1. Title of the Poster Presentation Placed Here
Observing Hand Hygiene Compliance in a Brazilian Oncology Hospital
Adenilde Andrade, Paula Regolin, Maria Graça Matsubara, Adriana Costa e Silva, Ana Paula Maia, Beatriz Quental, Joseanne Lima, Maysa Bonfleur Alves, Juliana Virolli, Ivan França
Ac Camargo Cancer Center, Brazil
Title of the Poster Presentation Placed Here
Authors of the Poster Presentation Placed Here Institutional and/or Graduate School of Biomedical Sciences Affiliation Placed Here
GAP 2015 Conference
Results
HH global compliance in ICUs was 80,3% in compared to 64,6% in In ICUs we conducted 65,9 audits/month in 2013 and 255 audits/month in Figure 1 describes the absolute number of audits per month in ICUs considering a group of professionals. The average of physician compliance in ICUs was 64,5% with 13,9 audits/month in 2013 and 46,3% with 23,9 audits/month in Nursing compliance in ICUs was 86,5% with 45,6 audits/month in 2013 and 68,8% with 206 audits/month in The average of ward compliance was 71,45% with 1502 audits/month in Figure 3 describes the absolute number of audits per month in ward considering a group of professionals.
Materials
AC Camargo is a 361-bed hospital that serves as a reference for the treatment of oncology in São Paulo, Brazil. In 2014 we implemented a direct-observer HH audit program that used 28 trained nursing students. They closely observed HH compliance, based on the World Health Organization 5 moments, in all hospital units. We also organized monthly meetings with unit managers and provided data reporting for all staff. Before the implantation of that program, all observations were made by infection control nurses and restricted to intensive care units (ICUs). .
Conclusion
Before 2014, hand hygiene was monitored by infection control nurses who made few observations, which were restricted to ICUs. We observed the lowest rate of HH compliance in the beginning of the program in ICUs and provided since that, monthly meetings to discuss. We also realized fewer observations in vacation period (jan,nov,december) because this program was based in nursing students. We have described the implementation of a global HH audit program that permits collect of highly accurate data, training for nursing students and changes in HH behavior of hospital staff.
Organizing an effective formal educational programme requires considerable time and effort, but it remains essential to effect changes in staff behaviour. 3
Introduction
Hand Hygiene (HH) is the most simple and effective way to prevent healthcare associated infections. Monitoring HH performance is essential to understanding how to improve HH compliance of healthcare professionals 1,2,3.
The association between hand hygiene improvement and healthcare-associated infection (HAI) reduction has been demonstrated in a variety of settings, and hand hygiene is widely accepted as a foundational component of infection prevention and control programs. 4
Technique/ Objective
Describe the implementation of a hand hygiene audit program in a oncology hospital in Brazil.
Figure 3: HH ward observations, 2014.
References
1) Midturi JK et al Am J Infect Control  [Epub ahead of print]
2) Gould DJ, Interventions to improve hand hygiene compliance in patient care.Cochrane Dtabe Syst. Rev 2010 Sep 8;(9)
3) WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization; 2009
4) Katherine Ellingson, PhD;1,a Janet P. Haas, PhD, RN, CIC;2,a Allison E. Aiello, PhD;3 Linda Kusek, MPH, RN, CIC;4 Lisa L. Maragakis, MD, MPH;5 Russell N. Olmsted, MPH, CIC;6 Eli Perencevich, MD, MS;7,8 Philip M. Polgreen, MD;7 Marin L. Schweizer, PhD;7,8 Polly Trexler, MS, CIC;5 Margaret VanAmringe, MHS;4 Deborah S. Yokoe, MD, MPH. Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene. infection control and hospital epidemiology august 2014, vol. 35, no. 8.
Figure 4: Global HH Ward compliance ,based in all professionals/WHO 5 moments
Figure 1: HH observations in ICU,
Figure 2: Global HH compliance in ICUs, based in all professionals/WHO 5 moments