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Nicolo Andrei Añonuevo PhD NA, RN
Former Manager – Infection Prevention and Control
Current Administrative Manager – Perio...
Epidemiology is the study of the distribution and
determinants of health-related states or events (including
disease), an...
Hand Hygiene
Self-Assessment Framework
Hand Hygiene
Self-Assessment Framework (HHSAF)
 A systematic tool which to obtain a situation
analysis of hand hygiene pr...
Purpose
Acts as a diagnostic tool, identifying key issues
requiring attention and improvement.
The results can be used t...
Who should use the HHSAF?
This tool should be used by
professionals in charge of
implementing a strategy to improve
hand ...
How does it work?
 Each answer is associated with a score.
 After completing a component, add up the scores.
 During in...
Based on the score achieved for the five
components, the facility is assigned to
one of four levels of hand hygiene
promot...
5 Components of the HHSAF
1.System Change
2.Education and Training
3.Evaluation and Feedback
4.Reminders in the Workplace
...
HIGHLIGHTS of the
Hand Hygiene
Self-Assessment Framework
Achieving ADVANCED
Hand Hygiene Level
1. System Change
Alcohol-based HR availability in the health-care facility:
 Available facility wide with continuous supp...
1. System Change
Alcohol-based HR availability in the health-care facility:
facility wide with continuous supply at each p...
a. Sink:bed ratio
 1 sink : 10 beds; 1 sink : 1 bed in Isol Rooms and ICUs
 Continuous supply:
 Clean, running water
 ...
a. Training of Health-care workers
 Mandatory training for ALL professional categories
at commencement of the employment,...
a. Training of Health-care workers
2. Training and Education
a. Availability of handrub, soap, single use towels,
and other hh resources done regularly.
b. HCW knowledge on indication...
d. Direct Monitoring of HH Compliance
3. Evaluation and Feedback
http://www.who.int/gpsc/5may/tools/en/
a. Feedback
> Immediate feedback given to healthcare workers
3. Evaluation and Feedback
a. Posters explaining the indications and correct
use of hand rub – should be displayed in all wards
/ treatment areas
b. ...
Workplace reminders located throughout the facility – screen savers, etc
4. Reminders in the Workplace
Workplace reminders located throughout the facility – screen savers, etc
4. Reminders in the Workplace
Workplace reminders located throughout the facility – screen savers, etc
4. Reminders in the Workplace
a. Established hand hygiene team that regularly meets
b. Facility leadership commitment to hh
CEO, CMO, DON
c. Patients in...
c. Has a clear plan for May 5 Save Lives Clean Your
Hands Initiative
5. Institutional Safety Climate for HH
http://www.who.int/gpsc/5may/hand-hygiene-report.pdf?ua=1
 In 2011, a first global survey was conducted by WHO and
the results were summarized in a report in 2012.
 Starting from...
 In total, surveys from facilities in 91 countries were
received during the period of June 2015 to January 2016.
 This i...
 Intermediate / Advanced Levels – majority of the facilities
 Compared to 2011, indicates likely improvement of hh activ...
How about the
Philippine
Data???
Hand Hygiene Levels of Philippine Hospitals: An
Application of the World Health Organization
(WHO) Hand Hygiene Assessment...
Results
Out of 161 hospitals in NCR, 2 hospitals stopped
operations
Out of 159 hospitals in NCR, 106 or 67% responded
in...
Results
*Appropriate HH promotion strategy is in place
**Long term plans to sustain and progress.
World Wide Philippines
Intermediate
Advanced
Intermediate
Epidemiology and Hand Hygiene
Epidemiology and Hand Hygiene
Epidemiology and Hand Hygiene
Epidemiology and Hand Hygiene
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Epidemiology and Hand Hygiene

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by Mr. Nicolo Andrei A. Anonuevo, PhD NA, RN

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Epidemiology and Hand Hygiene

