Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan
Journal
Journal of Microbiology, Immunology and Infection
Journal Volume
52
Journal Issue
2
Pages
345-351
Date Issued
2019
Author(s)
Lai C.-C.
Lu M.-C.
Tang H.-J.
Chen Y.-H.
Wu Y.-H.
Chiang H.-T.
Wu L.-H.
Ko W.-C.
Chen Y.-H.
for Infection Control Society of Taiwan
Abstract
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. ? 2018
SDGs
Other Subjects
alcohol; hand sanitizer; alcohol; accuracy; Article; Enterovirus; hand washing; healthcare associated infection; human; infection control; nonhuman; Norovirus; nursing home; nursing home patient; patient compliance; Peptoclostridium difficile; prospective study; risk reduction; Taiwan; total quality management; World Health Organization; compliance (physical); cross infection; hand disinfection; hand washing; health care personnel; nursing home; procedures; protocol compliance; standards; statistics and numerical data; Taiwan; total quality management; Compliance; Cross Infection; Ethanol; Guideline Adherence; Hand Disinfection; Hand Hygiene; Health Personnel; Humans; Infection Control; Nursing Homes; Prospective Studies; Quality Improvement; Taiwan
Type
journal article