Publication: Impacto de una intervención regional para mejorar el cumplimiento de la higiene de manos en la atención sanitaria
Loading...
Files
Official URL
Full text at PDC
Publication Date
2017-02-16
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Complutense de Madrid
Citations
Exportar
Abstract
Antecedentes: Los efectos secundarios no deseados en la atención sanitaria representan una causa de elevada morbilidad y mortalidad, siendo las infecciones relacionadas con la asistencia sanitaria la segunda causa más importante relacionada con la aparición de eventos adversos. Existe evidencia científica de que la higiene de manos (HM) es la medida más eficaz y eficiente para disminuir las infecciones relacionadas con la atención sanitaria. Sin embargo, el cumplimiento de la HM se mantiene de forma constante alarmantemente bajo. La Organización Mundial de Salud (OMS) lanzó, en 2005, el primer reto por la seguridad de los pacientes “Una atención limpia es una atención más segura”, cuyo objetivo era reducir las infecciones relacionadas con la atención sanitaria y considera la HM como la piedra angular para su prevención. Para promover esta iniciativa la OMS ha elaborado una amplia documentación y herramientas para facilitar el cumplimiento de la HM en las instituciones sanitarias entre las que destacan: la guía de HM, un método de observación directa del cumplimiento de HM y una estrategia multimodal para promover la HM en los centros sanitarios. Objetivos del estudio: Evaluar el impacto de una intervención regional de mejora de HM en los centros sanitarios del Servicio Madrileño de Salud (SERMAS) dirigida a los profesionales sanitarios y basada en la estrategia multimodal de la OMS. Material y métodos: El proyecto se enmarca en un ciclo de mejora de la práctica asistencial para incrementar el cumplimiento de la HM en los centros sanitarios del SERMAS. Se presenta la evaluación de la implantación de la estrategia para promover la HM en el SERMAS a través de indicadores anuales, y de un estudio de observación directa del cumplimiento de HM. La intervención, coordinada desde la Subdirección de Calidad de la Consejería de Sanidad de la Comunidad de Madrid, se realizó en los centros sanitarios dependientes del SERMAS en los 3 niveles asistenciales: atención especializada, atención primaria (AP) y Servicio de Urgencias Médicas de Madrid (SUMMA)...
Background: Adverse events in healthcare resulting in patient harm are a leading cause of morbidity and mortality, being healthcare associated infections (HAI) the second most frequent adverse event. Even though there is substantial evidence that hand hygiene is the single most effective measure to prevent healthcare associated infections, adherence to hand hygiene guidelines is below an acceptable level. One of the first goals of the World Health Organization’s (WHO) Alliance for Patient Safety is the substantial reduction of hospital-acquired infections. To reach this target, in 2005, WHO Patient Safety launched the First Global Patient Safety Challenge, Clean Care is Safer Care to galvanise international focus and action on the critical patient safety issue of healthcare associated infections and on the central role that hand hygiene (HH) compliance by healthcare workers plays in reducing such infections. To promote HH, WHO has developed evidence-based guidelines, a HH observation method, as well as a guide to the implementation of the WHO multimodal HH improvement strategy in healthcare settings. Objectives: The aim of this study is to assess the impact of a regional intervention to improve HH in Madrid´s public healthcare institutions focused in healthcare workers and based in the WHO multimodal strategy. Material and Methods: This project falls within a quality healthcare improvement cycle to improve HH compliance in Madrid´s public healthcare institutions. Implementation of the strategy to promote HH is assessed through annual indicators while a direct observation study was conducted to evaluate HH compliance. The intervention was coordinated from the Madrid regional health quality management department and was implemented in all Madrid´s public healthcare institutions in 3 healthcare settings: hospitals, primary healthcare (PHC) and emergency medical service (EMS)...
Background: Adverse events in healthcare resulting in patient harm are a leading cause of morbidity and mortality, being healthcare associated infections (HAI) the second most frequent adverse event. Even though there is substantial evidence that hand hygiene is the single most effective measure to prevent healthcare associated infections, adherence to hand hygiene guidelines is below an acceptable level. One of the first goals of the World Health Organization’s (WHO) Alliance for Patient Safety is the substantial reduction of hospital-acquired infections. To reach this target, in 2005, WHO Patient Safety launched the First Global Patient Safety Challenge, Clean Care is Safer Care to galvanise international focus and action on the critical patient safety issue of healthcare associated infections and on the central role that hand hygiene (HH) compliance by healthcare workers plays in reducing such infections. To promote HH, WHO has developed evidence-based guidelines, a HH observation method, as well as a guide to the implementation of the WHO multimodal HH improvement strategy in healthcare settings. Objectives: The aim of this study is to assess the impact of a regional intervention to improve HH in Madrid´s public healthcare institutions focused in healthcare workers and based in the WHO multimodal strategy. Material and Methods: This project falls within a quality healthcare improvement cycle to improve HH compliance in Madrid´s public healthcare institutions. Implementation of the strategy to promote HH is assessed through annual indicators while a direct observation study was conducted to evaluate HH compliance. The intervention was coordinated from the Madrid regional health quality management department and was implemented in all Madrid´s public healthcare institutions in 3 healthcare settings: hospitals, primary healthcare (PHC) and emergency medical service (EMS)...
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, leída el 18/12/2015