628 / Hand hygiene as a quality indicator for patient safety

HUNGARY
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
There is no specified text here There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
The problem: health care-associated infections are a major cause of death, disability and prolonged hospital stay worldwide. Hand hygiene (HH) is the primary measure to reduce infections. Most patient deaths and suffering attributable to health care-associated infections can be prevented. Low-cost and simple practices already exist prevent these infections. Hand hygiene, a very simple action, remains the primary measure to reduce health care-associated infection and the spread antimikrobal resistance, enhancing patient safety across all settings.

Purpose:reduced morbidity, mortality and costs related to health care-assiciated infections.

Benefit: improved hand hygiene practices are temporally related to the decreased frequency of health care-associated infections and spread of multiresistant organism. In addition, reinforcement of hand hygiene practices to control epidemics to control in health-care facilities.
Description of the Patient Safety Practice
 
Method: Monitoring hand hygiene practice is an activity of crucial importance to assess baseline compliance by HCWs, to evaluate the impact of promotion interventions and provide feedback to HCWs. Monitoring can also be helpful in investigating infection outbreaks, in assessing the potential role of ongoing hand hygiene practices, and also determining the extent to which infection can be decreased depending on the rates of compliance. Monitoring hand hygiene compliance (indirect monitoring) means monitoring the amount of alcohol-based hand rub and liquid soap used.

Implementation: The consumption of products used for hand hygiene correlated with observed hand hygiene compliance, thus, the use of this measure as a surrogate for monitoring hand hygiene practices deserves further validation. HH was measured in our hospital for 2 years (from april. 2010- to april. 2012.) by the help of Hygienic Ward. The Urology Ward and the NIC (Neonatal Intensive Care) was initiated into the program.
We organized educational and motivational programmes for health-care workers several times. Included the right hand hygiene practice to.

Assesment:HH compliance rates increased during this time.
Urology Unit: before programe 18.1%, after programe 38.9%
NIC: before 31.9%, after 77%.

Hand hygiene compliance was not a major expenditure for our Hospital. The project was sponsored by a Hungarian disinfectant distributor company, they provided us with disinfectants and dispensers for the hand-disinfectant. Our Hygiene Department and the sponsoring company held trainings combined with UV lamp examinations for several times a year. Therefore, we cannot define the specific amount of costs.
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
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
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
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
 
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)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During 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
poster, placard, information sheet, brochure
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
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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
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: Krisztina Hóbár
Country: HUNGARY
Organisation: Jahn Ferenc Dél-Pesti Kórház és Rendelőintézet
E-mail: hobar.krisztina@jahndelpest.hu
Phone: There is no specified text here
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