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

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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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4.	Organization WH. Report on the burden of endemic health care-associated infection worldwide. Geneva: WHO, 2011.
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6.	曾庆会, 张川莉, 黄文治, 等. 综合干预措施对提高血液病房医护人员手卫生依从性的影响. 华西医学, 2015, 30(7): 1324-1326.
7.	徐艳, 牟霞, 杨怀, 等. 贵州省 19 所医院手卫生促进项目研究. 中华医院感染学杂志, 2014, 10(10): 2566-2568.
8.	尹丹萍, 肖鹏云. 实施手卫生持续改进方案提高手卫生依从性. 中华医院感染学杂志, 2014, 24(11): 2834-2836.
9.	Reichardt C, Königer D, Bunte-Schönberger 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.	李文红, 莫蓓蓉, 杨华露, 等. 品管圈在提高医护人员手卫生依从性中的效果评价. 护士进修杂志, 2015, 30(15): 1368-1370.
11.	周艳华, 晏娟, 伍俊玲, 等. 开展手卫生活动对医务人员手卫生依从性的影响. 中国感染控制杂志, 2016, 15(3): 186-188.
12.	成燕, 杨薇, 侯章梅, 等. 应用品管圈提高神经科医务人员手卫生依从性. 中国感染控制杂志, 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, 朱明华, 白泽梅, 等. 不同培训方式对医护人员手卫生依从性的影响. 中国感染控制杂志, 2015, 14(6): 416-418.
3. 刘冰蕊. 医护人员手卫生依从性现状及改进措施. 大家健康: 学术版, 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. 曾庆会, 张川莉, 黄文治, 等. 综合干预措施对提高血液病房医护人员手卫生依从性的影响. 华西医学, 2015, 30(7): 1324-1326.
7. 徐艳, 牟霞, 杨怀, 等. 贵州省 19 所医院手卫生促进项目研究. 中华医院感染学杂志, 2014, 10(10): 2566-2568.
8. 尹丹萍, 肖鹏云. 实施手卫生持续改进方案提高手卫生依从性. 中华医院感染学杂志, 2014, 24(11): 2834-2836.
9. Reichardt C, Königer D, Bunte-Schönberger 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. 李文红, 莫蓓蓉, 杨华露, 等. 品管圈在提高医护人员手卫生依从性中的效果评价. 护士进修杂志, 2015, 30(15): 1368-1370.
11. 周艳华, 晏娟, 伍俊玲, 等. 开展手卫生活动对医务人员手卫生依从性的影响. 中国感染控制杂志, 2016, 15(3): 186-188.
12. 成燕, 杨薇, 侯章梅, 等. 应用品管圈提高神经科医务人员手卫生依从性. 中国感染控制杂志, 2016, 15(11): 852-856.

West China Medical Journal

Improving hand hygiene executive ability by administrative intervention

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