Department of Endocrinology and Metabolisma, The Ottawa Hospital, Ottawa, Ontario, Canada.
Am J Infect Control. 2012 Nov;40(9):810-4. doi: 10.1016/j.ajic.2011.10.022. Epub 2012 Mar 2.
Providing alcohol-based hand rub (ABHR) at the point of care is a key success factor in enabling health care providers to achieve optimal hand hygiene practices. There are few tools available for health care organizations to assess the number of points of care, estimate the number of hand hygiene indications at each point of care, and estimate the anticipated volume of ABHR required to support a hand hygiene program.
We developed an assessment tool to systematically evaluate the environmental hand hygiene needs in diverse care settings across a multisite health care organization.
We identified 1,103 points of care in 34 clinical units, of which only 53% had ABHR at point of care. There are an estimated 171,468,240 (95% confidence interval: 146,844,406-191,871,179) hand hygiene indications per year in our in-patient and emergency areas. If 100% compliance with hand hygiene is achieved, 240,056 L of ABHR will be required each year.
Our environmental assessment was invaluable in estimating the number of hand hygiene indications by unit and the logistical and financial requirements to implement a hand hygiene program. Other health care organizations may find this a useful framework to estimate their own environmental hand hygiene needs.
在护理点提供酒精基手部消毒剂（ABHR）是使医护人员能够实现最佳手部卫生实践的关键成功因素之一。医疗机构评估护理点数量、估计每个护理点的手部卫生指征数量以及估计支持手部卫生计划所需的 ABHR 预期量的工具很少。
我们开发了一种评估工具，用于系统评估跨多站点医疗机构中各种护理环境的环境手部卫生需求。
我们在 34 个临床科室中确定了 1103 个护理点，其中只有 53%在护理点配备了 ABHR。我们的住院和急诊区域每年估计有 171,468,240 次（95%置信区间：146,844,406-191,871,179）手部卫生指征。如果实现 100%的手部卫生合规性，每年将需要 240,056 升 ABHR。
我们的环境评估对于估计每个单位的手部卫生指征数量以及实施手部卫生计划的后勤和财务要求非常有价值。其他医疗机构可能会发现这个框架有助于估计他们自己的环境手部卫生需求。
