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© World Health Organization 2009. All rights reserved. Slide 1 Data Summary Report Framework Revised October 2009.

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Presentation on theme: "© World Health Organization 2009. All rights reserved. Slide 1 Data Summary Report Framework Revised October 2009."— Presentation transcript:

1 © World Health Organization All rights reserved. Slide 1 Data Summary Report Framework Revised October 2009

2 Slide 2 User instructions (1) This presentation is intended to give some examples of how best to present the results of the surveys performed during the evaluation phases of the implementation of the hand hygiene improvement strategy The presented results can refer to the entire facility (hospital-wide) or can be related to the unit, service or ward where the data were collected These results can be reported to staff, to explain the current practices, knowledge and perception of hand hygiene in their health-care setting and to highlight the aspects that need improvement, or to compare baseline with follow-up data to show possible improvements resulting from the range of efforts made

3 Slide 3 User instructions (2) The local data must be inserted in the template presentation The template includes reporting of the knowledge survey, the perception surveys (for health-care workers and senior managers) and the hand hygiene observation survey Correct answers where provided by WHO are written in this colour Slides 84 to 88 are examples of comparisons between baseline and follow-up measurements Data for the slides can be generated using data-entry and data- analysis in Epi Info TM (available at:

4 © World Health Organization All rights reserved. Slide 4 Results of the Hand Hygiene Knowledge Questionnaire for Health-Care Workers (Name of facility)

5 Slide 5 Methods Distribution of the WHO Hand Hygiene Knowledge Questionnaire for Health-Care Workers to health-care workers in identified clinical settings Data entry and analysis using the Data Entry Analysis Tools Use of this presentation to provide feedback

6 Slide 6 Q8–9. Participants characteristics Total number of participants: Gender: Female: (%) Male: (%) Age: Median: + interquartile range Mean: ± standard deviation (SD) (Median and range are preferred as they represent centrality and spread of not normally distributed data)

7 Slide 7 Q 10. Profession ProfessionNumber (%) Nurse Auxiliary nurse Midwife Medical Doctor Resident Technician Therapist Nurse student Medical student Other

8 Slide 8 Q11. Department DepartmentNumber (%) Internal medicine Surgery Intensive care unit Mixed medical/surgical Emergency unit Obstetrics Paediatrics Long-term/rehabilitation Outpatient clinic Other

9 Slide 9 Q12–13. Hand hygiene training and availability of alcohol-based handrub Formal training in hand hygiene: number (%) Do you routinely use an alcohol-based handrub for hand hygiene?: number (%)

10 Slide 10 Q14. Which of the following is the main route of cross-transmission of potentially harmful germs between patients in a health-care facility? HCWs hands when not clean: number (%) Air circulating in the hospital: number (%) Patients exposure to colonised surfaces: number (%) Sharing non-invasive objects (i.e. stethoscopes, pressure cuffs, etc.) between patients: number (%)

11 Slide 11 Q15. What is the most frequent source of germs responsible for health care-associated infections? The hospitals water system: number (%) The hospital air: number (%) Germs already present on or within the patient: number (%) The hospital environment (surfaces): number (%)

12 Slide 12 Q16. Which of the following hand hygiene actions prevents transmission of germs to the patient? ActionYesNo Before touching a patient(%) Immediately after a risk of body fluid exposure (%) Immediately before a clean/aseptic procedure (%) After exposure to the immediate surroundings of a patient (%)

13 Slide 13 Q17. Which of the following hand hygiene actions prevents transmission of germs to the health-care worker? ActionYesNo After touching a patient(%) Immediately after a risk of body fluid exposure (%) Immediately before a clean/aseptic procedure (%) After exposure to the immediate surroundings of a patient (%)

14 Slide 14 Q18. Which of the following statements on alcohol-based handrub and hand washing with soap and water are true? StatementTrue False Handrubbing is more rapid for hand cleansing than handwashing (%) Handrubbing causes skin dryness more than handwashing (%) Handrubbing is more effective against germs than handwashing (%) Handwashing and handrubbing are recommended to be performed in sequence (%)

15 Slide 15 Q19. What is the minimal time needed for alcohol-based handrub to kill most germs on your hands? 20 seconds: (%) 3 seconds: (%) 1 minute: (%) 10 seconds: (%)

16 Slide 16 Q20. Which type of hand hygiene method is required in the following situations? SituationRubbingWashingNone Before palpation of the abdomen(%) Before giving an injection(%) After emptying a bedpan(%) After removing examination gloves(%) After making a patient's bed(%) After visible exposure to blood(%)

17 Slide 17 Percentage of correct answers to question 20

18 Slide 18 Q21. Which of the following should be avoided, as associated with a likelihood of colonisation of hand with harmful germs? Likelihood of hand colonizationYesNo Wearing jewellery(%) Damaged skin(%) Artificial fingernails(%) Regular use of a hand cream(%)

19 © World Health Organization All rights reserved. Slide 19 Conclusions and recommended actions: To be inserted locally.

