Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan

for Infection Control Society of Taiwan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background/purpose: This study investigated the cause of hand hygiene deficit, and further implemented a quality improvement program using WHO's hand-hygiene strategy to enhance the compliance of hand hygiene in the nursing home in Taiwan. Methods: This prospective study was conducted in eleven nursing homes in Taiwan from January 2015 to December 2016. After intervention, we monitor the compliance, and accuracy of hand hygiene. In addition, we also calculated the number of episodes of infection per 1000 resident-days in each nursing home in the intervention period (July–December 2015) and post-intervention period (January–October 2016). Results: Overall, the consumption of alcohol-based handrubs increased from 10.1 ml per resident-day in intervention period to 12.2 ml per resident-day in post intervention period. The compliance of hand hygiene increased from 74% in intervention period to 79% in post-intervention period and the rate of correct hand hygiene increased from 81% in intervention period to 87% in post-intervention period. Most importantly, the infection density decreased from 2.39 per 1000 resident-day in intervention period to 1.89 per 1000 resident-day. Conclusions: A national quality-improvement program using WHO's hand-hygiene strategy to enhance hand hygiene and reduce healthcare associated infection is effective in nursing homes in Taiwan.

Original languageEnglish
Pages (from-to)345-351
Number of pages7
JournalJournal of Microbiology, Immunology and Infection
Volume52
Issue number2
DOIs
Publication statusPublished - 2019 Apr 1

Fingerprint

Hand Hygiene
Quality Improvement
Nursing Homes
Taiwan
Cross Infection
Infection
Alcohol Drinking
Compliance
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology and Microbiology(all)
  • Microbiology (medical)
  • Infectious Diseases

Cite this

@article{20459c19a42b413789ba255a27f4cfc7,
title = "Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan",
abstract = "Background/purpose: This study investigated the cause of hand hygiene deficit, and further implemented a quality improvement program using WHO's hand-hygiene strategy to enhance the compliance of hand hygiene in the nursing home in Taiwan. Methods: This prospective study was conducted in eleven nursing homes in Taiwan from January 2015 to December 2016. After intervention, we monitor the compliance, and accuracy of hand hygiene. In addition, we also calculated the number of episodes of infection per 1000 resident-days in each nursing home in the intervention period (July–December 2015) and post-intervention period (January–October 2016). Results: Overall, the consumption of alcohol-based handrubs increased from 10.1 ml per resident-day in intervention period to 12.2 ml per resident-day in post intervention period. The compliance of hand hygiene increased from 74{\%} in intervention period to 79{\%} in post-intervention period and the rate of correct hand hygiene increased from 81{\%} in intervention period to 87{\%} in post-intervention period. Most importantly, the infection density decreased from 2.39 per 1000 resident-day in intervention period to 1.89 per 1000 resident-day. Conclusions: A national quality-improvement program using WHO's hand-hygiene strategy to enhance hand hygiene and reduce healthcare associated infection is effective in nursing homes in Taiwan.",
author = "{for Infection Control Society of Taiwan} and Lai, {Chih Cheng} and Lu, {Min Chi} and Tang, {Hung Jen} and Chen, {Yen Hsu} and Wu, {Yi Hui} and Chiang, {Hsiu Tzy} and Wu, {Li Hung} and Wen-Chien Ko and Hsueh, {Po Ren} and Chen, {Yu Hui}",
year = "2019",
month = "4",
day = "1",
doi = "10.1016/j.jmii.2018.09.007",
language = "English",
volume = "52",
pages = "345--351",
journal = "Journal of Microbiology, Immunology and Infection",
issn = "1684-1182",
publisher = "Elsevier Taiwan LLC",
number = "2",

}

Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan. / for Infection Control Society of Taiwan.

In: Journal of Microbiology, Immunology and Infection, Vol. 52, No. 2, 01.04.2019, p. 345-351.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Implementation of a national quality improvement program to enhance hand hygiene in nursing homes in Taiwan

AU - for Infection Control Society of Taiwan

AU - Lai, Chih Cheng

AU - Lu, Min Chi

AU - Tang, Hung Jen

AU - Chen, Yen Hsu

AU - Wu, Yi Hui

AU - Chiang, Hsiu Tzy

AU - Wu, Li Hung

AU - Ko, Wen-Chien

AU - Hsueh, Po Ren

AU - Chen, Yu Hui

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Background/purpose: This study investigated the cause of hand hygiene deficit, and further implemented a quality improvement program using WHO's hand-hygiene strategy to enhance the compliance of hand hygiene in the nursing home in Taiwan. Methods: This prospective study was conducted in eleven nursing homes in Taiwan from January 2015 to December 2016. After intervention, we monitor the compliance, and accuracy of hand hygiene. In addition, we also calculated the number of episodes of infection per 1000 resident-days in each nursing home in the intervention period (July–December 2015) and post-intervention period (January–October 2016). Results: Overall, the consumption of alcohol-based handrubs increased from 10.1 ml per resident-day in intervention period to 12.2 ml per resident-day in post intervention period. The compliance of hand hygiene increased from 74% in intervention period to 79% in post-intervention period and the rate of correct hand hygiene increased from 81% in intervention period to 87% in post-intervention period. Most importantly, the infection density decreased from 2.39 per 1000 resident-day in intervention period to 1.89 per 1000 resident-day. Conclusions: A national quality-improvement program using WHO's hand-hygiene strategy to enhance hand hygiene and reduce healthcare associated infection is effective in nursing homes in Taiwan.

AB - Background/purpose: This study investigated the cause of hand hygiene deficit, and further implemented a quality improvement program using WHO's hand-hygiene strategy to enhance the compliance of hand hygiene in the nursing home in Taiwan. Methods: This prospective study was conducted in eleven nursing homes in Taiwan from January 2015 to December 2016. After intervention, we monitor the compliance, and accuracy of hand hygiene. In addition, we also calculated the number of episodes of infection per 1000 resident-days in each nursing home in the intervention period (July–December 2015) and post-intervention period (January–October 2016). Results: Overall, the consumption of alcohol-based handrubs increased from 10.1 ml per resident-day in intervention period to 12.2 ml per resident-day in post intervention period. The compliance of hand hygiene increased from 74% in intervention period to 79% in post-intervention period and the rate of correct hand hygiene increased from 81% in intervention period to 87% in post-intervention period. Most importantly, the infection density decreased from 2.39 per 1000 resident-day in intervention period to 1.89 per 1000 resident-day. Conclusions: A national quality-improvement program using WHO's hand-hygiene strategy to enhance hand hygiene and reduce healthcare associated infection is effective in nursing homes in Taiwan.

UR - http://www.scopus.com/inward/record.url?scp=85054556655&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054556655&partnerID=8YFLogxK

U2 - 10.1016/j.jmii.2018.09.007

DO - 10.1016/j.jmii.2018.09.007

M3 - Article

VL - 52

SP - 345

EP - 351

JO - Journal of Microbiology, Immunology and Infection

JF - Journal of Microbiology, Immunology and Infection

SN - 1684-1182

IS - 2

ER -