新加坡中央医院手卫生宣传报道文献
AbstractBackground: During the Severe Acute Respiratory Syndrome (SARS) outbreak, high compliance in healthcare
workers to hand hygiene was primarily driven by fear. However, the post-SARS period confirmed that this practice
was not sustainable. At the Singapore General Hospital, a 1,600-bedded acute tertiary care hospital, the hand
hygiene program was revised in early 2007 following Singapore’s signing of the pledge to the World Health
Organization (WHO) “Clean Care is Safer Care” program.
Findings: A multi-prong approach was used in designing the hand hygiene program. This included system
change; training and education; evaluation and feedback; reminders in the workplace; and institutional safety
climate. Hand hygiene compliance rate improved from 20% (in January 2007) to 61% (2010). Improvement was
also seen annually in the compliance to each of the 5 moments as well as in all staff categories. Healthcareassociated
MRSA infections were reduced from 0.6 (2007) to 0.3 (2010) per 1000 patient-days.
Conclusions: Leadership’s support of the program evidenced through visible leadership presence, messaging and
release of resources is the key factor in helping to make the program a true success. The hospital was recognised
as a Global Hand Hygiene Expert Centre in January 2011. The WHO multi-prong interventions work in improving
compliance and reducing healthcare associated infections.
Keywords: hand hygiene, healthcare-associated infections, system change
挺有意思的一篇文章，有图有数据。
虽然主要是谈手卫生，但是更多的是以点带面，以手卫生为契机带动整体集束措施的执行，尤其是最后MRSA的HAI逐年降低很明显看出多项措施的效果。值得学习。 看不懂，先下载学习。 手卫生最大的难题是如何用感染控制的指标来评价，很多时候做了手卫生宣传活动，没有产出，没有持续关注和跟进 很喜欢这篇文章，下载复习英语去！ 看不懂，先下载学习。
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