1198 / Good practice in hand hygiene: winner of the European Hand Hygiene Excellence Award 2014

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Implementation of Patient Safety initiatives / Activities
Analysis of risk and harm There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
Promoting and supporting improvement activities to increase compliance with good hand hygiene in the health and social care facilities of the Emilia Romagna region. Evaluating public facilities through annual assessment of consumption of handrub solution and based on the results of the WHO Hand Hygiene Self-Assessment Framework (HHSAF).
Description of the Patient Safety Practice
 
Since 2006, the Local Health Authority of Rimini is promoting initiatives to improve hand hygiene compliance. Local evaluation of activities for promoting hand hygiene was performed as described below:
2006-2010: Before - After Study. Implementation of WHO Multimodal Hand Hygiene Improvement Strategy.
Since 2010: Annual monitoring of WHO Hand Hygiene Self-Assessment Framework (HHSAF) and Consumption of handrub solution.
Follow up - Direct observation of hand hygiene compliance as per WHO Observation Form. In collaboration with the Emilia Romagna Region, a survey aimed at identifying low-budget high-impact local initiatives for hand hygiene promotion was carried out. -
On going activities: Participation to centralised regional data collection based on a mobile application. This tool allows direct observation of hand hygiene 5 moments. The initiative was awarded with the European Hand Hygiene Excellence Award in 2014. This Award was introduced right after the WHO introduced the campaign "Save lives, clean your hands". Based on the WHO Hand Hygiene Self-Assessment Framework plus a few more criteria Hospitals can participate to be honored for their work by the Hand Hygiene Excellence Award and become a role model for other hospitals.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
Poster “Tecnologie informatiche nel settore sanitario: utilizzo di computer palmare per rilevare l’adesione all'igiene delle mani” 8° Congresso ANIPIO , Orvieto 30/09/2010 - 02/10/2010

Pubblicazione “Imparare ad imparare. L’apprendimento centrato sullo studente infermiere attraverso un progetto di laboratorio didattico sull’igiene delle mani”, Rivista GIMPIOS Volume 2, n°2, 71-73.

Pubblicazione: La salute del paziente in dialisi e le nostre mani. Il contributo infermieristico alla prevenzione delle infezioni associate alle organizzazioni sanitarie nei Centri Dialisi della AUSL di Rimini, Giornale di Tecniche Nefrologiche & Dialitiche 2013 ;00 (00):000-000 GDT_13_3_SGRECCIA DOI: 10.5301/GTND.2013.11476

Pubblicazione: Tecnologie informatiche nel settore sanitario.Utilizzo di computer palmare per rilevare l’adesione all'igiene delle mani, GImPIOS — Vol 1, n. 2, aprile-giugno 2011, pagine 93-94.

Poster Un lavoro di squadra per l’igiene della mani, Cardiologia e UTIC di Riccione, AUSL Romagna, Convegno Igiene delle mani: il biglietto da visita di una sanita piu sicura, Bologna 05 maggio 2015

There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Nursing facility
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple local/national health systems
Involved health care staff
 
Physicians
Nurses
Health care assistants
Pharmacists
Therapists
Clinical support
Scientific staff / researchers
Technical support / technician
Administrative support (secretary, clerk, receptionist etc.)
Environmental support (Housekeeping)
Clinical manager
Quality manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Consultation, such as asking for information
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
web site: www.ausl.rn.it/rischio-infettivo-pazienti/2057-igiene-delle-mani.html

http://buonepratiche.agenas.it/practices.aspx
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Other
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
Not relevant
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Tura Grazia Antonella
Country: ITALY
Organisation: AZIENDA USL RIMINI - Ospedale degli Infermi
E-mail: graziaantonella.tura@auslromagna.it
Phone: There is no specified text here
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