Title: Improvement of compliance to hand hygiene (HH) best practice as one of the patient safety goals (PSGs) at Al Zaytoon specialized Governmental Hospital, Cairo-Egypt
Biography: Maha Hamdy
Introduction: Healthcare-associated infections (HAIs) lead to increased morbidity& mortality, disability, increase length of hospital stay, and increase in antibiotic resistance. Hands are the most common vehicle to transmit HAIs including (MDRS).Compliance with HH is one of the Egyptian PSGs. Most healthcare providers (HCP) believe they’re practicing appropriate &effective HH, though it doesn’t exceed 40% in most of the organizations according to WHO. Assessment of compliance to PSGs was done at Al-Zaytoon specialized multispecialty governmental hospital that provides various medical, surgical and diagnostic services for about 2 million of the population.
Methodology: Data collection was made by meetings with key persons & stakeholders, Structured Observation and reviewing of available forms, documents, and records. SWOT analysis was made focusing on factors related to PSGs including HH.Assessment of awareness& compliance to Egyptian PSGs was done by Questionnaire and Observation. The least rates werereported to HH (60% awareness and 40% compliance). To Increase overall HH awareness and compliance to 90% over 1 year.Phase I objectives (over 2 months) were to increase HH awareness from 60-80% and improve compliance from 40-60% among HCP that will improve PS. Cause, effect diagram and in-depth analysis of Possible Causes of non-compliance to HH were done,followed by Pareto Chart formulation. Remedy selection for the few vital causes (Lack of training and Lack of supervision) was followed by implementation and reassessment
After Improvement: Finally, a control chart was made to ensure consistency & further improvement in terms of how, where,who, what in relation to the overall goal.