Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Epidemiologia e Controle de Infecção |
Texto Completo: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/10765 |
Resumo: | Background and Objective: Despite the presence of mandatory indicators in the hand hygiene protocols present in Brazil's National Patient Safety Program, monitoring instruments were not recommended, with indicators that evaluate the structural, process and outcome components that allow periodic analysis and construction of improvement actions in the prevention of control of infections related to health care. The objective was to adapt aninstrument to monitor health professionals hands hygiene in a high complexity hospital of Rio de Janeiro. Methods: a questionnaire was applied to auditors who evaluate the performance of the hospital's quality policy to verify the suitability of an instrument to verify the practice of hand hygiene. The findings of this questionnaire and the survey data in the literature - on patient safety, health care related infections and monitoring instruments - enabled the creation of a new instrument, which was submitted to the judgment of specialists, using the Delphi consensus technique. Results: in only two rounds, a consensus of experts was obtained, allowing the construction of a new hand hygiene monitoring instrument. Issues that did not reach 75% agreement were modified. Conclusion: The new instrument validated by specialists allows the evaluation and monitoring of the implementation of the protocol of hand hygiene, comparison between systems and advances in methodologies and work processes, allowing them to be increasingly safe. |
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Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de JaneiroAdecuación de un instrumento de monitoreo de higienización de las manos de un hospital de Río de JaneiroAdequação de um instrumento de monitoramento de higienização das mãos de um hospital do Rio de JaneiroBackground and Objective: Despite the presence of mandatory indicators in the hand hygiene protocols present in Brazil's National Patient Safety Program, monitoring instruments were not recommended, with indicators that evaluate the structural, process and outcome components that allow periodic analysis and construction of improvement actions in the prevention of control of infections related to health care. The objective was to adapt aninstrument to monitor health professionals hands hygiene in a high complexity hospital of Rio de Janeiro. Methods: a questionnaire was applied to auditors who evaluate the performance of the hospital's quality policy to verify the suitability of an instrument to verify the practice of hand hygiene. The findings of this questionnaire and the survey data in the literature - on patient safety, health care related infections and monitoring instruments - enabled the creation of a new instrument, which was submitted to the judgment of specialists, using the Delphi consensus technique. Results: in only two rounds, a consensus of experts was obtained, allowing the construction of a new hand hygiene monitoring instrument. Issues that did not reach 75% agreement were modified. Conclusion: The new instrument validated by specialists allows the evaluation and monitoring of the implementation of the protocol of hand hygiene, comparison between systems and advances in methodologies and work processes, allowing them to be increasingly safe.Justificación and Objectivo: Apesar de la presencia de indicadores obligatorios em los protocolos de higiene de las manos, presentes en el Programa Nacional de Seguridad del Paciente de Brasil, no fueron recomendados instrumentos de monitoreo, con indicadores que evalúen los componentes estructurales, de proceso y resultado que permitan análisis periódico y construcción de acciones de mejora en el ámbito de la prevención de control de las infecciones relacionadas com la asistencia a la salud. El objetivo fue adecuar un instrumento de monitoreo de la higienización de las manos de los profesionales de salud de un hospital de Río de Janeiro. Metodología: un cuestionario fue aplicado a los auditores que evalúan el desempeño de la política de calidad del hospital para verificar la adecuación de un instrumento de verificación de la práctica de higienización de las manos. Los hallazgos de este cuestionario y los datos del levantamiento em la literatura - sobre la seguridad del paciente, infecciones relacionadas com la asistencia a la salud e instrumentos de monitoreo – posibilitar la creación de un nuevo instrumento, que fue sometido al juicio de especialistas, usando la técnica de consenso Delphi. Resultados: en apenas dos rondas se obtuvo un consenso de los expertos. Las cuestiones que no alcanzaron el 75% de concordancia se modificaron. Conclusion: evidencias científicas y regulaciones ya han demostrado no ser suficiente para reducir las infecciones hospitalarias si no hay preocupación con la evaluación de la práctica asistencial. El nuevo instrumento validado por especialistas permite la evaluación y monitoreo de implantación del protocolo de higienización de las manos, comparación entre sistemas y avances en las metodologías y procesos de trabajo, permitiendo que sean cada vez más seguros.Justificativa e Objetivo: Apesar da presença de indicadores obrigatórios nos protocolos de higiene das mãos, presentes no Programa Nacional de Segurança do Paciente do