Clean hands campaign
The Clean Hands Campaign (ASH) is an alliance of several institutions in the German health care system. It is intended to contribute to the spread and strengthening of hand hygiene in medical and nursing work areas in order to prevent hospital infections.
history
Inspired by a hygiene campaign by the World Health Organization , the Clean Hands campaign is based on a joint initiative of the Patient Safety Action Alliance , the Society for Quality Management in Health Care and the National Reference Center for the Surveillance of Nosocomial Infections (NRZ).
In the course of the WHO campaign "Clean Care is Safer Care" , in which 162 nations committed to establishing adequate hand hygiene in the health sector, the ASH was founded in 2008 with the support of the Federal Ministry of Health (BMG) . By 2010, more than 750 hospitals, nursing homes and other facilities that were entrusted with patient care had already taken part. While the ASH had until then focused on hospitals, since 2011 it has also been increasingly integrating retirement and nursing homes as well as the outpatient area of medical and nursing care, such as nursing services .
The Clean Hands campaign has been organized by Petra Gastmeier , the director of the National Reference Center for Surveillance of Nosocomial Infections, since 2008 . In 2013, the Berlin doctor received an award from the WHO for the improvement of hygiene in the health care system in recognition of the work of the ASH . The ASH was the first European organization to receive this award. In the same year, the financial support by the BMG ended. Since then, the ASH has been financed by donations. In addition to several hundred inpatient and outpatient care facilities, more than 1000 German hospitals and clinics now take part in the ASH.
According to the Robert Koch Institute , the WHO Clean Care is Safer Care campaign claims to save five to eight million lives around the world every year by improving hand hygiene. In the meantime there are organizations and initiatives in this framework in many countries that are comparable to the Clean Hands campaign , e. B. the French Mission Mains Propres or the STOP! Clean your hands - ARRÊT! lavez vos mains in Canada.
Goals and Methods
The aim of the Clean Hands campaign is to spread and establish hygienic hand disinfection in all healthcare facilities . For this purpose, the ASH develops materials and organizes courses. There is also an annual day of action. Another essential pillar of ASH's commitment is the collection, collection and evaluation of data relating to hand hygiene in the German health care system. For this purpose, the HAND-KISS survey module is used to determine the consumption of hand disinfectants in the participating facilities, as well as the willingness of the staff to use these agents properly.
Hand-KISS
With the establishment of the National Reference Center for Surveillance in Berlin and Freiburg in 1996, the development of a uniform survey system for the nationwide recording of nosocomial infections began . This hospital infection surveillance system , in the creation of which Gastmeier was significantly involved, became known by the catchy acronym KISS and is now established in over 2000 inpatient and outpatient medical and nursing facilities in Germany. KISS consists of several modules, each tailored to a work area or a special care situation. Of these, the Hand-KISS module has meanwhile found the most widespread use and is used in 1,482 German hospitals (as of July 2014). Hand-KISS determines the acceptance - the so-called adherence - of the medical and nursing staff for the hand disinfection measures, as well as the quantitative consumption of hand disinfectants on the respective ward or in the respective medical or nursing work area. To participate in Hand-KISS , the participating institution records the consumption of hand disinfectants itself, determines the number of annual treatment cases, patient and care days and transmits this data to the ASH office. This recording and transmission is mandatory for all participating facilities and enables the ASH to use reference data to assess the hygiene situation in the respective facility - and, based on this, in the health system as a whole. The institutions use the data they receive for self-assessment, progress assessment and as a basis for staff training.
Certificates
The Clean Hands campaign honors hospitals that strive to ensure hand hygiene with certificates in the classes bronze, silver and gold. The graduation in three levels enables the different levels to be displayed. The bronze certificate had been awarded to around 20% of the participating inpatient facilities by March 2017. 5% of the hospitals received the silver and 1% the gold certificate during this period. The system of certificates was established in 2011 and got its current format as part of a revision in 2014.
Scientific Advisory Board
Many institutions send experts to the ASH's scientific advisory board. These include:
- the working group of scientific medical societies
- the Commission on Hospital Hygiene and Infection Prevention
- the Federal Association of Doctors in the Public Health Service
- the patient safety alliance
Notes and individual references
- ^ The ASH on the BDPK website accessed on September 3, 2017
- ↑ ASH press release of June 1, 2013, accessed on September 3, 2017
- ↑ "lifesaver hands-hygiene", article in the Medical Journal v online. September 29, 2017, accessed October 22, 2017
- ↑ The acronym KISS stands for the K rankenhaus- I nfektions- S urveillance- S ystem, which was developed by the National Reference Center for Surveillance of Nosocomial Infections for the acquisition of hygiene measures in different fields of medical and nursing care.
- ↑ TH Panknin: 20 years of KISS What do we know today? in Die Sister Der Pfleger , Volume 55, Number 2 (2016) ISSN 0340-5303, Pages 29–31