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  • 1.
    Johansson, Karoline
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Hygienobservatörer i fokus: - en fallstudie för säkrare vård och ökat antal mätande enheter till de basala hygienrutinerna och klädreglerna i Region Jönköpings län.2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Healthcare associated infections (HAIs) are one of the greatest threats to patient safety. Hand hygiene is the most important component in the prevention efforts. Measurements to standard precautions are important for adherence to the basic rules of hygiene and clothing.  An improvement work focused on hygiene observers in Region Jönköping County, was implemented in which three hall gatherings was replaced by 17 meetings with fewer participants.  

    The aim of the improvement work is to increase the number of measuring devices. 

    The purpose of the study of the improvement work is to describe the hygiene observers experiences concerning deficiencies in the basic hygiene practices and the new meeting structure and to identify factors that influence the extent to which measurements will be carried out. 

    Method: PDSA, Nolan's improvement model, survey, qualitative data analysis in the form of focus group interviews.

    The result of the improvement work indicates more units performing measurements.

    Results of the study of the improvement work shows lack of management support and inadequate knowledge among staff about how infections spread. Other factors are lack of disinfection before patient care, overuse of gloves and poor adherence to dress rules.

    Conclusions: Management support is crucial for adherence to measurement. Improvements in number of HAI, costs and patients ' suffering increases as hygiene measurements are carried out.

     

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