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本帖最后由 safihu 于 2018-4-16 11:53 编辑
对WHO直接观察法的解释，涉及到五个手卫生指征的学习，人员的培训、数据的分析等内容。如果开展直接观察法前可以按里面推荐的方法尽量规范监测。比如经常会碰到的连续操作对指征的记录也有详细说明 。
五个手卫生时刻图
The World Health Organization hand
hygiene observation method
Hugo Sax, MD,a Benedetta Allegranzi, MD,b Marie-Noe¨lle Chra¨ti, RN,a John Boyce, MD,c Elaine Larson, RN, PhD, FAAN,
CIC,d and Didier Pittet, MD, MSa,b
Geneva, Switzerland, New Haven, Connecticut, and New York, New York
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.
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.)
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发表于 2011-12-29 09:21
发表于 2011-12-29 09:58
发表于 2011-12-29 10:10
，虽然英文水平不咋地，虽然扣了文点，但学到知识学到方法技巧更重要些
发表于 2012-2-28 19:26
