Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan

doi:10.1016/j.jmii.2018.09.007

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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
顯示於類別:	[保健營養系(所) ] 期刊論文

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