651 / Campaign on promoting hand hygiene in preventing nosocomial infections

ROMANIA
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
Carrying out Patient Safety campaigns
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Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Campaign to promote hand hygiene
Nosocomial infections are an important issue for all hospitals, being difficult to treat, assuming high treatment costs, and sometimes major implications for the patient, resulting even in death or major trauma. A simple way to avoid contamination of patients with such infections is the compliance with the hygiene rules, for example washing hands.
Purpose of this practice: Awareness of medical and auxiliary personnel, patients and patients’ families about the importance of hands hygiene for preventing nosocomial infections.
Benefits: decreasing of number of nosocomial infections, due to lack of hands hygiene.


Description of the Patient Safety Practice
 
• In the week preceding the World Day for hand hygiene, April 30-May 5, in National Institute of Infectious Diseases “Prof Dr Matei Bals”, runs campaign called "Week of the Clean Hands"
• The activities this week are:
- Presentation of the WHO program evaluation results to improve hand hygiene and action plan for the current year, during an event at the Institute, dedicated to this campaign
- Training of medical and auxiliary staff on the importance of hand hygiene in preventing nosocomial infections
- Activities of patient education on the importance of hand hygiene.

The program evaluation was based on:
- Direct observation of the trained staff behavior (hand wash technique according to WHO recommendations
- Measure the liquid soap and hand disinfection consume compared with the consume in the previous year on he hospital wards
- Laboratory microbial test from the staff hands

Results:
- improvement of the staff hand hygiene behavior and respecting of the learned rules in a high proportion
- doubled the consume of the liquid soap and hand disinfection in the wards included in the project
- negative results for microbiological contamination of all the samples
- no. of staff trained: 100% of the nurses, 50% of the doctors and 400 inpatients.
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
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
Medical Life, No. 18 (1164), May 10, 2012, www.viata-medicala.ro.

"Hand hygiene in preventing nosocomial infections," Dr. Daniela Pitigoi, Dr Maria Nitescu


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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
Pharmacists
Therapists
Social workers
Dieticians/ Nutritionists
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 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
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
web site of the hospital
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
Management support
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: 20
External consultants: 0
Support staff: 0
Managerial staff: 2
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 12
External consultants: 0
Support staff: 0
Managerial staff: 2
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
1000
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Maria Nitescu
Country: ROMANIA
Organisation: National Institute of Infectious Diseases Prof Dr Matei Bals
E-mail: mnitescudsp@yahoo.com
Phone: +404021 2010980
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