Brasil, não foram recomendados instrumentos de monitoramento, com indicadores que avaliem os componentes estruturais, de processo e resultado que permitam análise periódica e construção de ações de melhoria no âmbito da prevenção de controle das infecções relacionadas à assistência à saúde. O objetivo foi adequar um instrumento de monitoramento da higienização das mãos dos profissionais de saúde de um hospital do Rio de Janeiro. Métodos: um questionário foi aplicado aos auditores que avaliam o desempenho da política de qualidade do hospital para verificar a adequação de um instrumento de verificação da prática de higienização das mãos. Os achados deste questionário e os dados do levantamento na literatura - sobre a segurança do paciente, infecções relacionadas à assistência à saúde e instrumentos de monitoramento - possibilitaram a criação de um novo instrumento, que foi submetido ao julgamento de especialistas, usando a técnica de consenso Delphi. Resultados: em duas rodadas foi obtido um consenso dos especialistas. As questões que não atingiram 75% de concordância foram modificadas. Conclusão: O novo instrumento validado por especialistas permite a avaliação e monitoramento de implantação do protocolo de higienização das mãos, comparação entre sistemas e avanços nas metodologias e processos de trabalho, permitindo que sejam cada vez mais seguros.Unisc2018-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1076510.17058/reci.v8i3.10765Revista de Epidemiologia e Controle de Infecção; Vol. 8 No. 3 (2018); 195-203Revista de Epidemiologia e Controle de Infecção; v. 8 n. 3 (2018); 195-2032238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/10765/7227Copyright (c) 2018 Leticia Janotti, Walter Vieira Mendes Juniorinfo:eu-repo/semantics/openAccessJanotti, LeticiaMendes Junior, Walter Vieira2019-01-23T12:37:06Zoai:ojs.online.unisc.br:article/10765Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-23T12:37:06Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro Adecuación de un instrumento de monitoreo de higienización de las manos de un hospital de Río de Janeiro Adequação de um instrumento de monitoramento de higienização das mãos de um hospital do Rio de Janeiro |
title |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro |
spellingShingle |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro Janotti, Leticia |
title_short |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro |
title_full |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro |
title_fullStr |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro |
title_full_unstemmed |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro |
title_sort |
Adequacy of an instrument to monitor the hygiene of the hands of a hospital in Rio de Janeiro |
author |
Janotti, Leticia |
author_facet |
Janotti, Leticia Mendes Junior, Walter Vieira |
author_role |
author |
author2 |
Mendes Junior, Walter Vieira |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Janotti, Leticia Mendes Junior, Walter Vieira |
description |
Background and Objective: Despite the presence of mandatory indicators in the hand hygiene protocols present in Brazil's National Patient Safety Program, monitoring instruments were not recommended, with indicators that evaluate the structural, process and outcome components that allow periodic analysis and construction of improvement actions in the prevention of control of infections related to health care. The objective was to adapt aninstrument to monitor health professionals hands hygiene in a high complexity hospital of Rio de Janeiro. Methods: a questionnaire was applied to auditors who evaluate the performance of the hospital's quality policy to verify the suitability of an instrument to verify the practice of hand hygiene. The findings of this questionnaire and the survey data in the literature - on patient safety, health care related infections and monitoring instruments - enabled the creation of a new instrument, which was submitted to the judgment of specialists, using the Delphi consensus technique. Results: in only two rounds, a consensus of experts was obtained, allowing the construction of a new hand hygiene monitoring instrument. Issues that did not reach 75% agreement were modified. Conclusion: The new instrument validated by specialists allows the evaluation and monitoring of the implementation of the protocol of hand hygiene, comparison between systems and advances in methodologies and work processes, allowing them to be increasingly safe. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/10765 10.17058/reci.v8i3.10765 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/10765 |
identifier_str_mv |
10.17058/reci.v8i3.10765 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/10765/7227 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Leticia Janotti, Walter Vieira Mendes Junior info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Leticia Janotti, Walter Vieira Mendes Junior |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Unisc |
publisher.none.fl_str_mv |
Unisc |
dc.source.none.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção; Vol. 8 No. 3 (2018); 195-203 Revista de Epidemiologia e Controle de Infecção; v. 8 n. 3 (2018); 195-203 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
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Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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