McGuckin Maryanne, Waterman Richard, Govednik John
McGuckin Methods International, Ardmore PA, USA.
Am J Med Qual. 2009 May-Jun;24(3):205-13. doi: 10.1177/1062860609332369. Epub 2009 Mar 30.
Hand hygiene (HH) is the single most important factor in the prevention of health care-acquired infections. The 3 most frequently reported methods of measuring HH compliance are: (1) direct observation, (2) self-reporting by health care workers (HCWs), and (3) indirect calculation based on HH product usage. This article presents the results of a 12-month multicenter collaboration assessing HH compliance rates at US health care facilities by measuring product usage and providing feedback about HH compliance. Our results show that HH compliance at baseline was 26% for intensive care units (ICUs) and 36% for non-ICUs. After 12 months of measuring product usage and providing feedback, compliance increased to 37% for ICUs and 51% for non-ICUs. (ICU, P = .0119; non-ICU, P < .001). HH compliance in the United States can increase when monitoring is combined with feedback. However, HH still occurs at or below 50% compli- ance for both ICUs and non-ICUs.
手部卫生（HH）是预防医疗保健相关感染的唯一最重要因素。最常报告的三种衡量HH依从性的方法是：（1）直接观察，（2）医护人员（HCWs）自我报告，以及（3）基于HH产品使用情况的间接计算。本文介绍了一项为期12个月的多中心合作的结果，该合作通过测量产品使用情况并提供有关HH依从性的反馈来评估美国医疗保健机构的HH依从率。我们的结果显示，重症监护病房（ICU）的基线HH依从率为26%，非ICU为36%。在测量产品使用情况并提供反馈12个月后，ICU的依从率提高到37%，非ICU提高到51%。（ICU，P = 0.0119；非ICU，P < 0.001）。当监测与反馈相结合时，美国的HH依从性可以提高。然而，ICU和非ICU的HH依从率仍在50%或以下。
