title: [Intervention to improve hand hygiene compliance in Catalonia, Spain].
abstract: Hand hygiene (HM) is the single most important measure and effective in reducing the risk of Healthcare acquired infections (IRAS). Although HM is an effective, simple and cheap measure, it is usual to find results of low compliance among health professionals. The main objective of this strategy has been to give new force to the promotion of HM in hospitals and educate professionals about the importance of this single action. The strategy was planned as a multicenter intervention study to promote HM in health centers of Catalonia in 2009-2010. The intervention is based on 4 main areas: a survey of barriers and facilitators, distribution of graphic material, training at different levels and measure of quality indicators. With this strategy a total of 57% of the number of acute beds in the concerted public and private network of hospitals were reached. The survey revealed that training was perceived as the main facilitator of the HM action. 15,376 professionals registered to the on-line training. The overall compliance with HM indications (based on "five moments for HM") was 56.45% in the acute areas. The campaigns and programs to promote HM carried out in the last four years in Catalonia has helped to achieve an increasing number of hospitals associated to the strategy of the Alliance for Patient Safety in Catalonia. The on-line curse acceptance was very high and seems a powerful tool to improve hand hygiene knowledge and compliance among health professionals. The compliance of HM seems to increase in the hospitals of Catalonia evaluated.
authors.affiliation: Instituto Universitario Avedis Donabedian, Barcelona, España; REDISSEC-Red de Investigación en Servicios de Salud en Enfermedades Crónicas. Electronic address: 29744jss@comb.cat.
authors.forename: Jordi
authors.initials: J
authors.lastname: Sobrequés
authors.affiliation: Direcció General de Salut Pública, Departament de Salut, Generalitat de Catalunya.
authors.forename: Jordi
authors.initials: J
authors.lastname: Espuñes
authors.affiliation: Instituto Universitario Avedis Donabedian, Barcelona, España; REDISSEC-Red de Investigación en Servicios de Salud en Enfermedades Crónicas.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Bañeres
mesh_terms: D003428:Cross Infection / Q000517:prevention & control; D004496:Education, Continuing / Q000458:organization & administration; D019983:Guideline Adherence; D063373:Hand Hygiene / Q000592:standards; D064548:Hand Sanitizers; D006293:Health Promotion / Q000458:organization & administration*; D006742:Hospital Bed Capacity; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D061214:Patient Safety; D010564:Personnel, Hospital / Q000193:education / Q000523:psychology*; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D013030:Spain; D013664:Teaching Materials
chemical_list: D064548:Hand Sanitizers
keywords: Alcohol-based hand rub; Calidad; Cumplimiento de higiene de manos; Dispensador de base alcohólica; Gobierno; Hand hygiene; Hand hygiene compliance; Handwashing; Healthcare associated infection; Higiene de manos; Infección relacionada con la atención sanitaria; Lavado de manos; Patient safety; Quality; Seguridad del paciente; State government