Maintaining the quality of medical care in hospitals is now a challenge in modern medicine. The occurrence rate of health care-associated infections is an important indicator of the quality of medical care. The Centers for Disease Control (CDC) recommends hand washing as the simplest, most effective method to prevent health care-associated infections. The purpose of this study was to understand the efficacy of quality control circle (QCC) methods developed by the department of infection control in increasing the hand-washing compliance rate of hospital staff. The hospital under study was a regional hospital in Taipei where the hand-washing compliance rate of the staff was 44.9% in 2007. A quality control group was formed comprising members from the infection control department and staff from the hospital. Timing of action procedure was 6 months, which included planning from August to October 2007, implementation from November to December 2007, and evaluation in January 2008. The hospital under study targeted the most common causes of poor hand-washing compliance: assuming that one's hands are clean, not being accustomed to hand washing, forgetting to wash one's hands, not considering hand washing to be important, poor advertising, and a poor system of rewards and penalties; these were considered to be the 6 major problems that required urgent attention. We reviewed the problems and designed strategies to improve the situation. This resulted in an improvement in the hand-washing compliance rate of the staff to 92.7% in 2008. This study demonstrated that hand-washing habits could be altered by way of education and feedback.
|Translated title of the contribution
|Improvement in the Hand-washing Compliance Rate of Staff in a Regional Hospital in Taipei
|Number of pages
|Published - Feb 2010