516 / A hand hygiene procedure

CROATIA
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
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
Hand hygiene is one of the most important measure in preventing the spread of cross infection in health care institutions.
Description of the Patient Safety Practice
 
The purpose of the procedure
Remove pathogenic microorganisms that contaminate the hands transiently in the work process.
Hand hygiene is one of the cheapest, easiest, most effective methods for the prevention and transmission of hospital pathogenic microorganisms from patient to health care personnel and conversely.
Hand hygiene is a mandatory procedure for all participants in the working processes in health care institutions.
Estimate:
Method for hand hygiene depends on:
- Type of work process
- Technical possibilities of applying a particular method
- Sensitivity to customers on washing preparations
1. Hygienic cleaning / disinfecting hands
Duration of the procedure
It takes 30 to 60 seconds to perform this procedure.
Hands must be washed before and after each procedure.
Hands are visibly dirty extremely rare. They become dirty through contact with bodily fluids and secretions and if you do not use gloves or if during such work gloves rips. Dirty hands can be made clean by washing them with soap under running water, lotion or antiseptic detergent.
Rubbing alcohol preparations are carried out:
- Before contact with a patient
- Before aseptic procedures
- After exposure to bodily fluids
For the procedure is necessary to ensure the following:
Sinks with all associated equipment and supplies (products for hand hygiene at appropriate dosing, quality paper towels, detergent for hand care).
Hand hygiene products such as liquid soap / lotion, detergent antiseptic or disinfectant alcohol need to be effective, but also slightly irritating.
Alcohol mixture readily available in patient zone, that is, at the point of care, pocket pack (100 ml) or the appropriate dosage (500 ml in patients zone).
2. Surgical hand washing and disinfection
Hands and forearms should be washed before carrying out aseptic procedures.
Surgical hand should be washed for 60 seconds and then dried. After drying hands disinfection follows, which takes another 3 minutes. Hands are dried with paper towels of good quality. Paper towels cannot be from recycled paper.
Surgical hand disinfection is carried out by rubbing alcohol preparations in time of 3 minutes.
Alcoholic preparations first, recommended movements rubbed into the hands and forearms and then again at the end in the fist. During disinfection, which takes 3 minutes, taking alcoholic preparations are repeated, because the skin needs to be constantly moist.
Upon completion of rubbing you need to wait for the hands and forearms to dry in the air before dressing sterile glove.
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, 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
Not known
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
Not known
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
 
Nursing facility
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
Therapists
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)
Patient representative(s)
Patient organisation(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Not known
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
BROCHURES, WEB SITE
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Not known or not relevant
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
Specially trained staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not known
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
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Contact information
 
Name: Zeljka Dujmic
Country: CROATIA
Organisation: General Hospital"Dr. Josip Benčević" Slavonski Brod
E-mail: zeljka.dujmic@bolnicasb.hr
Phone: 0038535201201
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