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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32637


    標題: Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan
    作者: Lai, Chih-Cheng
    Lu, Min-Chi
    Hung-Jen Tang(湯宏仁)
    Chen, Yen-Hsu
    Wu, Yi-Hui
    Chiang, Hsiu-Tzy
    Wu, Li-Hung
    Ko, Wen-Chien
    Hsueh, Po-Ren
    Chen, Yu-Hui
    貢獻者: Chi Mei Med Ctr, Dept Intens Care Med
    Chung Shan Med Univ, Dept Internal Med
    Chi Mei Med Ctr, Dept Med
    Chi Mei Med Ctr, Infect Control Ctr
    Chia Nan Univ Pharm & Sci, Dept Hlth & Nutr
    Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Grad Inst Med,Sepsis Res Ctr, Div Infect Dis,Dept Internal Med,Sch Med
    Natl Cheng Kung Univ Hosp, Coll Med, Ctr Infect Control
    MacKay Mem Hosp, Infect Control Ctr
    Show Chwan Mem Hosp, Dept Infect Control
    Natl Cheng Kung Univ, Coll Med, Dept Med
    Natl Taiwan Univ, Natl Taiwan Univ Hosp, Dept Internal Med, Coll Med
    Natl Taiwan Univ, Natl Taiwan Univ Hosp, Dept Lab Med, Coll Med
    Chung Hwa Univ Med Technol, Coll Med & Life Sciene, Dept Nursing
    關鍵字: Quality improvement program
    Hand hygiene
    Nursing homes
    Taiwan
    日期: 2019-04
    上傳時間: 2020-07-29 13:53:12 (UTC+8)
    出版者: ELSEVIER TAIWAN
    摘要: Background/purpose: This study investigated the cause of hand hygiene deficit, and further implemented a quality improvement program using WHO's hand-hygiene strategy to enhance the compliance of hand hygiene in the nursing home in Taiwan. Methods: This prospective study was conducted in eleven nursing homes in Taiwan from January 2015 to December 2016. After intervention, we monitor the compliance, and accuracy of hand hygiene. In addition, we also calculated the number of episodes of infection per 1000 resident-days in each nursing home in the intervention period (July-December 2015) and post-intervention period (January-October 2016). Results: Overall, the consumption of alcohol-based handrubs increased from 10.1 ml per resident-day in intervention period to 12.2 ml per resident-day in post intervention period. The compliance of hand hygiene increased from 74% in intervention period to 79% in post-intervention period and the rate of correct hand hygiene increased from 81% in intervention period to 87% in post-intervention period. Most importantly, the infection density decreased from 2.39 per 1000 resident-day in intervention period to 1.89 per 1000 resident-day. Conclusions: A national quality-improvement program using WHO's hand-hygiene strategy to enhance hand hygiene and reduce healthcare associated infection is effective in nursing homes in Taiwan. Copyright (C) 2018, Taiwan Society of Microbiology. Published by Elsevier Taiwan LLC.
    關聯: Journal of Microbiology Immunology and Infection, v.52, n.2, pp.345-351
    Appears in Collections:[保健營養系(所) ] 期刊論文

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