1206 / A multimodal approach to increase compliance to hand hygiene

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
There is no specified text here There is no specified text here
Topic of the reported practice
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
Healthcare-associated infections are among the leading risks in healthcare because they are frequent, they have a high clinical and economic impact and they are preventable by adopting certain measures. The overall goal of a program to control the risk of infection should be to ensure that the main practices that have proved to be effective in the risk of transmission of microorganisms are adopted. Among these, the most important and effective is hand hygiene. Therefore one of the goals of the hospital of Forli, in recent years, has been to implement in all operating units, the evidence-based recommendations to be adopted to reduce these risks. Alongside with this, regular monitoring has been carried out, through indicators to measure compliance by health professionals with the recommendations.
Description of the Patient Safety Practice
 
Compliance of health professionals to hand hygiene has been monitored through direct observation, according to the methodology and tool recommended by the WHO. According to the WHO, measuring consumption of alcohol based hand rub is a useful indicator to assess compliance to hand hygiene. Data regarding consumption of alcohol based rub in a specific unit have been evaluated against a reference value (ICSHA 2- hydro-alcoholic solution consumption indicator). Other tools used to increase compliance: the installation of wall brackets for bottles of alcohol gel in all patient rooms and waiting rooms / admission area, alongside with posters with messages aimed at making people pay attention to hand hygiene, and a humoristic video that highlights the most common errors in everyday practice. An ad hoc training pack has been developed. Evaluation has been made comparing results of direct observation with those obtained through indirect observation. Consumption of hand rub has increased from 6. LT per 1000 days in hospital to 12 LT.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Unit or ward 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
There is no specified text here
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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
Not known
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Health care assistants
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)
Point of time in which service user or their reprasentatives' involvement takes place
During the implementation of the Patient Safety Practices
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
http://buonepratiche.agenas.it/questionnaire.aspx?id=5219
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Regular data feed back to involved staff
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
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
Others: 0
Not relevant: 0
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
300
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Alessandra Amadori
Country: ITALY
Organisation: AZIENDA USL FORLI'
E-mail: alessandra.amadori@auslromagna.it
Phone: There is no specified text here
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