1Prof, Symbiosis Institute of Health Sciences, S B Road, Pune
2BSc (Nursing). MBA (HHM) Symbiosis Institute of Health Sciences, S B Road, Pune
*Corresponding author: Dr (Brig) Anil Pandit. MD (HA) DNB (H&HA) Prof, Symbiosis Institute of Health Sciences, S B Road, Pune-411048 E-mail: apandit70@hotmail.com Mob.: 9423212709
Online published on 29 May, 2018.
The aim of this study was to understand the compliance of the quality monitoring indicator in the Cardiac PICU of a tertiary care hospital and to identify problems in the use of the set standardized methodology and to increase compliance. The WHO recommended five key moments when health care workers should practice hand hygiene; before patient contact, before an aseptic task, after body fluid exposure risk, after patient contact, and after contact with patient surroundings. This direct observational study mainly focused on the hand hygiene compliance of the various health workers involved in the care of patients of the Cardiac PICU. The hand hygiene opportunities of various healthcare workers were captured which included Nurses, Doctors, Physiotherapists, and Technicians, Housekeeping staff, Visitors and others.
The study was divided into two phases;
Silent Audit: during this phase the health care members of the PICU were not aware of the audit, they were under the impression that some other study was being undertaken. All the various healthcare members were closely observed during this phase.
Informed Audit: during this phase the health care members were briefed about the study going to be conducted and were told about the various parameters that would be observed for.
The overall hand hygiene compliance of the Cardiac PICU was 19% during the Silent Audit where as the compliance during the informed audit was 63.69%
Paediatric Intensive Care Unit (PICU), Hand Hygiene (HH), Compliance, Hospital Acquired Infection (HAI), Quality Improvement (QI)