Kritsotakis, E. orcid.org/0000-0002-9526-3852, Astrinaki, E., Messaritaki, A. et al. (1 more author) (2018) Implementation of multimodal infection control and hand hygiene strategies in acute-care hospitals in Greece: a cross-sectional benchmarking survey. American Journal of Infection Control, 46 (10). pp. 1097-1103. ISSN 0196-6553
Abstract
Background: In this first attempt to suggest achievable standards for improvement in hospital infection prevention and control (IPC) in Greece, we assessed main IPC structure and process indicators emphasizing on hand hygiene.
Methods: Acute-care hospitals across the country participated in a cross-sectional survey by completing the World Health Organization Hand Hygiene Self-Assessment Framework (HHSAF) and by providing hospital-level IPC indicators.
Results: Seventeen hospitals completed the survey, comprising 14% of the country’s public hospitals. Median IPC staffing levels were 0.8 nurses and 0.5 doctors per 250 beds, respectively. Few hospitals implemented full multimodal IPC programs. HHSAF indicated that appropriate hand hygiene practices and promotion strategies were in place in most hospitals, but mean HHSAF score (289) was lower compared to studies in Italy (332, p=0.040) and the USA (373, p<0.001). Presence of one additional IPC nurse was independently associated with increases by 53% in the HHSAF median score for training-education (p=0.035) and by 38% in the lower 30th percentile score for safety climate (p=0.049).
Conclusions: Surveyed hospitals are, on average, at an intermediate level in hand hygiene practice but require improvements on training-education, evaluation-feedback and safety climate. Ensuring adequate IPC nurse staffing levels and systematically implementing multimodal IPC programs may lead to substantial improvements.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. This is an author produced version of a paper subsequently published in American Journal of Infection Control. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Hand Hygiene Self-Assessment Framework; Infection prevention and control; Structure and process indicators; healthcare-associated infection; benchmarking; healthcare epidemiology |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 08 May 2018 12:48 |
Last Modified: | 23 Nov 2020 12:23 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.ajic.2018.04.217 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:130459 |
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Filename: Kritsotakis et al AJIC 2018_accepted version.pdf
Licence: CC-BY-NC-ND 4.0