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Data Summary Report Framework

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Presentation on theme: "Data Summary Report Framework"— Presentation transcript:

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

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 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 InfoTM (available at:

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

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

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

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

12 Q16. Which of the following hand hygiene actions prevents transmission of germs to the patient?
Yes No 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 Q17. Which of the following hand hygiene actions prevents transmission of germs to the health-care worker? Action Yes No 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 Q18. Which of the following statements on alcohol-based handrub and hand washing with soap and water are true? Statement True 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 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 Q20. Which type of hand hygiene method is required in the following situations?
Rubbing Washing None 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 Percentage of correct answers to question 20

18 Q21. Which of the following should be avoided, as associated with a likelihood of colonisation of hand with harmful germs? Likelihood of hand colonization Yes No Wearing jewellery (%) Damaged skin Artificial fingernails Regular use of a hand cream

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

44 Percentage of situations where you perform hand hygiene when required
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 Conclusions and recommended actions:
To be inserted locally. © World Health Organization All rights reserved.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 WHO’s “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 Durant la phase d‘observation avant l‘intervention en mai 2005, notre personnel médical et soignant a été observé sur l‘observance à l‘hygiène des mains. Ceci a été effectué par des observateurs formés et validés selon protocole standardisé de Swiss-NOSO. La durée des séquences d‘observation était d‘environ 20 minutes. Le personnel soignant, les aides-soignantes, les médecins et autre personnel ont été observés dans le cadre de leur activité clinique habituelle. Chaque situation requérant une action d‘hygiène des mains a été notée, ainsi que les moments où elle a effectivement été réalisée.

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 Observations: Results
name of facility department x opportunities x sessions x hours/mins compliance x% Comparaison de quelques données des observations de mai 2005. Vous pouvez entrer vos données à droite, afin que l‘orateur puisse se faire une idée des chiffres se cachant derrière les statistiques. Notre conseil : peut-être qu‘il serait utile pour vous d‘ajouter un graphique supplémentaire avec les opportunités par secteur / clinique / service ?

75 Profession: Number of opportunities
Nombre d’opportunités à l’hygiène des mains réparti entre les différentes catégories professionnelles En comparaison, les chiffres et la répartition en Suisse en bas à gauche.

76 Profession: Compliance
L‘observance à l‘hygiène des mains en fonction des catégories professionnelles. Les colonnes hachurées montrent les résultats de toutes les observations effectuées en Suisse.

77 Indications: Number of opportunities
Le nombre d‘opportunités observées en fonction des indications. En bas à gauche, les résultats de la Suisse.

78 Indications: Compliance
L‘observance à l‘hygiène des mains en fonction des indications à l‘hygiène des mains. Les colonnes hachurées montrent les valeurs comparatives de toutes les observations en Suisse

79 Departments: Number of opportunities
Nombre d‘opportunités en fonction des secteurs. Il y a deux types de secteurs dans les résultats : les noms choisis par vous et les secteurs codés par nous pour toute la Suisse. Les chiffres comparatifs suisses se trouvent sur la dia suivante. Notre conseil : si vous voulez représenter un plus grand nombre de secteurs, choisissez plutôt un graphique avec des colonnes (comme le graphique qui suit)

80 Departments: Compliance
Voici l‘observance en fonction de la répartition des secteurs pour toute la Suisse. Si vous souhaitez montrer les résultats de votre répartition des secteurs, vous pouvez copier cette dia, effacer les données suisses et ne montrer que vos résultats. Il vous faut décider si dans votre institution, il est indiqué de montrer résultats des autres à tout le monde.

81 Handrubbing vs. handwashing

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

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. © World Health Organization All rights reserved.

84 Longitudinal measurement: date range and availability of completed surveys
Period number Date range Date_1 – Date _2 Number of surveys X Y Z Total:

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

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

88 Indications - Compliance: comparison of two periods (X, date-range 1; Y, date-range 2)
L‘observance à l‘hygiène des mains en fonction des indications à l‘hygiène des mains. Les colonnes hachurées montrent les valeurs comparatives de toutes les observations en Suisse

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 © World Health Organization All rights reserved.


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