Broadmoor Hospital, Crowthorne, Berkshire, UK.
J Hosp Infect. 2010 Jun;75(2):128-31. doi: 10.1016/j.jhin.2009.10.030. Epub 2010 Mar 21.
Increased security measures at high secure psychiatric hospitals can complicate hand hygiene. This audit assessed the availability of appropriate hand hygiene equipment and the practice of good hand hygiene at Broadmoor Hospital using the local hand hygiene policy as the standard for comparison. A data collection tool used to audit the hand hygiene equipment on 23 wards in the hospital showed that there were significant deficits in the supply of hand hygiene equipment on the wards. In addition, a staff survey was conducted using a questionnaire designed to assess awareness, training and hand decontamination practice among nursing staff. This survey identified a need to increase awareness of the hand hygiene policy and the appropriate timing of hand decontamination procedures. As a result of the audit, appropriate equipment was ordered and the duties of infection prevention link nurses on each ward were made more explicit; namely, to check and order equipment for hand hygiene as necessary, to conduct regular reminder sessions of the hand decontamination procedure and to raise awareness of hand hygiene policy. Posters were also placed on wards in patient areas to increase awareness of hand hygiene among patients, and alcohol gel dispensers were introduced into nursing stations. Similar audits may prove beneficial at other psychiatric hospitals.
高安保精神病院增加的安全措施可能会使手部卫生变得复杂。本次审核旨在评估布罗德莫尔医院的适当手部卫生设备的供应情况，并使用当地的手部卫生政策作为比较标准，以评估其良好手部卫生的实践情况。一个用于审核医院 23 个病房手部卫生设备的数据收集工具显示，病房内手部卫生设备的供应存在明显不足。此外，还通过问卷调查对护理人员的意识、培训和手部消毒情况进行了员工调查。该调查发现，有必要提高对手部卫生政策和适当手部消毒程序时间的认识。作为审核的结果，已订购了合适的设备，并明确了每个病房感染预防联络护士的职责；即，必要时检查和订购手部卫生设备，定期提醒手部消毒程序，并提高对手部卫生政策的认识。还在病房的病人区域张贴了海报，以提高病人对手部卫生的认识，并在护理站引入了酒精凝胶分配器。在其他精神病院进行类似的审核可能也会证明是有益的。
