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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2019, Number 3

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An Med Asoc Med Hosp ABC 2019; 64 (3)

Hand hygiene 90/90: a program of continuous improvement for hand hygiene compliance

Trejo GR, Yacaman HRE, Hernández GLA, Soto LME, Koretzky SG

Language: Spanish
References: 22
Page: 190-195
PDF size: 234.48 Kb.


ABSTRACT

Introduction: The infections associated with health care are related to high morbidity and mortality rates, generating an increase in hospitalization days and costs. It has been demonstrated that compliance with hand hygiene decreases the spread of pathogens, however, this continues to be low in health workers. The objective is to reinforce the culture of hand hygiene (in & out) in health professionals in a period of 90 days achieving a 90% compliance. Material and methods: The «Guide for the application of the World Health Organization multimodal strategy for the improvement of hand hygiene» was used, consisting of: system change, employee training, evaluation and feedback, reminder at the workplace, Institutional climate of safety and monitoring of the adherence to hand hygiene when entering and leaving the patient’s room. Results: A total of 9732 observations were made during the intervention, of which 55.32% were for the nursing staff, 22.80% for the doctors and 21.87% for the hospital staff. The program started with a percentage of adherence to hand hygiene of 70%, at the end it reached 91%. Through campaigns, it has been maintained and achieved 98% by 2018. The rate of infections associated with health decreased from 0.95 to 0.56 by 2018. Conclusions: This program is a pioneer in its modality due to its implementation in a short period of time and excellence in its scope.


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