  1. 1. Nicolo Andrei Añonuevo PhD NA, RN Former Manager – Infection Prevention and Control Current Administrative Manager – Perioperative Services Asian Hospital and Medical Center Epidemiology and Hand Hygiene
  2. 2. Epidemiology is the study of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems.  Various methods can be used to carry out epidemiological investigations: surveillance and descriptive studies can be used to study distribution; analytical studies are used to study determinants. http://www.who.int/topics/epidemiology/en/
  3. 3. Hand Hygiene Self-Assessment Framework
  4. 4. Hand Hygiene Self-Assessment Framework (HHSAF)  A systematic tool which to obtain a situation analysis of hand hygiene promotion and practices within an individual health-care facility. http://www.who.int/gpsc/country_work/hhsa_framework_October_2010.pdf?ua=1
  5. 5. Purpose Acts as a diagnostic tool, identifying key issues requiring attention and improvement. The results can be used to facilitate development of an action plan for the facility’s hand hygiene promotion program. Overall, this tool should be a catalyst for implementing and sustaining a comprehensive hand hygiene program within a healthcare- facility.
  6. 6. Who should use the HHSAF? This tool should be used by professionals in charge of implementing a strategy to improve hand hygiene within a healthcare facility.
  7. 7. How does it work?  Each answer is associated with a score.  After completing a component, add up the scores.  During interpretation, these added scores will identify the hand hygiene level of your health-care facility. http://www.who.int/gpsc/country_wo rk/hhsa_framework_October_2010.pdf ?ua=1
  8. 8. Based on the score achieved for the five components, the facility is assigned to one of four levels of hand hygiene promotion practice: Hand Hygiene Level Description Inadequate Deficient HH practices and promotion Significant improvement required Basic Some measures are in place Further improvement required Intermediate Appropriate HH promotion strategy is in place Long term plans to sustain and progress. Advanced HH promotion and practices have been sustained Culture of safety in the health-care setting.
  9. 9. 5 Components of the HHSAF 1.System Change 2.Education and Training 3.Evaluation and Feedback 4.Reminders in the Workplace 5.Institutional Safety Climate
  10. 10. HIGHLIGHTS of the Hand Hygiene Self-Assessment Framework Achieving ADVANCED Hand Hygiene Level
  11. 11. 1. System Change Alcohol-based HR availability in the health-care facility:  Available facility wide with continuous supply at each point of care  Point of care – should be accessible without having to leave the patient zone, ideally within arms reach of the healthcare worker.
  12. 12. 1. System Change Alcohol-based HR availability in the health-care facility: facility wide with continuous supply at each point of care
  13. 13. a. Sink:bed ratio  1 sink : 10 beds; 1 sink : 1 bed in Isol Rooms and ICUs  Continuous supply:  Clean, running water  Soap at each sink  Single use towels at each sink 1. System Change
  14. 14. a. Training of Health-care workers  Mandatory training for ALL professional categories at commencement of the employment, then ongoing regular training (at least annually). b. WHO hand hygiene guidelines easily available to all health-care workers c. Professional with adequate skills to serve as a trainer for hh educational program 2. Training and Education
  15. 15. a. Training of Health-care workers 2. Training and Education
  16. 16. a. Availability of handrub, soap, single use towels, and other hh resources done regularly. b. HCW knowledge on indications and correct technique for hh are assessed c. Indirect monitoring for hh compliance a. consumption of hand rubs b. consumption of soap 3. Evaluation and Feedback
  17. 17. d. Direct Monitoring of HH Compliance 3. Evaluation and Feedback http://www.who.int/gpsc/5may/tools/en/
  18. 18. a. Feedback > Immediate feedback given to healthcare workers 3. Evaluation and Feedback
  19. 19. a. Posters explaining the indications and correct use of hand rub – should be displayed in all wards / treatment areas b. Poster explaining correct HW technique – should be displayed at every sink in all wards / treatment areas c. Workplace reminders located throughout the facility – screen savers, etc 4. Reminders in the Workplace
  20. 20. Workplace reminders located throughout the facility – screen savers, etc 4. Reminders in the Workplace
  21. 21. Workplace reminders located throughout the facility – screen savers, etc 4. Reminders in the Workplace
  22. 22. Workplace reminders located throughout the facility – screen savers, etc 4. Reminders in the Workplace
  23. 23. a. Established hand hygiene team that regularly meets b. Facility leadership commitment to hh CEO, CMO, DON c. Patients informed about hh 5. Institutional Safety Climate for HH
  24. 24. c. Has a clear plan for May 5 Save Lives Clean Your Hands Initiative 5. Institutional Safety Climate for HH
  25. 25. http://www.who.int/gpsc/5may/hand-hygiene-report.pdf?ua=1
  26. 26.  In 2011, a first global survey was conducted by WHO and the results were summarized in a report in 2012.  Starting from June 2015, healthcare facilities were invited to submit their HHSAF.
  27. 27.  In total, surveys from facilities in 91 countries were received during the period of June 2015 to January 2016.  This is 47% of all 194 member states.  In the Philippines, 9 health facilities participated
  28. 28.  Intermediate / Advanced Levels – majority of the facilities  Compared to 2011, indicates likely improvement of hh activities  Linked to repeated use of HHSAF
  29. 29. How about the Philippine Data???
  30. 30. Hand Hygiene Levels of Philippine Hospitals: An Application of the World Health Organization (WHO) Hand Hygiene Assessment Framework 2016
  31. 31. Results Out of 161 hospitals in NCR, 2 hospitals stopped operations Out of 159 hospitals in NCR, 106 or 67% responded in the study (35 Government, 71 private hospitals Majority of hospitals located in Quezon City
  32. 32. Results *Appropriate HH promotion strategy is in place **Long term plans to sustain and progress.
  33. 33. World Wide Philippines Intermediate Advanced Intermediate
  • MichaelPrades

    Nov. 28, 2018
  • ICNREVILO

    Nov. 6, 2017
  • ChanElista1

    Sep. 30, 2017
  • rosemariesaliba1

    Sep. 29, 2017
  • marielintrina

    Sep. 28, 2017

by Mr. Nicolo Andrei A. Anonuevo, PhD NA, RN

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