WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...
WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...
WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...
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PART III. PROCESS AND OUTCOME MEASUREMENT<br />
Table III.2.1<br />
Examples of quality <strong>in</strong>dicators which may be used <strong>in</strong> relati<strong>on</strong> to hand hygiene <strong>in</strong> health-care sett<strong>in</strong>gs<br />
(not <strong>in</strong>clud<strong>in</strong>g pre-surgical hand preparati<strong>on</strong>) (C<strong>on</strong>t.)<br />
Indicators* Measure opti<strong>on</strong>** Measure opti<strong>on</strong>** Suggested frequency**<br />
Process<br />
Correct answers by staff to a complete,<br />
standard list of knowledge questi<strong>on</strong>s <strong>on</strong><br />
hand hygiene<br />
Staff fully <strong>in</strong> compliance with <strong>in</strong>stituti<strong>on</strong>al<br />
hand hygiene policy<br />
<strong>Health</strong>care workers do not wear artificial<br />
f<strong>in</strong>ger nails or extenders<br />
<strong>Health</strong>care workers perform all three key<br />
hand hygiene procedures (hand wash<strong>in</strong>g,<br />
handrub, glove removal) correctly<br />
100% through zero random choice of x staff,<br />
overall and <strong>in</strong>dividual %s<br />
of knowledge<br />
100% through zero random choice of x staff,<br />
% of staff wear<strong>in</strong>g or not<br />
wear<strong>in</strong>g<br />
Bi-annually<br />
Quarterly/weekly<br />
<strong>Health</strong>care worker hand hygiene<br />
compliance with Five Moments<br />
<strong>Health</strong>care worker performance <strong>in</strong> relati<strong>on</strong> to<br />
correct technique for hand hygiene<br />
100% through zero % by ward/department Depends <strong>on</strong> score, aim<br />
annual or more frequently<br />
100% through zero % by ward/department Depends <strong>on</strong> score<br />
Volume of product usage (soap and alcoholbased<br />
handrub)<br />
Soap and alcohol-based handrubs are not<br />
used c<strong>on</strong>comitantly<br />
Mls per bed day<br />
random choice of x staff,<br />
% times used or not used<br />
c<strong>on</strong>comitantly<br />
Need to set benchmarks.<br />
Measure m<strong>on</strong>thly<br />
Quarterly/weekly<br />
Where alcohol-based handrubs are available<br />
antimicrobial soap is not <strong>in</strong> use<br />
Multimodal strategy implemented<br />
100% through zero % by ward/department Quarterly/weekly<br />
Annual<br />
Outcome<br />
Infecti<strong>on</strong> rates m<strong>on</strong>itored<br />
Transmissi<strong>on</strong> rates for epidemiological<br />
pathogens (<strong>in</strong>clud<strong>in</strong>g antibiotic resistant<br />
pathogens) m<strong>on</strong>itored<br />
Product tolerance and acceptability analysis<br />
Product cost comparati<strong>on</strong>s/benefit analysis<br />
As above<br />
M<strong>on</strong>thly/quarterly, if<br />
surveillance <strong>in</strong> place<br />
M<strong>on</strong>thly/quarterly if<br />
surveillance <strong>in</strong> place<br />
Annual<br />
Annual<br />
* Those <strong>in</strong> bold <strong>in</strong>dicate the first criteri<strong>on</strong> that should be c<strong>on</strong>sidered<br />
** The suggested measure opti<strong>on</strong>s are not based <strong>on</strong> evidence, but <strong>on</strong> expert c<strong>on</strong>sensus and local experiences<br />
1<br />
Where liquid soap not available<br />
2<br />
Where disposable towels not available measure availability of freshly laundered dry cloth towels<br />
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