20 © World Health Organization All rights reserved. Slide 20 Results of the Perception Survey for Health-Care Workers (Name of facility)

21 Slide 21 Methods Distribution of the WHO Perception Survey for Health- Care Workers" to health-care workers in identified clinical settings Data entry and analysis using the Data Entry Analysis Tools Use of this presentation to provide feedback

22 Slide 22 Q8-9. Participants characteristics Total number of participants: Gender: Female: (%) Male: (%) Age: Median: + interquartile range Mean: ± standard deviation (SD) (Median and range are preferred as they represent centrality and spread of not normally distributed data)

23 Slide 23 Q 10. Profession ProfessionNumber (%) Nurse Auxiliary nurse Midwife Medical Doctor Resident Technician Therapist Nurse student Medical student Other

24 Slide 24 Q11. Department DepartmentNumber (%) Internal medicine Surgery Intensive care unit Mixed medical/surgical Emergency unit Obstetrics Paediatrics Long-term/rehabilitation Outpatient clinic Other

25 Slide 25 Q12–13. Hand hygiene training and availability of alcohol-based handrub Formal training in hand hygiene: number (%) Do you routinely use an alcohol-based handrub for hand hygiene?: number (%)

26 Slide 26 Q14. In your opinion, what is the average rcentage of hospitalised patients who will develop a health care-associated infection (HCAI)? Percentage of hospitalized patients developing a HCAI

27 Slide 27 Q15. In general, what is the impact of a health care-associated infection on a patient's clinical outcome? Very low: number (%) Low: number (%) High: number (%) Very high: number (%)

28 Slide 28 Q16. What is the effectiveness of hand hygiene in preventing health care-associated infection? Very low: number (%) Low: number (%) High: number (%) Very high: number (%)

29 Slide 29 Q17. Among all patient safety issues, how important is hand hygiene at your institution? Low priority: (%) Moderate priority: (%) High priority: (%) Very high priority: (%)

30 Slide 30 Q18. On average, in what percentage of situations requiring hand hygiene do health- care workers in your hospital actually perform hand hygiene?

31 © World Health Organization All rights reserved. Slide 31 Q19. In your opinion, how effective would the following actions be to improve hand hygiene permanently in your institution?

32 Slide 32 Q19.a. Leaders and senior managers at your institution support and openly promote hand hygiene

33 Slide 33 Q19.b. The health-care facility makes alcohol- based handrub always available at each point of care

34 Slide 34 Q19.c. Hand hygiene posters are displayed at point of care as reminders

35 Slide 35 Q19.d. Each health-care worker receives education on hand hygiene

36 Slide 36 Q19.e. Clear and simple instructions for hand hygiene are made visible for every health-care worker

37 Slide 37 Q19.f. Health-care workers regularly receive feedback on their hand hygiene performance

38 Slide 38 Q19.g. You always perform hand hygiene as recommended (being a good example for your colleagues)

39 Slide 39 Q19.h. Patients are invited to remind health- care workers to perform hand hygiene

40 Slide 40 Q20. What importance does the head of your department attach to the fact that you perform optimal hand hygiene?

41 Slide 41 Q21. What importance do your colleagues attach to the fact that you perform optimal hand hygiene?

42 Slide 42 Q22.What importance do patients attach to the fact that you perform optimal hand hygiene?

43 Slide 43 Q23. How do you consider the effort required by you to perform good hand hygiene when caring for patients?

44 Slide 44 Q24. On average, in what percentage of situations requiring hand hygiene do you actually perform hand hygiene, either by handrubbing or handwashing? Percentage of situations where you perform hand hygiene when required

45 © World Health Organization All rights reserved. Slide 45 Conclusions and recommended actions: To be inserted locally.

46 © World Health Organization All rights reserved. Slide 46 Results of the Perception Survey for Senior Managers (Name of facility)

47 Slide 47 Methods Distribution of the WHO Perception Survey for Health- Care Workers" to health-care workers in identified clinical settings Data entry and analysis using the Data Entry Analysis Tools Use of this presentation to provide feedback

48 Slide 48 Q5. Participants characteristics Total number of participants: Gender: Female: (%) Male: (%)

49 Slide 49 Q6–8. Participants characteristics Time spent in current position: Time spent in present institution: Current position(s): Director: (%) Head nurse: (%) Head physician: (%) Hospital administrator: (%)

50 Slide 50 Q9–10. Hand hygiene campaign and availability of alcohol-based handrub Have you had any previous experience of a hand hygiene campaign: number (%) Is an alcohol-based formulation available for hand hygiene at your facility: number (%)

51 Slide 51 Q11. In your opinion, what is the average percentage of hospitalised patients who will develop a health care-associated infection? Percentage of hospitalized patients developing a HCAI

52 Slide 52 Q12. In general, what is the impact of a health care-associated infection on patient's clinical outcome? Very low: (%) Low: (%) High: (%) Very high: (%)

53 Slide 53 Q13. In general, what is the impact of a health care-associated infection on the facility expenditures? Very low: (%) Low: (%) High: (%) Very high: (%)

