1215 / New training approach about hand hygiene

ITALY
Classification of the PSP
Type of Patient Safety Practice Potentially Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Hand hygiene
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Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
Decrease the number of health-care associated infections through multimodal interventions aimed at increasing hand hygiene compliance. Hand hygiene is the most important measure to reduce the incidence of hospital acquired infections and antimicrobial resistance. Although it is well known that hand hygiene is essential for patient safety, a low compliance to the practice is often observed. Hand hygiene compliance in our organization is in line with the regional average. This means we could do more. Prevention and control of care associated infections should be part of the strategic priorities of the healthcare institutions committed to ensuring safe care (WHO 2009).
Description of the Patient Safety Practice
 
We have been providing traditional training courses (lectures and discussion) for several years. The courses were associated with checks to verify hand hygiene compliance through direct observations with WHO framework and monitoring consumption of alcoholic gel, and results were given to hospital management. In 2015 the training approach has been modified. We have been organizing meetings with every single department with a limited number of participants, during which simulated cases were analyzed. During these meetings, participants play active role in the simulation of cases, while the teachers act as facilitators. This way, participants can immediately see the context where the practice will be applied, will be able to identify errors and shortages on themselves and on colleagues, to overcome the gap between theory and practice, and to stimulate active and positive participation of each professional. Training is associated with the presence of the Nurse dedicated to infection control in the departments involved, with the aim of highlighting: 1. the distribution and functionality of sinks, soap and disposable wipes; 2. the presence, the logistics and the functionality of the different types of distributors of alcoholic gel; 3. the presence and functionality of reminders. These surveys are carried out with the collaboration of the chief nursing officer and staff of the department.
METHODS USED FOR EVALUATING RESULTS:
1. Direct observation. Indicator: WHO’s hand hygiene framework
2. Consumption of alcoholic gel. Indicator: liters / 1,000 days of hospitalization.
Attachment of relevant written information and/or photos, as appropriate
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, partly
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
No
Evaluation of a "positive" effect of the reported practice on Patient Safety
Effect not known or the intervention has not yet been evaluated
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
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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
No
Specification of implementation in another health care setting(s)
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Successful implementation's level  of this Patient Safety Practice across settings
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Involved health care staff
 
Physicians
Nurses
Health care assistants
Pharmacists
Therapists
Clinical manager
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
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Point of time in which service user or their reprasentatives' involvement takes place
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Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
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Short description of the service users' level of involvement
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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=5309
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
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List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Motivated 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
No
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
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Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
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Contact information
 
Name: Marietta Lorenzani
Country: ITALY
Organisation: AZIENDA USL REGGIO EMILIA
E-mail: marietta.lorenzani@ausl.re.it
Phone: There is no specified text here
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