20150204

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Objective To compare the investigation results of compliance and accuracy of hand hygiene in medical staff achieved by Hospital Infection Management Department and Department Infection Management Teams, and analyze the reasons for differences of the results and take measures to improve the investigation ability of hand hygiene in hospitals. Methods We statistically analyzed the results of compliance and accuracy of hand hygiene from January to December 2013 investigated by the infection management department and 25 infection management teams. Both the hospital and departments used "WHO Standard Observation Form". Single-blind method was used to observe the implementation of hand hygiene in medical staff. Results The hospital infection management department investigation showed that hand hygiene compliance and accuracy were 64.97% and 87.78%, respectively, while the investigation by infection management teams showed that hand hygiene compliance and accuracy were 90.54% and 93.37%, respectively. The differences between the investigation results of two-level organizations were statistically significant (χ²=286.2, P<0.001; χ²=532.6, P<0.001). Conclusion We should take measures to enforce the training of hand hygiene implementation and the observation method, and improve the guidance and assessment, promote investigators' working responsibility and observation ability, so that the survey data can accurately reflect the actual situation to urge medical staff to form good hand hygiene habits.

Citation： HUANGQiong-hua. Contrast of Compliance and Accuracy of Hand Hygiene between Department and Hospital Medical Staff. West China Medical Journal, 2015, 30(4): 717-720. doi: 10.7507/1002-0179.20150204 Copy

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1. 贾会学, 贾建侠, 赵艳春, 等. 医务人员手卫生依从率及手卫生方法调查分析[J]. 中华医院感染学杂志, 2010, 20(21):3341-3343.
2. 乔甫, 宗志勇. 循证感控, 始于行——医院感染的预防与控制[J]. 华西医学, 2012, 27(9):1281-1284.
3. 胡必杰, 陆群, 刘滨, 等. 医院感染预防与控制最佳实践丛书(第一辑):手卫生最佳实践[M]. 上海:上海科学技术出版社, 2012:6.
4. 中华人民共和国卫生部. 三级综合医院评审标准及实施细则(2011年版)[EB/OL]. (2011-12-23)[2014-01-01]. http://wsb.moh.gov.cn/mohylfwjgs/s3577/201112/53721/files/02b5187a195c42e0855e4e27445fc2f0.pdf.
5. 中华人民共和国卫生部. WS/T 313-2009 医务人员手卫生规范[S]. 北京:中国标准出版社, 2009.
6. 中华人民共和国卫生部. 医务人员手卫生规范[J].中华医院感染学杂志, 2009, 19(2):1-2.
7. 沈燕, 胡必杰, 高晓东, 等. 上海市71所医院医务人员手卫生用品消耗量分析[J]. 中华医院感染学杂志, 2010, 20(12):1720-1721.
8. Herud T, Nilsen RM, Svendheim K, et al. Association between use of hand hygiene products and rates of health careassociated infections in a large university hospital in Norway[J]. Am J Infect Control, 2009, 37(4):311-317.
9. Pitter D, Hugonnet S, Harbarth S, et al. Effectiveness of a hospitalwide programme to improve compliance with hand hygiene. Infection Control Programme[J]. Lancet, 2000, 356(9238):1307-1312.
10. 黄琼华, 许佳芬, 李暾, 等. 干预组合对重症医学科呼吸机相关肺炎发病率的影响[J]. 华西医学, 2013, 28(1):76-79.
11. 陆赟. 呼吸机相关性肺炎研究进展[J]. 中国医药指南杂志, 2011, 9(20):222-225.
12. 严玲华. 临床护理人员手卫生知识及其时间点执行情况调查[J]. 护理学杂志, 2010, 25(7):85-87.
13. 孙艳, 吴正华. 临床护理人员手卫生现状及对策研究[J]. 中华医院感染学杂志, 2014, 24(2):518-520.
14. 惠锦林, 刘瑞, 杨锡瑶, 等. 全方位综合干预措施对提高手卫生依从性的影响[J]. 中国感染控制杂志, 2013, 12(1):62-63.
15. 尹维佳, 黄文治, 黄静, 等. 建立交叉检查长效机制促进医院感染管理持续质量改进[J]. 华西医学, 2014, 29(3):409-412.

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Contrast of Compliance and Accuracy of Hand Hygiene between Department and Hospital Medical Staff

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