troduction: For the implementation and monitoring of Hand Hygiene practice among healthcare workers, the Infection control program at An-Najah National University Hospital, a tertiary care referral teaching hospital in the North of Palestine, uses Direct Observation as recommended by the World Health Organization. Objectives: This descriptive study aims at reporting the prevalence of HH across the institution from January 2017 to April 2019 Methods: To monitor improvements, WHO toolkit for direct observation of HH compliance was used by IPCP team and anonymously by trained observers. Compliance was assessed and reported on monthly basis. PDSA, root cause analysis and groups discussions were used as improvement tools. Training was reinforced by the use of ultraviolet light and fluorescent alcohol hand rub. Yearly, staff was engaged in HH day activities. Leadership support was constant by securing annual budget for the HH program and the enforcement of HH policy. Results: The overall compliance rates during the period of study were: 44%(R:31-57%) in 2017, 53%(R:30-72%) in 2018 and 58%(R:55-60%) from January to April 2019.During 2018,an increase in 23% in HH compliance was observed among Nursing staff and 14% among doctors. The most frequent missed opportunity was the compliance with Moment 1“before patient” by 59%, which was mainly due to a misuse of gloves. Qualitative analysis of the results reflected barriers to an optimal hand hygiene rate (set at 85%) such as: high turnover among nursing and residents, shortage of alcohol sanitizer in some months, reported skin irritation problems related to alcohol gel and poor engagement to HH. Conclusion: A steady increase in HH compliance was observed among the institution from 2017 to 2019.Efforts in improving the commitment of the staff to HH is needed as well administrative support and training (especially in the

عنوان المؤتمر

INTERNATIONAL CONSORTIUM FOR PREVENTION & INFECTION CONTROL

دولة المؤتمر

فلسطين

تاريخ المؤتمر

10 سبتمبر، 2019 - 13 سبتمبر، 2019

راعي المؤتمر

SHEA

معلومات إضافية

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