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Prevenir la propagación de infecciones en la atención al paciente reforzando las técnicas adecuadas de lavado de manos.
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El procedimiento de lavado de manos es el proceso para asegurarse de que las técnicas de lavado de manos que se practican en la atención médica sigan las pautas recomendadas. La auditoría de lavado de manos tiene como objetivo prevenir la propagación de infecciones entre los trabajadores de la salud y los pacientes mediante inspecciones de observación de las técnicas de lavado de manos.
Hand hygiene compliance is a health and safety policy that is required of health care providers. This policy helps in reducing incidences of health-related infections, therefore protecting both patient and healthcare workers. It may seem like a simple policy, however, negligence to it will negatively impact a healthcare institution’s morbidity rate, duration of hospital stays, and treatment prices.
In a study about Antimicrobial Resistance & Infection Control, it was concluded that a good hand hygiene compliance is achieved when health care providers are well trained and have better knowledge and understanding of the hand hygiene guidelines and techniques. Other factors that affect compliance are the attitude of healthcare providers towards hand hygiene, and the presence of soap and water, and alcohol or sanitizers in the working area.
While easily avoidable, acquiring infection during the ordinary course of patient care remains a leading cause of death and disability worldwide – with over 1.4 million cases occurring at any given time. The simplest and most effective solution to prevent the spread of infection in healthcare is for healthcare workers to practice proper hand hygiene techniques during the five moments of patient care.
Healthcare facilities should perform regular hand hygiene audits to identify training gaps and remind staff of the importance of basic infection control.
Based on the World Health Organization (WHO) hand hygiene guidelines for 2019, the WHO recommends these key steps to follow when performing a hand hygiene audit of healthcare workers:
Contact the hospital administration before commencing the audit. Announce the period of observation and the purpose of performing the hand hygiene audit. Inform healthcare workers about the data documentation method (e.g. photo evidence).
Audit all areas where patient care is regularly undertaken. Introduce yourself to the head nurse, the chief doctor of the unit or the department manager and provide a general explanation of the role of the observer. Aim to perform a sufficient number of observations across various wards and departments.
Patient privacy must not be compromised during auditing. Written permission from patients may be required. Do not audit during extreme situations (e.g. emergency medical treatment, signs of uncontrolled stress in a healthcare worker).
Conduct the audit according to the WHO’s Five Moments of Hand Hygiene:
Before touching a patient
Before clean/aseptic procedures
After body fluid exposure/risk
After touching a patient
After touching patient surroundings
Indicate whether or not the healthcare worker used the following techniques:
Hand Hygiene Technique | WHO
Provide feedback to the healthcare worker if hand hygiene was not performed. Compliance scores can be determined by the ratio of the number of performed actions (hand hygiene) to the number of opportunities (moments). Results should be shared with management, department heads, boards as well as front-line healthcare workers.
Healthcare facilities can improve hand hygiene based on audit results by implementing a comprehensive strategy that addresses several key areas:
System Change
- Ensure handrub dispensers, soap, water, and towels are always available at the point of care, with reliable stock and easy access.
Education and Training
- Provide regular training to reinforce proper techniques, timing, and compliance, supported by refresher sessions.
Monitoring and Feedback
- Track compliance through observation or electronic systems. Share timely feedback, highlight trends, and address barriers to improve adherence.
Reminders and Visual Cues
- Use posters and visual prompts near dispensers and patient areas to reinforce hygiene practices.
Culture and Leadership
- Promote a safety culture where leaders model good practice and staff share accountability.
Patient Involvement
- Educate patients and encourage them to remind staff about hand hygiene.
Corrective Actions
- Act on audit findings by addressing gaps, targeting interventions, assigning responsibilities, and tracking improvements.
NRS Healthcare used Mitti (by SafetyCulture) for regular log of audits across a range of activities and equipment, which impressed an NHS commissioning group as part of an external audit of the business. NRS Healthcare was awarded a perfect 100% score as part of the audit for the first time in its history.
Crea una plantilla de lista de verificación personalizada al instante con IA
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Esta lista de control de cumplimiento de lavado de manos se utiliza internamente para evaluar las técnicas de lavado de manos de los trabajadores de la sanidad. Utilice esta lista de control para monitorear fácilmente la calidad del rendimiento y proporcionar comentarios con evidencia fotográfica. Los profesionales sanitarios pueden utilizar esta lista de control para identificar lagunas de formación y mejorar la cultura general de seguridad en el paciente.
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Se utiliza una auditoría de control de infecciones para garantizar la finalización de las medidas de control de referencia contra las infecciones asociadas a la atención médica. Utilice esta plantilla para alertar instantáneamente a sus compañeros o superiores sobre los elementos que no cumplen. Los administradores de atención médica pueden personalizar esta plantilla según las políticas de la instalación para implementar los cambios necesarios en el sistema.
