多方位措施提高三级护理中心成人重症监护病房的手部卫生实践。
A multifaceted approach to improve hand hygiene practices in the adult intensive care unit of a tertiary-care center.
机构信息
Intensive Care Department, King Abdulaziz Medical City-Riyadh, Riyadh 11426, Saudi Arabia; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11426, Saudi Arabia.
Adult ICU, King Abdulaziz Medical City-Riyadh, PO Box 22490, Riyadh 11426, Saudi Arabia.
出版信息
J Infect Public Health. 2014 Jul-Aug;7(4):360-4. doi: 10.1016/j.jiph.2014.02.003. Epub 2014 Apr 2.
A multidisciplinary team was formed to improve hand hygiene (HH) practices in a tertiary-care ICU. At baseline, an audit revealed that the overall HH compliance was 64% and was significantly lower at night than during the day shift. After implementing a stepwise multifaceted approach that included education, workplace reminders, active feedback and later universal contact precautions, the HH compliance improved significantly to >80%, and the improvement was sustained over several months. This improvement was noted during the day and night and affected different healthcare workers as well as visitors.
一个多学科团队成立，以改善三级护理 ICU 的手部卫生（HH）实践。在基线时，审核显示整体 HH 依从率为 64%，夜间明显低于白天。实施逐步多方面的方法，包括教育、工作场所提醒、积极反馈和后来的普遍接触预防措施后，HH 依从性显著提高到>80%，并持续了几个月。这种改进在白天和夜间都有注意到，并影响了不同的医护人员和访客。
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