scholarly journals P123 The effect of having volunteers and face masks present at hospital entrances on the wearing of face masks and hand washing

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Paul B Stanier ◽  
Savneet K Lochab ◽  
John E Grice ◽  
Paul B Stanier ◽  
Savneet K Lochab
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Infection Prevention ◽  
Cost Effective ◽  
District General Hospital ◽  
Hand Washing ◽  
Prevention Measures ◽  
Hygiene Measures ◽  
Improve Compliance ◽  
Hospital Transmission

Abstract Background The spread of COVID-19 has put inpatients lives at risk and increased stress on hospital. Simple, cost effective measures such as mask wearing and hand hygiene have been shown to reduce the spread of droplet borne viruses. Compliance with these measures is variable and when performed improperly, reduce efficacy. Objective In this paper we aim to determine whether the provision of masks at hospital entrances and the use of volunteers to ensure correct mask wearing and hand hygiene can improve compliance with infection prevention measures for COVID-19. Method Visitor and staff compliance with mask wearing and hand hygiene measures were observed with and without the presence of masks and volunteers at hospital entrances at a District General Hospital. Results A total of 519 people were observed entering the hospital. Mask wearing went from 71% to 99% (P = <0.001) with the addition of volunteers. Provision of masks increased mask wearing from 56% to 97% (P = <0.001). Hand hygiene was improved from 9% to 84% (P = <0.001) with the presence of volunteers. Discussion A statistically significant improvement in hand hygiene and correct mask wearing was seen with both the presence of volunteers at hospital entrances and with the provision of masks. This is a relatively small study with heterogenous cohorts of staff and visitors. However, these results appear to indicate that use of volunteers and provision of masks at entrances may improve the compliance with the measures that been shown to reduce the in-hospital transmission of COVID-19.

scholarly journals Pengaruh Coaching Keperawatan Terhadap Kepatuhan Perawat Melakukan Cuci Tangan Sesuai Prinsip 5 Momen 6 Langkah Di Ruang Rawat Inap Rumah Sakit Umum Daerah Kabupaten Klungkung

2018 ◽  
Vol 1 (1) ◽  
pp. 28
Author(s):  
Ketut Hendra Yanti dewi ◽  
I Gede Putu Darma Suyasa ◽  
Made Rismawan
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Health Care Providers ◽  
Sampling Technique ◽  
District General Hospital ◽  
Inpatient Unit ◽  
Hand Washing ◽  
Care Providers ◽  
Quality Of Nursing

Background: Five Moments for Hand Hygiene is an important moment to wash hands 5 on health care providers to optimize hand hygiene by washing hands. Coaching methods can be used to improve the quality of nursing resources that will ultimately improve the quality of nursing care provided to patients through obedience perform appropriate hand washing moments principles 5 6 steps. The result of the application of the five moment in the inpatient unit District General Hospital Klungkung still below the average of the minimum service standards (SPM) is as much as> 80%. While the percentage of data compliance officer in performing hand hygiene is the nurse as much as 63.3%.Objective: the purpose of this study was to determine the effect of nursing coaching to compliance nurses perform appropriate hand washing moments principles 5 6 steps in the inpatient unit District General Hospital KlungkungMethods: This study uses an experimental approach to design pre One group pre test-posttest design. The sampling technique used is Non-Probability Sampling with consecutive sampling technique. Number samples are 63 respondents, gathering data using questionnaires.Results demonstrate compliance nurses perform appropriate hand washing moments principles 5 6 steps before nursing coaching mostly 31 people (49.2%) in the category enough. Compliance nurses do wash their hands according to the principles 5 6 moments after the steps carried out the majority of nursing coaching 58 people (92.1%) in both categories Statistical test results obtained Wilcoxon signed rank test P = 0.000 <α 0.05 indicates no influence on the nursing coaching compliance nurses perform appropriate hand washing moments principles 5 6 steps in the inpatient unit District General Hospital Klungkung.Conclusion: No effect on adherence nurse nursing coaching perform appropriate hand washing moments principles 5 6 steps in the inpatient unit District General Hospital Klungkung. Keywords: Coaching Nursing, Compliance, Hand Wash

Local hospital experience of emergency management in the response to SARS (Preprint)

2020 ◽  
Author(s):  
Ying Yan
Keyword(s):  
Emergency Management ◽  
Infection Prevention ◽  
Public Health Emergency ◽  
The Novel ◽  
Prevention Measures ◽  
Hospital Emergency ◽  
Local Hospital ◽  
Referral Network ◽  
Novel Coronavirus ◽  
Hospital Transmission

