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Objective To understand the status of hand hygiene(HH)of health care workers(HCWs)in a tertiary hospital in Zhuhai.Methods HH compliance of doctors,nurses,and cleaners randomly selected from 15 clinical de-partments in the whole hospital was observed through concealed observation by medical interns in October-Novem-ber 2016.Results HH compliance rate and correct rate of clinical departments in the whole hospital were 33.44%(1 131/3 382)and 59.86%(677/1 131)respectively,there was a significant difference in the compliance rate of HH among different types of HCWs (χ2 ＝12.610,P＝0.002),HH compliance rate from high to low was nurses (35.85%),cleaners (32.28%),and doctors (29.50%).Of five HH moments,HCWs’HH compliance rate after patient’s body fluid exposure was the highest (69.74%),while after touching patient surroundings was the worst (25.03%).HH compliance rates of HCWs with different occupations at different HH moments were all significant-ly different (all P＜0.05),HH compliance rates of doctors before aseptic procedure and after patient’s body fluid exposure were higher than nurses(71.25% vs 32.44%;82.86% vs 69.78%,respectively),HH compliance rate of nurses was highest after touching a patient(40.06%).Conclusion HH status in this hospital is not optimistic,HH compliance rate and correct rate are low,HH compliance rates of HCWs with different occupations and at different HH moments are both different,which need to be improved.
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Objective To systematically evaluate the compliance and correct rate of hand hygiene(HH) among doctors and nurses in secondary and above hospitals in mainland China,and provide data support for HH promotion.Methods Literatures about study on HH in mainland China after 2015 were retrieved from Chinese and English databases,researchers evaluated the literatures according to the relevant standards,screened the qualified literatures and extracted the data strictly according to the inclusion and exclusion criteria,Meta analysis was adopted to analyze the compliance and the correct rate of HH of doctors and nurses in different levels of hospitals and at different departments.Results The overall compliance rate of HH of nurses was higher than doctors,compliance rates of HH of doctors and nurses were 55.9％ (95 ％CI:45.9％,65.8％) and 66.0％ (95％CI:58.8％,73.1％) respectively;HH correct rates of doctors and nurses were 65.2％ (95％CI:53.6％,76.9％) and 67.9％(95％CI:56.9％,78.9％) respectively.Compliance rates of HH of doctors and nurses in tertiary hospitals were both higher than secondary hospitals,compliance and correct rates of HH of doctors and nurses in intensive care unit were both higher than general departments.Conclusion The compliance and correct rate of HH in mainland China need to be further improved,especially the promotion in primary hospitals and general departments.
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Objective To explore the application efficacy of quality control circle(QCC) in hand hygiene(HH)management of laboratory staff.Methods Laboratory staff in a hospital in Neijiang from January to December 2016 wvere selected as the studied objects,QCC group of HH management of laboratory staff was established,causes of correct rate of HH in laboratory staff were analyzed,corresponding countermeasures were formulated and implemented;data before and after performing QCC activity were compared and analyzed,efficacy of activities was assessed.Results After implementing QCC activity,correct rate of HH in laboratory staff increased from 29.73％ to 91.04％,difference was significant(P＜0.001).At the same time,circle members' ability in QCC skill,responsibility,sense of honor,self confidence,cohesiveness were all promoted with varying degrees.Conclusion The implementation of QCC activities can not only improve the correct rate of HH of laboratory staff,but also enhance team confidence and cohesiveness,it is worthy of further clinical application.
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Objective To understand the status of awareness of hand hygiene(HH)knowledge and compliance among health care workers (HCWs)in China,and provide scientific basis for further improvement of HH practice. Methods A multi-centre retrospective survey on awareness of HH knowledge and compliance was conducted in 200 nationwide hospitals in 2015.Results The awareness rates of HH methods and HH indications among HCWs were 86.5% and 82.5% respectively;cleaning staff had the lowest awareness rate of HH indications(69.9%),followed by the other interns and advanced-study students (70.2%),as well as medical technicians (79.8%);attendants had the lowest awareness rate of HH methods(76.9%),followed by advanced-study students and interns(81.0%),and cleaning staff (82.4%);HH knowledge awareness rate among HCWs in secondary hospitals was lower than tertia-ry hospitals,and the district-level hospitals had the lowest awareness rate of HH.HH compliance rate and correct rate were 70.1% and 74.9% respectively;the interns and advanced-study students were at a low level of compliance and correct rates (61.4% and 60.9% respectively);the municipal hospitals had the lowest compliance and correct rates,non-teaching hospitals were lower than teaching hospitals.Conclusion HH in primary hospitals is weak,HH of interns,advanced-study students,as well as attendants and cleaning staffs are not enough,HH management should be strengthened,awareness and compliance of HH should be improved.
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Objective To explore effect of application of quality control circle (QCC)on improving the correct rate of hand hygiene (HH)among health care workers (HCWs)in intensive care unit(ICU).Methods QCC activity group was set up,the activity theme was established,correct rate of HH among HCWs in March 2014 (pre-inter-vention group)was monitored,the causes of incorrect HH behavior were analyzed,goals were set;from May 2014, QCC activities were initiated,correct rate of HH between before performing QCC activities and September 2014 (post-intervention group)was compared.Results 834 and 900 times of HH among HCWs were investigated before and after performing QCC activities,the number of correct HH before and after QCC activities were 360 and 714 re-spectively,correct rate of HH after implementing QCC was higher than before QCC activities (79.33% vs 43.17%,χ2 =240.19,P <0.05).The correct rate of HH among HCWs of this ICU and HCWs engaging in ad-vanced studies in this ICU after implementing QCC activities were both higher than before QCC activities (χ2 =264.44,6.36,respectively,both P <0.05).The main incorrect HH before and after QCC was non-implementation of HH indication.Conclusion Application of QCC activities for the management of HH among HCWs can effec-tively improve the correct rate of HH among HCWs in ICU.
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To develop an automated coding software related to the underlying causes of death,based on the National Registration Information System on deaths,which could improve the quality of coding on the underlying causes of death in the conventional death surveillance system.Following the coding roles of the underlying death cause of ICD-IO and the design on principles of software of underlying death cause automated coding from some other countries,as well as in accordance with the coding strategy table from the USA,we implemented the automatization of the underlying death cause coding.Based on national registration information system on cause of death,an automated coding software of underlying death cause was developed with the coding correction rate closed to 85%.The automated coding software of underlying death cause could code the death cases of underlying death cause with high rate of correction,similar to that of the same kind softwares developed in other countries.