1256 / Implementing hand hygiene procedures. A multimodal approach.

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Hand hygiene
Infection control / Prevention of surgical site infections There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
Hand hygiene is of paramount importance to prevent healthcare related infections. Even though handwashing (with water and soap) and hand rubbing (with alcohol based gel) are easily accessible for healthcare workers (HCW), patients and visitors, to date the compliance to handwashing/handrubbing is still under the safetythreshold. Thus, the aim of our preventive activities is to facilitate and implement a better multimodal approach to hand hygiene.
Description of the Patient Safety Practice
 
The PSP is ongoing and will be further implemented by coordinated actions that will involve the local Infection Control Team and the Quality-Risk Management Service. Strategic interventions are mainly focused on staff education and patients information/education about the importance of hand hygiene in clinical and non clinical settings. Afterwards, on-the-spot interventions will be planned and conducted widely throughout the facilities of our Organization. In particular, the availability of alcohol based gel dispensers has been further improved, and the ongoing continuing education of staff and patients/visitors has the aim of encouraging the practice that is well known to reduce the diffusion of multidrug resistant organisms (MDRO). The results and feedback of each action will be provided to staff/participants, in order to have them more involved in the application of practice. Methods for evaluating the results of the practice include, but are not limited to, process indicators, outcome indicators and levels of satisfaction and agreement to the practice. All these indicators are measured in quantitative or semi-quantitative ways, e.g., alcohol gel consumption/1000 pts days, soap consumption, satisfaction questionaries, on-site registration of adherence to the practice, etc. Furter analysis will include the evaluation of reduction of incidence of healthcare related infections in the health facilities of our Organization.
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
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
Yes
Specification of implementation in another health care setting(s)
Hospital
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities across different health care settings
Involved health care staff
 
Physicians
Nurses
Health care assistants
Pharmacists
Therapists
Social workers
Clinical support
Technical support / technician
Dentist
Other member of the dental team (dental assistant, dental hygienist, dental technician, dental therapist etc.) or dental technicians
Clinical manager
Quality manager
Risk 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
Collaboration, such as co-designing a Patient Safety Practice or active partnership in implementation
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=5248
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.
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
Staff and management recognised the need for change
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
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
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: A. Di Girolamo, MB. Di Sciascio, F. De Vita , A. Argentieri, M.A. Pompeo , F.Silverj, A. Gambi, I.Bianco
Country: ITALY
Organisation: ASL 2 ABRUZZO
E-mail: arturo.digirolamo@asl2abruzzo.it
Phone: There is no specified text here
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