Objective To investigate on preoperative hand-washing for analyzing the underlying problems, in purpose of preventing operation-related infection via strengthening the standardization of surgical hand-washing and hand-disinfection.
Methods From July to September 2014, surveillance video of pre-operative hand-washing was studied and analyzed. We randomly selected 100 subjects, and assessment was performed based on the self-made surgical hand-washing and hand-disinfection protocol. Grading was done strictly. The passing score was 60 or higher; a score of 70-79 meant good; and a score of 80-100 indicated excellence.
Results In the survey, 91 in the 100 subjects were qualified. Among the qualified subjects, there were 53% of excellence and 20% of good. The major problems included erroneous methods, step omissions, time lacking, pollution, wrong flushing method or dry-hand method, and insufficient washing time.
Conclusion Based on the survey, the administration department is advised to strengthen the regulatory supervision and education training based on standard surgical hand-washing and hand-disinfection criteria, especially training interns and new staff, in purpose of reducing the incidence of operation-related infection and improving hospitalization management qualities.
Citation：
ZhaoJingling, TangJia, HuangXiaoqin, SunDazhi, ZhaoFumei, LiDongxue, QinShuyu, QinXuezhen. Investigation and Analysis on the Standardization of Surgical Hand-washing and Hand-disinfection. West China Medical Journal, 2016, 31(3): 440-443. doi: 10.7507/1002-0179.201600119
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 中华人民共和国卫生部. WS/T 313-2009 医务人员手卫生规范[S]. 2009.
- 2. 中华人民共和国卫生部. GB 27950-2011手消毒剂卫生要求[S]. 2011.
- 3. 杨绮莉, 蔡丽娥, 肖丽颖, 等. 影响外科人员手消毒效果原因[J]. 中华医院感染学杂志, 2002, 12(4):297.
- 4. 黄琼华. 院科两级医务人员手卫生依从性和正确率调查结果比较[J]. 华西医学, 2015, 30(4):717-720.
- 5. 兰乖平, 杨晓艳. 从不同洁手方法及效果探讨手卫生的必要性[J]. 中国地方病防治杂志, 2014, 29(1):342.
- 6. 张晓梅, 刘晓玲, 胡静杰, 等. 医务人员不同方法洗手效果监测[J]. 中国消毒学杂志, 2013, 30(11):1101-1102.
- 7. Perkins JJ. Principles and methods of sterilization in health sciences[M]. 2nd ed. Springfield:Charles C. Thomas Publisher Ltd, 1969:343.
- 8. 龚启斌, 彭献香. 医务人员手污染的调查分析[J]. 中华医院感染学杂志, 2007, 17(11):1407.
- 9. 李素芬. 消毒供应室医务人员的职业暴露与防护[J]. 中华医院感染学杂志, 2007, 17(7):857-858.
- 10. 王珂. 浅谈"霍桑效应"在学生管理中的应用[J]. 上海教育, 2015(3):87.
- 11. Pittet D. Hygiene:it's all about when and how[J]. Infect Contrl Hosp Epidemiol, 2008, 29(10):957-959.
- 12. 中华人民共和国卫生部. WS/T 367-2012医疗机构消毒技术规范[S]. 2012.
- 13. 韦敏玲, 苏庆娇, 骆如香, 等. 手术室实习护生外科手消毒效果监测与管理[J]. 微创医学, 2013, 4(8):509-510.
- 14. 张安美. 外科医生手卫生依从性与准确性调查分析[J]. 潍坊医学院学报, 2012, 34(3):231-233.
