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

Video：

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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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10.	黃瓊華, 許佳芬, 李暾, 等. 干預組合對重癥醫學科呼吸機相關肺炎發病率的影響[J]. 華西醫學, 2013, 28(1):76-79.
11.	陸赟. 呼吸機相關性肺炎研究進展[J]. 中國醫藥指南雜志, 2011, 9(20):222-225.
12.	嚴玲華. 臨床護理人員手衛生知識及其時間點執行情況調查[J]. 護理學雜志, 2010, 25(7):85-87.
13.	孫艷, 吳正華. 臨床護理人員手衛生現狀及對策研究[J]. 中華醫院感染學雜志, 2014, 24(2):518-520.
14.	惠錦林, 劉瑞, 楊錫瑤, 等. 全方位綜合干預措施對提高手衛生依從性的影響[J]. 中國感染控制雜志, 2013, 12(1):62-63.
15.	尹維佳, 黃文治, 黃靜, 等. 建立交叉檢查長效機制促進醫院感染管理持續質量改進[J]. 華西醫學, 2014, 29(3):409-412.

1. 賈會學, 賈建俠, 趙艷春, 等. 醫務人員手衛生依從率及手衛生方法調查分析[J]. 中華醫院感染學雜志, 2010, 20(21):3341-3343.
2. 喬甫, 宗志勇. 循證感控, 始于行——醫院感染的預防與控制[J]. 華西醫學, 2012, 27(9):1281-1284.
3. 胡必杰, 陸群, 劉濱, 等. 醫院感染預防與控制最佳實踐叢書(第一輯):手衛生最佳實踐[M]. 上海:上海科學技術出版社, 2012:6.
4. 中華人民共和國衛生部. 三級綜合醫院評審標準及實施細則(2011年版)[EB/OL]. (2011-12-23)[2014-01-01]. http://wsb.moh.gov.cn/mohylfwjgs/s3577/201112/53721/files/02b5187a195c42e0855e4e27445fc2f0.pdf.
5. 中華人民共和國衛生部. WS/T 313-2009 醫務人員手衛生規范[S]. 北京:中國標準出版社, 2009.
6. 中華人民共和國衛生部. 醫務人員手衛生規范[J].中華醫院感染學雜志, 2009, 19(2):1-2.
7. 沈燕, 胡必杰, 高曉東, 等. 上海市71所醫院醫務人員手衛生用品消耗量分析[J]. 中華醫院感染學雜志, 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. 黃瓊華, 許佳芬, 李暾, 等. 干預組合對重癥醫學科呼吸機相關肺炎發病率的影響[J]. 華西醫學, 2013, 28(1):76-79.
11. 陸赟. 呼吸機相關性肺炎研究進展[J]. 中國醫藥指南雜志, 2011, 9(20):222-225.
12. 嚴玲華. 臨床護理人員手衛生知識及其時間點執行情況調查[J]. 護理學雜志, 2010, 25(7):85-87.
13. 孫艷, 吳正華. 臨床護理人員手衛生現狀及對策研究[J]. 中華醫院感染學雜志, 2014, 24(2):518-520.
14. 惠錦林, 劉瑞, 楊錫瑤, 等. 全方位綜合干預措施對提高手衛生依從性的影響[J]. 中國感染控制雜志, 2013, 12(1):62-63.
15. 尹維佳, 黃文治, 黃靜, 等. 建立交叉檢查長效機制促進醫院感染管理持續質量改進[J]. 華西醫學, 2014, 29(3):409-412.

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West China Medical Journal

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

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