UNSTRUCTURED The ongoing outbreak of SARS-CoV-2 infection was first identified in Wuhan, China at the late of 2019. Following the acceleration of the novel coronavirus spreading, person-person transmissions in family residences, hospitals and other public environments have led to a major public hazard in China. Currently, the SARS-CoV-2 outbreak has been further developed into a public health emergency of international concern. In response to an occurring pandemic, hospitals need an emergency strategy and plan to manage their space, staff, and other essential resources, therefore, to provide optimum care to patients involved. In addition, infection prevention measures urgently need to be implemented to reduce in-hospital transmission and avoid the occurrence of virus super-spreading. For hospitals without capacity to manage severe patients, a referral network is often needed. We present our successful field experience regarding hospital emergency management and local hospitals network model in response to SARS-CoV-2 emerging epidemic.

The impact of a multimodel approach to designing a new orthopedic department

2020 ◽  
pp. 1-6
Author(s):  
Elad Keren ◽  
Abraham Borer ◽  
Lior Nesher ◽  
Tali Shafat ◽  
Rivka Yosipovich ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Antibiotic Stewardship ◽  
Infection Prevention ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Antibiotic Use ◽  
Prevention Measures ◽  
Orthopedic Department ◽  
Before And After ◽  
The Impact

Abstract Objective: To determine whether a multifaceted approach effectively influenced antibiotic use in an orthopedics department. Design: Retrospective cohort study comparing the readmission rate and antibiotic use before and after an intervention. Setting: A 1,000-bed, tertiary-care, university hospital. Patients: Adult patients admitted to the orthopedics department between January 2015 and December 2018. Methods: During the preintervention period (2015–2016), 1 general orthopedic department was in operation. In the postintervention period (2017–2018), 2 separate departments were created: one designated for elective “clean” surgeries and another that included a “complicated wound” unit. A multifaceted strategy including infection prevention measures and introducing antibiotic stewardship practices was implemented. Admission rates, hand hygiene practice compliance, surgical site infections, and antibiotic treatment before versus after the intervention were analyzed. Results: The number of admissions and hospitalization days in the 2 periods did not change. Seven-day readmissions per annual quarter decreased significantly from the preintervention period (median, 7 days; interquartile range [IQR], 6–9) to the postintervention period (median, 4 days; IQR, 2–7; P = .038). Hand hygiene compliance increased and surgical site infections decreased in the postintervention period. Although total antibiotic use was not reduced, there was a significant change in the breakdown of the different antibiotic classes used before and after the intervention: increased use of narrow-spectrum β-lactams (P < .001) and decreased use of β-lactamase inhibitors (P < .001), third-generation cephalosporins (P = .044), and clindamycin (P < .001). Conclusions: Restructuring the orthopedics department facilitated better infection prevention measures accompanied by antibiotic stewardship implementation, resulting in a decreased use of broad-spectrum antibiotics and a significant reduction in readmission rates.

Standardized aseptic dressing change procedure: Optimizations and adherence in a prospective pre- and postintervention cohort study

2021 ◽  
pp. 1-6
Author(s):  
Meike M. Neuwirth ◽  
Swetlana Herbrandt ◽  
Frauke Mattner ◽  
Robin Otchwemah
Keyword(s):  
Hand Hygiene ◽  
Infection Prevention ◽  
Process Analysis ◽  
Trauma Surgery ◽  
Hand Disinfection ◽  
Work Surface ◽  
Hygiene Measures ◽  
Iterative Improvement ◽  
Dressing Change ◽  
Change Concept

Abstract Background: The “HygArzt” project investigated the effectiveness of hygiene measures introduced by an infection prevention link physician (PLP). Objective: To investigate whether the introduction of a standardized aseptic dressing change concept (ADCC) by a PLP can increase hand hygiene adherence and adherence to specific process steps during an aseptic dressing change (ADC) in a trauma surgery and orthopedic department. Methods: We defined 4 required hand disinfection indications: (1) before the preparation of ADC equipment, (2) immediately before the ADC, (3) before the clean phase, and (4) after the ADC. A process analysis of the preintervention phase (331 ADCs) was used to develop a standardized ADCC. The ADCC was introduced and iteratively adopted during the intervention phase. The effect was evaluated during the postintervention phase (374 ADCs). Results: Hand hygiene adherence was significantly increased by the introduction of the ADCC for all indications: (1) before the preparation of the ADC equipment (from 34% before to 85% after, P <.001), (2) immediately before an ADC (from 32% before to 85% after; P < .001), (3) before the clean phase (from 42% before to 96% after; P < .001), and (4) after an ADC (from 74% before to 99% after; P < .001). Overall hand hygiene adherence was analyzed before the indications for an ADC (from 9.6% before to 74% after; P < .001). The same strategy was applied to the following process parameters: use of a clean work surface, clean withdrawal of equipment from the dressing trolley, and appropriate waste disposal. Conclusions: A PLP sufficiently implemented a standardized concept for aseptic dressing change during an iterative improvement process, which resulted in a significant improvement in hand hygiene and adherence to other specific ADCC process steps.

