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손위생 문화 정착 프로그램을 통한 수행률 증진 효과: 한 대학병원의 3개년 활동 중심

Other Titles
 A Three-Year Study of the Effectiveness of Hand-Hygiene Protocol Implementation at a University Hospital 
Authors
 권오미  ;  박은숙  ;  이동숙  ;  이주현  ;  하은진  ;  용동은  ;  최준용  ;  김기환  ;  이철  ;  이경원 
Citation
 Korean Journal of Nosocomial Infection Control (병원감염관리), Vol.17(2) : 53-60, 2012 
Journal Title
 Korean Journal of Nosocomial Infection Control  (병원감염관리) 
ISSN
 1226-2382 
Issue Date
2012
Abstract
Compliance with hand hygiene protocols is one of the simplest ways to prevent healthcare-associated infections (HAIs). Hand hygiene is influenced by individual habits and beliefs, as well as by local organizational culture practices. This study was performed in order to increase the rate of compliance to hand hygiene through changes in the organizational culture. Methods: From 2009 through 2011, this study was performed in a 2,000-bed tertiary-care university hospital with more than 6,000 employees. The program was implemented mainly by team activities, and the leadership and hand hygiene steering committee members supported them. Goals for planning, intervention, and evaluation of the compliance rate for hand hygiene were made annually in the hospital. Results: The rate of compliance to hand hygiene increased significantly each year (43.8% in 2008, 75.3% in 2009, 80.7% in 2010, and 83.2% in 2011). The detection rate of vancomycin-resistant Enterococcus (VRE) and the incidence of healthcare-associated Staphylococcus aureus bacteremia decreased. Conclusion: The rate of compliance to hand hygiene was remarkably improved, and it continuously increased through systematic and continuous changes in the organizational culture. In addition, the detection rate of VRE and incidence of S. aureus bacteremia decreased. These results show that hand hygiene is an important factor for preventing HAIs.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92419
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실)
Yonsei Authors
김기환(Kim, Ki Hwan) ; 용동은(Yong, Dong Eun) ; 이경원(Lee, Kyungwon) ; 이철(Lee, Chul) ; 최준용(Choi, Jun Yong)
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