Smith Fiona, Lee Karen, Binnie-McLeod Eleanor, Higgins Mark, Irvine Elizabeth, Henderson Angela, Orr Ann, Clark Fiona, Spence Joanne
NHS Grampian Infection Prevention and Control Nurse, Aberdeen, UK.
University of Dundee Senior Lecturer Infection Prevention and Control, Dundee, Tayside, UK.
J Infect Prev. 2020 Jan;21(1):28-34. doi: 10.1177/1757177419879996. Epub 2019 Nov 5.
The World Health Organization have designed the fifth of their '5 moments' for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR).
AIM/OBJECTIVES: In two phases, we aimed to create a '5 moments' style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a '5 moments' poster for the OR.
The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR '5 moments' poster.
In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a '5 moments' poster showing an OR patient zone was designed.
Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR.
Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.
世界卫生组织制定了“手卫生的五个时刻”中的第五个时刻，以考虑微生物从患者转移到患者周围狭窄区域（即患者区域）的设备上。这项研究是由当地手术室（OR）中对患者区域应用的困惑日益增加而引发的。
分两个阶段，我们旨在制作一张展示手术室患者区域的“五个时刻”风格海报：第一阶段，量化与患者直接接触且非刷手人员在接触患者后立即触摸的设备；第二阶段，将第一阶段确定的设备分类为患者区域和医疗区域。目标是制作一张手术室的“五个时刻”海报。
第一阶段采用非参与式直接公开观察。在第二阶段，将第一阶段的数据共同分配到患者区域或医疗区域。通过摄影和平面设计制作手术室的“五个时刻”海报。
在11台全时长手术中，有20件设备与患者直接接触，57件设备被触摸。在第二阶段，设计了一张展示手术室患者区域的“五个时刻”海报。
确定了患者区域的内容并在一种新颖的资源中展示。对患者区域有共同的理解有可能维持手术室的手卫生依从性和设备清洁。
方法上的局限性通过与一线工作人员的合作得到了平衡。该研究已被用作手术室及类似环境中的教学工具。
