The World Health Organization hand hygiene observation method
The World Health Organization hand hygiene observation method
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DOI：
10.1016/j.ajic.2009.07.003
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发表时间：
2009-12-01
影响因子：
4.9
通讯作者：
Pittet, Didier
中科院分区：
文献类型：
--
作者：
Sax, Hugo;Allegranzi, Benedetta;Pittet, Didier
监测手卫生遵守情况并向卫生保健工作者提供绩效反馈是多模式手卫生促进计划的关键组成部分，但在衡量坚持程度的方法上存在重要差异。在世界卫生组织(WHO)首个全球患者安全挑战“清洁护理就是更安全的护理”的框架内，一个以证据为基础、以用户为中心的概念“我的手部卫生五个时刻”已经被开发出来，用于衡量、教学和报告手部卫生遵守情况。这一概念是世卫组织手部卫生改善战略的组成部分，旨在将世卫组织手部卫生保健指南付诸实践。它已经在世界各地的许多卫生保健机构进行了测试，以确保其适用性和对所有环境的适应性，无论可用的资源如何。在此，我们详细介绍WHO手部卫生观察方法讨论了样本量估计、调查分析和报告以及与观察相关的主要偏差和混杂因素。(C)2009年世界卫生组织。版权所有。世界卫生组织已授予出版商复制本文的许可。(AM J感染控制2009；37：827-34。)
Monitoring hand hygiene adherence and providing performance feedback to health care workers is a critical component of multimodal hand hygiene promotion programs, but important variations exist in the way adherence is measured. Within the framework of the World Health Organization's (WHO) First Global Patient Safety Challenge known as "Clean Care is Safer Care,'' an evidence-based, user-centered concept, "My five moments for hand hygiene,'' has been developed for measuring, teaching, and reporting hand hygiene adherence. This concept is an integral part of the WHO's hand hygiene improvement strategy conceived to translate the WHO Guidelines on Hand Hygiene in Health Care into practice. It has been tested in numerous health care facilities worldwide to ensure its applicability and adaptability to all settings irrespective of the resources available. Here we describe the WHO hand hygiene observation method in detail-the concept, the profile and the task of the observers, their training and validation, the data collection form, the scope, the selection of the observed staff, and the observation sessions-with the objective of making it accessible for universal use. Sample size estimates, survey analysis and report, and major bias and confounding factors associated with observation are discussed. (c) 2009 World Health Organization 2009. All rights reserved. The World Health Organization has granted the Publisher permission for the reproduction of this article. (Am J Infect Control 2009; 37: 827-34.)