The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.
Scientific Essay from the year 2017 in the subject Health - Public Health, grade: 1, Egerton University (Public Health), course: Infection Control, language: English, abstract: Hand hygiene has emerged as the only single strategy that has the potential for reducing hospital-acquired infections. Evidence indicates that hospital-acquired infections pose an immense hazard for patients within the hospital environment, and healthcare workers, including nurses are involved in the transmission of these infections. This explains why health organizations such as WHO, The Joint Commission and Centers for Disease Control have embarked on spearheading education and awareness on hand hygiene. Despite these efforts, evidence indicates that healthcare workers continue to exhibit low levels of hand hygiene compliance. Therefore, this essay will demonstrate how nurses can assume a leadership role within the hospital settings in accordance with the health safety standards (National Safety and Quality Health Services) as outlined by the Australian Commission on Safety and Quality in Health Care [ACSQHC]. It will be discussed how nurses can adopt hand hygiene strategies to improve compliance to the national hand hygiene initiative in the wards as one of the key approaches for preventing and controlling hospital-acquired infections.
Die erste umfassende und wegweisende Publikation zur Handhygiene, eines der grundlegendsten und wichtigsten Themen bei der Infektionsbekämpfung und Patientensicherheit. Für alle medizinischen Berufe ist dieses Handbuch zur Handhygiene ein wichtiges Referenzwerk, geschrieben von weltweit führenden Wissenschaftlern und Klinikern. - Geschrieben von weltweit führenden Experten des Fachgebiets. - Berücksichtigt umfassend die Richtlinien und Vorschriften der Weltgesundheitsorganisation (WHO). - Behandelt das Thema Handhygiene aus globaler Sicht, relevant für Industrie- und Entwicklungsländer. - Erörtert grundlegende sowie hochkomplexe klinische Anwendungen der Handhygiene. - Beinhaltet neue, ungewöhnliche Aspekte und Fragestellungen, wie religiöse und kulturelle Aspekte und die Einbeziehung der Patienten. - Bietet Leitlinien für nationale und weltweite Hygienekampagnen, für jeden Einzelnen, für Institutionen und Organisationen.
In this accessible collection, leading academic economists, psychologists and philosophers apply behavioural economic findings to practical policy concerns.
Die erste umfassende und wegweisende Publikation zur Handhygiene, eines der grundlegendsten und wichtigsten Themen bei der Infektionsbekämpfung und Patientensicherheit. Für alle medizinischen Berufe ist dieses Handbuch zur Handhygiene ein wichtiges Referenzwerk, geschrieben von weltweit führenden Wissenschaftlern und Klinikern. - Geschrieben von weltweit führenden Experten des Fachgebiets. - Berücksichtigt umfassend die Richtlinien und Vorschriften der Weltgesundheitsorganisation (WHO). - Behandelt das Thema Handhygiene aus globaler Sicht, relevant für Industrie- und Entwicklungsländer. - Erörtert grundlegende sowie hochkomplexe klinische Anwendungen der Handhygiene. - Beinhaltet neue, ungewöhnliche Aspekte und Fragestellungen, wie religiöse und kulturelle Aspekte und die Einbeziehung der Patienten. - Bietet Leitlinien für nationale und weltweite Hygienekampagnen, für jeden Einzelnen, für Institutionen und Organisationen.
Healthcare-associated infections are a world-wide healthcare crisis afflicting countless people around the globe. In the United States alone, nosocomial infections kill a staggering number of patients and sicken countless others (Smith, Lokhurst, 2009). Naturally, this generates a great deal of concern in many health care settings and is a primary concern to those in the medical community, especially since the safety of patients is being compromised. While not all hospital-acquired infections can be prevented, the vast majority can. The startling reality is that studies have proven most of the infections acquired in the hospital setting are transmitted from patient to patient via the hands of healthcare workers (Smith, Lokhurst, 2009). Hand sanitization, has long been deemed a first-line of protection in the prevention of these infections. Of equal significance, has been the struggle for compliance with hand hygiene procedures that are vital to the safety of patients in the hospital. According to the results of a European hospital study, nurses' practice with hand hygiene is weak, and went on to reiterate, the compliance level of the staff is unacceptable (Malliarou, Sarafis, Zyga, Constantinidis, 2013). As evidence suggests, there is an urgent need to undertake robust methodologies in order to effectively increase hygiene compliance to safeguard patients. This written proposal presents the following; in the emergency department (ED), will the use of visual cues, in comparison to only standard education, actually increase hand hygiene compliance for the ED staff, within 6 months? There are many reasons why staff fail to clean their hands consistently and one identified barrier happens to be ineffective or insufficient education (Joint Commission, 2010). Standard education has been utilized in many hospitals and yet, it is well published that hand hygiene compliance rates remain inadequate. It is proposed that visual cues are needed to encourage health care workers to disinfect their hands in an effort to increase hand hygiene compliance. According to a 2014 study, the absence or presence of reminders of hand washing in public restrooms and a university campus were studied to determine if hand washing compliance was affected, and the results were a resounding, yes! The results confirmed, creating obvious environments and layouts that provide visual cues and convenience for workers has been associated with increased hand washing rates (Ford, Boyer, Menachemi, Huerta, 2014). In order to employ this proposal, hospital leadership teams will be provided with an implementation plan consisting of a step by step proposition of recommended interventions such as displaying visual cues at the points of patient care. Ongoing evaluations will be conducted throughout each phase to ascertain effectiveness and identify areas of improvement. Plans will be disseminated to identified stakeholders to encourage support and ongoing involvement.
This dissertation, "Effectiveness of Hand Hygiene Programs That Improve Compliance Rate Among Healthcare Workers: a Systematic Review" by Anthony, Mok, 莫彤, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction: Hand hygiene, the most effective and economical way to prevent the transmission of many bacteria and viruses in healthcare settings, yet, its compliance rate remained unacceptably poor in many countries. Compliance with hand hygiene among healthcare workers increased substantially during outbreak of serious acute respiratory symptoms (SARS) in 2003 but decreased to the baseline after SARS, to improve compliance rate sustainable, many hand hygiene intervention programs have been established since 2003. However, the effectiveness of these programs were in big variations. The objectives of this review were to identify the effectiveness of these hand hygiene intervention programs. Methods: This review was conducted using the search engines - PubMed. The key words "hand hygiene," "hand-washing," "compliance," "healthcare personnel," and "program*" were used for searching literature published from 2003 to July 2012.. Forty-Seven articles were initially obtained. After screening and reviewing of these articles,9 articles met the requirements for inclusion and exclusion criteria were included in this review. The outcome measure was set as the differences and relative ratios in the observed hand hygiene compliance rate before and after intervention. Results: Results showed that 8 hand hygiene programs were effective while 1 programme was ineffective in improving hand hygiene compliance rates. Of the eight studies that reported improvement in compliance with hand hygiene, improvement in compliance rate after the interventions was ranged from (24% to 50%) while the relative ratio of compliance (after vs. before intervention) was ranged from 1.78 to 4. The study that reported no improvement in compliance with hand hygiene had a relative high naseline hand hygiene compliance rate of 61% Conclusion: Hand hygiene programs that improve compliance rate among healthcare workers were effective overall. The effectiveness of hand hygiene programs seemed to be positively associated with the numbers of intervention types involved. Research on non-compliance and intrapersonal behavior on hand hygiene was suggested for future investigation. DOI: 10.5353/th_b4842498 Subjects: Hand washing Hand - Care and hygiene
These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.
