Verification of Hand Hygiene Improvement Program for Nursing Administrators: Alcohol Based Hand Rub Usage and Detection Number of Methicillin-resistant Staphylococcus aureus
Kazue SHIMAMORI1)2), Keiko KONDOU1)2), Naoto ONODERA1)3), Etsuko SATO2), Akira SUWABE3) and Shigeru SAKURAI1)
1)Infection Control Office, Department of Medical Safety Administration, Iwate Medical University Hospital2)Department of Nursing, Iwate Medical University Hospital3)Department of Laboratory Medicine, Iwate Medical University School of Medicine
Hand hygiene is an important infection control method to prevent healthcare-associated infections, but its compliance is not enough. We introduced a "hand hygiene improvement program" to encourage active involvement among nursing administrators, and analyzed the effect of this program on alcohol based hand rub (ABHR) usage rate and incidence rate (detection number /1,000 patient days) of methicillin-resistant Staphylococcus aureus (MRSA). In this program, ABHR usage rate (L/1,000 patient days) was set to 15 in the general ward and 30 in the critical division as the work improvement objective of the nursing department, and obliged each nurse manager to achieve the goal. Also, at the nurse managers' conference, monthly ABHR usage rate and detection number of MRSA (cases/month) were reported. Furthermore, link nurse and infection control team collaborated to support goal-achievement. As a result, ABHR usage rate in general wards increased significantly from 9.3 in 2013 before introduction to 17.5 in 2015 after introduction (p<0.05) of program. The incidence rate of MRSA at the same time decreased significantly from 0.52 to 0.37 (p<0.05). Likewise, ABHR usage rate in the critical division also increased significantly from 41.9 in 2013 to 78.8 in 2015 (p<0.05). The incidence rate of MRSA at the same time showed a decreasing trend from 1.84 to 1.63. These results suggest that it was effective to set the promotion of hand hygiene as the purpose of the nursing department and the entire organization tries actively under the involvement of the nurse manager who has a central role, and this program is useful for improving hand hygiene.
Key words：hand hygiene, alcohol based hand rub, methicillin-resistant Staphylococcus aureus, nursing administrators
Received: December 28, 2016
Accepted: July 13, 2017