Engaging more than 300 healthcare facilities from Europe to participate in the testing of the WHO multimodal hand hygiene improvement strategy

Abstract number: P1104

Dziekan G., Storr J., Allegranzi B., Leotsakos A., Engineer C., Sax H., Pittet D.

Healthcare-associated infections (HAI) affect hundreds of millions of people worldwide and are a major global patient safety issue. During healthcare delivery, in most cases pathogens are transmitted by healthcare workers' hands.

Prevention of HAI is the target of the First Global Patient Safety Challenge, ``Clean Care is Safer Care'', launched in October 2005 by the WHO World Alliance for Patient Safety. WHO ``Guidelines on Hand Hygiene in Health Care (Advanced Draft)'' have been produced together with a multimodal implementation strategy to improve hand hygiene at the bedside. The strategy is currently being tested at selected hospitals within each of the six WHO regions worldwide to validate the guideline-recommendations.

Objective: To acquire feedback on the feasibility of implementing a multimodal HH improvement strategy in non-selected healthcare facilities across the socioeconomic and cultural range, including highly developed and least developed countries.

Methods: The WHO programme has set up a web-based community platform to allow every HCF in the world to register and participate as a Complementary Test Site. Registered facilities have access to a suite of 40 implementation, training and evaluation tools, including a detailed "Guide to Implementation".

Results: Within the first ten months more than 300 healthcare facilities (hospitals, ambulatory clinics, long-term care facilities) from European countries have registered either as individual healthcare settings or represented by national/sub-national coordinators. Several networks of hospitals have formed as part of national or sub-national campaigns following a pledge by the Ministry of Health to address the growing burden of HAI. In Italy 143 hospitals are engaging in the HH improvement strategy, in Switzerland 116 hospitals, in Spain and Cataluña 22 hospitals are participating. National coordinators have adapted and translated the provided material to implement the multimodal HH improvement strategy to ensure engagement and sustainable effect.

Conclusion: Political awareness and leadership can mass-mobilise healthcare facilities to engage in quality improvement strategies offered at a global level. Coordination at national or sub-national levels is needed to provide a consolidated approach to ensure sustainability.

Session Details

Date: 19/04/2008
Time: 00:00-00:00
Session name: 18th European Congress of Clinical Microbiology and Infectious Diseases
Location: Barcelona, Spain
Presentation type:
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