scholarly journals Protecting patients from infection: Improving topical prophylaxis compliance on surgical wards

2019 ◽  
Vol 21 (2) ◽  
pp. 47-51
Author(s):  
Holly Slyne ◽  
Natalie Clews ◽  
Sid Beech ◽  
Elizabeth Smilie
Keyword(s):  
Quality Improvement ◽  
Infection Prevention ◽  
Communication Strategies ◽  
District General Hospital ◽  
Site Infection ◽  
Improvement Project ◽  
Medication Prescription ◽  
Improvement Plan ◽  
Number Of Patients ◽  
Improve Compliance

Background: At a medium-sized district general hospital in the heart of England, it was identified that compliance to the administration of topical prophylaxis on three general surgery wards had reduced to 23%, following implementation of an electronic medication prescription record. Therefore, a quality improvement project was commenced to improve this compliance to protect patients from meticillin-resistant Staphylococcus aureus (MRSA) colonisation and associated bacteraemia. Aim: To improve compliance of topical prophylaxis administration on three surgical wards to protect patients from infection. Method: Quality improvement plan – do – study – act (PDSA) cycles evaluated the effectiveness of four different strategies from baseline data which was 23% compliant in December 2016. These included teaching and communication strategies, prompts in medical notes, discontinuation of Mupirocin 2% nasal ointment as part of the topical prophylaxis regime and discontinuation of the topical wash lotion from requiring a prescription. Results: The compliance of prophylaxis administration increased consistently throughout from 23% in December 2016 to 92% in March 2018. Consequently, the number of patients that developed a MRSA colonisation on the three wards reduced by 54%, from 13 in the 12 months before the study to six in the 12 months after the study. Discussion: This study led to a change in the Trust MRSA Policy to better protect patients from infection, particularly surgical site infection and MRSA bacteraemia. It suggests that quality improvement methodology has a place in infection prevention practice.

scholarly journals From Best Evidence to Best Practice – Implementation of a Hand Washing Campaign in the Accident and Emergency Department of the Georgetown Public Hospital Corporation

2019 ◽  
pp. 7-8
Author(s):  
Jessica Van Meter ◽  
Sally Dye ◽  
Natansa Amsterdam ◽  
Gangapattie Dani ◽  
Le-Ann Hamilton ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Best Practice ◽  
Clinical Observation ◽  
Healthcare Providers ◽  
Hand Washing ◽  
World Health ◽  
Observation Window ◽  
Improve Compliance ◽  
Baseline Knowledge ◽  
Health Organization

Objective: Hand washing compliance amongst emergency healthcare providers is complicated by limited supplies, patient volume, mal-positioning of hygiene materials, and lack of education on the importance of hand hygiene. Design and Methods: A survey was distributed to A&E healthcare staff to determine baseline knowledge about the importance of hand hygiene. Participants were asked to identify departmental obstacles to the practice of proper hand hygiene. Using World Health Organization teaching materials, a hand hygiene clinical observation tool was implemented to determine compliance prior to delivery of tailored education. Education was done utilizing posters, flyers, and powerpoint presentation. Hand sanitizer stations were installed to improve compliance. Finally, the clinical observation tool was implemented following the education initiative to determine impact on provider compliance. A post-implementation survey was distributed to determine if increased education and supplies impacted baseline knowledge and compliance. Results: Only 88% of surveyed providers recognized that the A&E has a current hand hygiene policy with 64% noting GPHC does not stress hand hygiene enough. Providers reported they utilize hand hygiene 75% yet all participants acknowledged that proper hand washing greatly reduces the spread of infection. 53% of providers surveyed felt comfortable encouraging their peers to wash their hands. Conclusions: Initial provider hand hygiene within the A&E was abysmal. Though identified as a predominant barrier, supplies were readily available throughout the observation window. Educational materials placed throughout the department improved both the perception and compliance of hand hygiene. The importance of provider hand hygiene must be continually stressed in order to maintain optimal compliance.

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