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Hospital Clean Hands
1
:
:
:
: 70327663
: 96338305
E-mail 1: [email protected]
E-mail 2: [email protected]
(34%): 795,200 $585
: 1,517,000 $1,115
(): 2,312,200
(): $1,700
mailto:[email protected]
Hospital Clean Hands
2
: . ,
: 96338305
E-mail: [email protected]
:
. ,
: 98899070
E-mail: [email protected]
Nick Swope, PCV
: 95833592
E-mail: [email protected]
,
: 99988722
: .
: 99027701
Email: [email protected]
:
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pg. 5-7
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pg. 8-9
pg. 9-10
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pg. 16-18
pg. 19-20
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mailto:[email protected]
Hospital Clean Hands
3
1.
,
.
.
, .
,
.
.
.
, . 2012
57
.
.
.
.
.
.
.
2.
. 15000 . , .
Hospital Clean Hands
4
. , . . 18000 .
3.
. 1956
2003 .
101 18 , 8 , 31 , 10
, 33 .
75
.
110 .
.
(Outpatient Care):
(Laboratory)
(Vaccination Room)
(Womens Health Center)
(Echo solography machine)
(Hospital wash room)
(Dentist)
(Caf)
(Ear Nose and Throat Center)
(Blood Donation Station)
(Center for Neurological Disorders)
(Internal Medicine Center)
(Communicable Disease Center)
(Youth and Adolescent Health Center)
(Alternative-Medicine Center)
Hospital Clean Hands
5
(Sanitation Center)
: (Wards)
(Surgery)
, (Obstetrics, Gynecology, and Womens Health)
(Internal Medicine)
(Pediatrics)
(Communicable Diseases)
(Emergency Response)
: (Administrative Departments)
(Hospital Director)
(Accounting and Finance)
o
, (Human Resources, Nursing Methodologist)
(Epidemiologist/Research Manager)
.
.
. .
4
.
4.
:
2013 ,
.
.
?
.
Hospital Clean Hands
6
.
:
2013
.
,
70% .
45% .
57
.
.
57.40% 44.60%
70.10% 57.70%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
Custodian Nurse Nurse practitioners
Doctors
Profession
Percentage of hand washing by profession at the Kharkhroin General Hospital
Percent
Hospital Clean Hands
7
75-100% .
.
90-95% .
.
.
5.
. ,
.
,
.
.
75 83.3
100 100
88.8 90.9
80
55.5
71.4
100
60
0
70 70
44.4
15.7
33.3
75
20
90
39.2
65
79.1 74.5
48.1 40
55.5
70
53.8 50
0
10
20
30
40
50
60
70
80
90
100
Before patient contact
Before touching sterile materials
After the patient expels bodily fluids
After patient contact
After contact with the patients
tissues or fluids
Percentile of hand washing by instance and ward
Hospital Clean Hands
8
:
.
1: 2013 6
19
1.1: 2013 6 1 19 , 5
, 3
/ ##/
.
1.2: 3 3 -
3
.
1.3
2013 6 2014 6
,
.
2: 2014 6
.
2.1 2014 6 5 90%
.
2.2: 2013 6
2.3: 2013 6
3
. 90%-
.
6.
19
.
.
Hospital Clean Hands
9
.
.
7.
4 30 , Nick
,
5 15
,, Nick
5 25--26
6 1- -7
1:
6 10h
1: ,
6 11
1:
6 12
2:
6 13
Hospital Clean Hands
10
5
6 14
3:
6 14
:
2013 6 2014 6
:
2013 6 2014 6
2014 1 - 2014 2
8.
-
WHO and World Alliance for patient safety
Hand washing techniques dance, http://vigigerme.wordpress.com/videos/, by The
University of Genve
Guidelines for Hand Hygiene in Healthcare Settings Published 2002 October 25, 2002 /
Vol. 51 / No. RR-16 by the CDC
Patients guide to Hand hygiene Hand Hygiene saves lives poster and brochure by CDC
Clean hands save lives, protect patients, protect yourself poster by CDC
When, why, how of hand hygiene for healthcare,
http://www.youtube.com/watch?v=qagmw3oGOVg , By Hand washing for life and
Gauteng Department of Health
Hand Hygiene Saves Lives http://www.cdc.gov/features/handhygiene/ by CDC
2007 guideline for isolation Precautions: Preventing Transmission of infectious Agents
in Healthcare Settings by Jane D. Siegel, MD; Emily Rhinehart, RN MPH CIC; Marguerite
Jackson, PhD; Linda Chiarello, RN MS; the Healthcare Infection Control Practices
Advisory Committee
http://vigigerme.wordpress.com/videos/http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdfhttp://www.youtube.com/watch?v=qagmw3oGOVghttp://www.cdc.gov/features/handhygiene/
Hospital Clean Hands
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9.
1. 19 .
.
2.
3. -
.
.
.
.
Hospital Clean Hands
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10.
. ,
.
Indicator
Output/Outcome
/
How? (data collection method)
?
(
)
When?
?
Who?
?
1.1: 2013 6 1 19 , 5 , 3 / ##/ .
,
Output/
Locations of installation checklist
2013 6 7
1.2: 3- 3 .
/
2013 6 7
2013 6 2014 6 , .
Output/
Checked every month from June
Hospital Clean Hands
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2013 to June 2014
# of times per week the custodian/nurse refills the hand washing station without being asked
Outcome/
Observation
Weekly observations while working
2.1 2014 6 5 90% .
# of employees who properly washed their hands at appropriate time 5
Outcome/
Observation
2014 6
2.2: 2013 6
Outcome/
June 2013 2013 6
Hospital Clean Hands
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2.3: 2013 6 3 . 90%- . .
Output/
2013 6
Outcome/
June 2013 2013 6
Nick Swope
Outcome/
2013 6
Hospital Clean Hands
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11.
.
.
.
.
.
.
-
.
.
.
.
.
,
.
.
12.
.
.
.
. .
.
Hospital Clean Hands
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13.
Category / Amount /
Unit cost/
Community contribution/
Funding from a sponsor/
Total cost/
Human resources/
(WHO trained) 5 12000 60000 60000
5 10000 50000 50000
1 7 7000 49000 49000
2 7 7000 49000 49000
0
Category Total/ : 208000 0 208000
Equipment/
19 60000 1140000 1140000
5 18000 90000 90000
3 36000 108000 108000
3 35000 105000 105000
5 15000 75000 75000
5 20000 100000 100000
5 25000 125000 125000
0
Category Total/ : 405000 133