Effects of plan-do-check-action cycle in improving hand hygiene compliance of medical staff_West China Medical Journal

Authors：

 ZHU Junhua

Nosocomial Infection Management Department, the Sixth People’s Hospital of Deyang City, Deyang, Sichuan 618000, P. R. China;

Corresponding author：

ZHU Junhua, Email: 1574753132@qq.com

Keywords：

Hand hygiene; Compliance; Plan-do-check-action cycle

DOI：

10.7507/1002-0179.201702075

Video：

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Objective To know the present situation of hand hygiene compliance in medical staff and analyze problems in the management of hand hygiene and related influencing factors, in order to take effective control measures and gradually improve hand hygiene compliance in medical staff. Methods Between January and October 2014 and between January and October 2015, 8-10 healthcare workers respectively from Department of Internal Medicine, Department of Surgery and Department of Rehabilitation were selected to be observed. The healthcare workers between January and October 2014 before the application of plan-do-check-action (PDCA) cycle were regarded as the control group, and hand hygiene observation was performed in October 2014; the healthcare workers between January and October 2015 were regarded as the observation group (after PDCA application), and hand hygiene observation was carried out in October 2015. Under the PDCA cycle, we set up hand hygiene management working group to investigate the hand hygiene work before PDCA cycle was applied. Hand hygiene knowledge survey was carried out. Fishbone diagram was used to find out the causes of poor hand hygiene compliance. Based on these factors, improvement plans of hand hygiene were regulated and implemented. Then, continuous improvement was promoted according to PDCA cycle management process. Results After PDCA implementation, healthcare workers’ hand hygiene compliance (79.67%), correct handwashing rate (94.97%), and hand hygiene compliance before contacting the patients (85.96%), before sterile operation (68.14%), after contacting the patients (78.02%), after contacting patients’ blood or body fluid (85.96%), and after contacting patients’ surroundings (79.14%) were all significantly higher than those before the PDCA implementation (46.39%, 69.62%, 38.42%, 23.20%, 49.14%, 53.78% and 48.39%) (P<0.05). After the implementation of PDCA cycle, the amount of disinfectants consumed per day and the amount of hand sanitizer was 10.13 mL, significantly more than that before PDCA implementation (2.8 mL). The hospital was equipped with full hygiene equipment. Conclusion Applying PDCA cycle for continuous improvement of hand hygiene work can promote the hand hygiene compliance for medical staff.

Citation： ZHU Junhua. Effects of plan-do-check-action cycle in improving hand hygiene compliance of medical staff. West China Medical Journal, 2017, 32(3): 366-370. doi: 10.7507/1002-0179.201702075 Copy

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10.	曹斌, 黄立钊, 王文爱, 等. PDCA 循环在预防剖宫产切口感染中的应用. 中华医院感染学杂志, 2012, 22(20): 4577-4579.
11.	王春英, 黄淑群, 房君, 等. 应用品管圈活动提高 ICU 医务人员洗手正确率. 中华医院感染学杂志, 2013, 23(10): 2408-2409.
12.	罗玉荣, 周长瑛. 综合性医院医务人员手卫生依从性调查分析. 当代护士: 上旬刊, 2016(2): 111-112.
13.	曹敏, 蒋莲萍, 徐小燕, 等. 品管圈在推进急诊科护理人员手卫生中的作用. 中华医院感染学杂志, 2012, 22(18): 4104-4105.
14.	王丽娟, 贾桂香. PDCA 循环法在提高 ICU 医务人员手卫生依从率中的作用. 医学理论与实践, 2013, 26(9): 1243-1244.
15.	郭广芹, 周文静, 李淑真. PDCA 循环管理法在医务人员手卫生依从性中的作用. 护理实践与研究, 2015, 12(5): 103-104.

1. 朱霞云, 杨亚辉, 朱莉. 临床医务人员手部卫生状况调查. 中华医院感染学杂志, 2009, 19(6): 650-651.
2. 邹晓妮, 李静静, 刘妙玲. 妇幼保健机构医务人员手卫生依从性情况分析. 中国初级卫生保健, 2012, 26(6): 78-80.
3. 文翠容, 戚扬, 李庆虹, 等. 医务人员手卫生和院内感染情况调查. 白求恩军医学院学报, 2009, 7(1): 8-9.
4. 姜煊华, 骆莹瑛, 张一超. 基层医务人员手卫生依从性调查. 浙江预防医学, 2010, 22(6): 55-56.
5. 李雅琴, 高书义, 郭丽英. 2004–2007 年医务人员手卫生监测结果分析及时策. 中华医院感染学杂志, 2008, 18(7): 956-957.
6. 李六亿. 我国手卫生的现状、问题与改进对策. 中国护理管理, 2008, 8(1): 17-19.
7. 尹丽娟, 倪凤霞, 陈丽娟. PDCA 模式在无陪护新生儿病房医院感染管理中的应用. 中国医药指南, 2013, 11(34): 569-570.
8. 应莲琴, 谢清华, 褚江洪, 等. 持续质量改进在手卫生管理中的应用. 中华医院感染杂志, 2011, 21(9): 1842-1844.
9. 鲜于云艳, 喻珊. 临床医务人员手卫生依从性调查分析. 中国护理管理, 2014, 14(3): 278-280.
10. 曹斌, 黄立钊, 王文爱, 等. PDCA 循环在预防剖宫产切口感染中的应用. 中华医院感染学杂志, 2012, 22(20): 4577-4579.
11. 王春英, 黄淑群, 房君, 等. 应用品管圈活动提高 ICU 医务人员洗手正确率. 中华医院感染学杂志, 2013, 23(10): 2408-2409.
12. 罗玉荣, 周长瑛. 综合性医院医务人员手卫生依从性调查分析. 当代护士: 上旬刊, 2016(2): 111-112.
13. 曹敏, 蒋莲萍, 徐小燕, 等. 品管圈在推进急诊科护理人员手卫生中的作用. 中华医院感染学杂志, 2012, 22(18): 4104-4105.
14. 王丽娟, 贾桂香. PDCA 循环法在提高 ICU 医务人员手卫生依从率中的作用. 医学理论与实践, 2013, 26(9): 1243-1244.
15. 郭广芹, 周文静, 李淑真. PDCA 循环管理法在医务人员手卫生依从性中的作用. 护理实践与研究, 2015, 12(5): 103-104.

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West China Medical Journal

Effects of plan-do-check-action cycle in improving hand hygiene compliance of medical staff

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