NHS National Services Scotland, Health Protection Scotland, Glasgow, UK.
NHS National Services Scotland, Health Protection Scotland, Glasgow, UK.
J Hosp Infect. 2018 Apr;98(4):375-377. doi: 10.1016/j.jhin.2017.10.001. Epub 2017 Oct 7.
The Scottish national hand hygiene proxy measure uses the volume of alcohol-based hand rub (ABHR) purchased by NHS Scotland boards as an indicator of the number of hand hygiene moments being performed per patient-bed-day. The proxy measure calculation is based on the assumption that 3 mL of ABHR is used per hand hygiene moment. This study aimed to validate the volume of ABHR being used per hand hygiene moment. It found that the median volume of ABHR being used in practice is approximately 1 mL per hand hygiene moment, and that using this validated volume in the calculation substantially increases the proxy measure of hand hygiene compliance.
苏格兰国家手部卫生代理指标使用苏格兰国民保健署(NHS Scotland)董事会购买的酒精基手部消毒剂(ABHR)的数量,作为每个患者床位日进行的手部卫生次数的指标。代理指标的计算基于每个手部卫生时刻使用 3 毫升 ABHR 的假设。本研究旨在验证每个手部卫生时刻使用的 ABHR 量。研究发现,实践中使用的 ABHR 中位数约为每个手部卫生时刻 1 毫升,并且在计算中使用经过验证的这个容量会大大提高手部卫生依从性的代理指标。