54 Slide 54 Q14. What is the effectiveness of hand hygiene in preventing health care-associated infection? Very low: (%) Low: (%) High: (%) Very high: (%)

55 Slide 55 Q15. Among all patient safety issues, how important is hand hygiene within your management priorities at your institution? Low priority: (%) Moderate priority: (%) High priority: (%) Very high priority: (%)

56 Slide 56 Q16. On average, in what percentage of situations requiring hand hygiene do health- care workers in your facility actually perform hand hygiene? Percentage of situations where health-care workers perform hand hygiene when required

57 Slide 57 Q17. Are senior nurses and doctors good examples for the promotion of hand hygiene at your facility?

58 Slide 58 Q18. Is it common practice to inform patients about the importance of optimal hand hygiene during health-care delivery at your facility? Yes: number (%) No: number (%)

59 Slide 59 Q19. How do you consider the effort required by health-care workers to perform good hand hygiene when caring for patients at your facility?

60 Slide 60 Q20. How do health-care workers perceive your request to perform optimal hand hygiene during patient care at your facility?

61 © World Health Organization All rights reserved. Slide 61 Q21. In your opinion, how effective would the following actions be to increase hand hygiene permanently in your facility?

62 Slide 62 Q21.a. Leaders and senior executive managers (you) at your facility support and openly promote hand hygiene

63 Slide 63 Q21.b. The health-care facility makes alcohol- based handrub available at each point of care

64 Slide 64 Q21.c. Hand hygiene posters are displayed at point of care as reminders

65 Slide 65 Q21.d. Each health-care worker receives education on hand hygiene

66 Slide 66 Q21.e. Clear and simple instructions for hand hygiene are made visible for every health-care worker

67 Slide 67 Q21.f. Health-care workers regularly receive the results of their hand hygiene performance

68 Slide 68 Q21.g. Senior nurses and doctors perform hand hygiene perfectly (being a good example…)

69 Slide 69 Q21.h. Patients are invited to remind health-care workers to perform hand hygiene

70 © World Health Organization All rights reserved. Slide 70 Conclusions and recommended actions To be inserted locally.

71 © World Health Organization All rights reserved. Slide 71 Results of the Hand Hygiene Observation Survey (Name of facility)

72 Slide 72 Methodology of observation Direct observation of hand hygiene practices in identified clinical settings One (or two) trained and validated observer(s) observe health-care workers hand hygiene practices at the point-of-care Professional categories to be observed: nurse, midwife, auxiliary nurse, medical doctor, therapist, technician, any other health-related professional involved in patient care The observer conducts observations openly, but the identities of the health-care workers are kept confidential Each observation session lasts approx 20 min Compliance against WHOs 5 Moments for Hand Hygiene (indications) is detected: before patient contact, before an aseptic task, after body fluid exposure risk, after patient contact and after contact with patient surroundings Compliance is recorded against the opportunities for hand hygiene that occurred Handrubbing with alcohol-based handrub and handwashing practices are also recorded

73 Slide 73 Methods for data collation and presentation Data entering and analysis using the Data Entry Analysis Tool Calculation of compliance: Use of this presentation to provide feedback Hand hygiene actions performed Hand hygiene actions required (hand hygiene opportunities) Compliance =

74 Slide 74 Observations: Results name of facility department x opportunities x sessions x hours/mins compliance x%

75 Slide 75 Profession: Number of opportunities

76 Slide 76 Profession: Compliance

77 Slide 77 Indications: Number of opportunities

78 Slide 78 Indications: Compliance

79 Slide 79 Departments: Number of opportunities

80 Slide 80 Departments: Compliance

81 Slide 81 Handrubbing vs. handwashing Handwashing Handrubbing

82 © World Health Organization All rights reserved. Slide 82 Conclusions and recommendation actions: To be inserted locally.

83 © World Health Organization All rights reserved. Slide 83 The following 5 slides are examples of how to present results from the evaluation surveys at different moments in time as indicated by the variable Period Number (generated by Epi Info). This applies to the comparison of baseline and follow-up measurements produced by using the surveys multiple times.

84 Slide 84 Longitudinal measurement: date range and availability of completed surveys Period number Date range Date_1 – Date _2Number of surveys X Y Z Total:

85 Slide 85 Q8-9. – of knowledge survey ("Characteristics of respondents"): comparison of two periods Variable Period X (Date range) Period Y (Date range) Period Z (Date range) Age (median, quartiles) Gender Profession (in categories) Ward Etc.

86 Slide 86 Q20. - of the knowledge survey (Percentage of correct answers to question – "Which type of hand hygiene method is required in the following situations?"): comparison of two periods (period X and period Y)

87 Slide 87 Q19.a. - of the perception survey ("Leaders and senior managers at your institution support and openly promote hand hygiene"): comparison of two periods

88 Slide 88 Indications - Compliance: comparison of two periods (X, date-range 1; Y, date- range 2)

89 © World Health Organization All rights reserved. Slide 89 Find out more about why all of these elements are important for improving and sustaining hand hygiene in the WHO Guidelines on Hand Hygiene in Health Care (2009) and in other implementation tools


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