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Results
The aim of the teams was to reduce the number of healthcare-associated infections.
For example, halving the incidence of urinary-tract infections by catheterising
for the right indications, introducing closed urine collection systems for
catheter treatment and giving the patient extra fluids to drink. Another goal was
reducing both deep and superficial infections after primary hip and knee replacements:
Skin bacteria were reduced by the patient’s taking double showers using
Hibiscrub three times prior to the operation; airborne particles in the surgical
theatre were minimised through the 20-second rule (that all staff stand still for
20 seconds so that particles can be carried away by the ventilation system); and
the routines for sterile wound changes were improved. Hospitals have also seen a
drop in ventilator-associated pneumonia in patients on respirators since implementing
measures such as raising the head of the bed 30 degrees and improving
the patients’ oral hygiene.
The teams have achieved excellent results in both sessions of the project; 80
percent reached their stated goals.
Good hygiene is critical for good results. A particularly important procedural
goal to avoid the spread of infection is that the staff follow basic hygiene routines.
All teams in the second round of the project regularly measured compliance to
basic hygiene routines and clothing regulations once a month, with the goal of
100 percent compliance. In the second project run, the average compliance was 83
percent to basic hygiene routines and 95 percent to those for clothing. A range of
small changes permitted the achievement of these goals, such as setting up hooks
for long-sleeved coats and making hand rub, gloves and fresh gowns more readily
available.
Ren vård är säkrare vård II
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