Ediau John¹, Bako Lilian²*, Namutebi Anne Marion³, Take Naoki⁴ and Namasopo Sophie Oleja⁵

¹Department of Surgery, Kabale Regional Referral Hospital, Uganda
²Quality Improvement Department, Kabale Regional Referral Hospital, Uganda
³Department of Internal Medicine/Research, Kabale Regional Referral Hospital, Uganda
⁴Japan International Cooperation Agency, Uganda Office, Uganda
⁵Department of Administration, Kabale Regional Referral Hospital, Uganda

*Corresponding Author: Bako Lilian, Quality Improvement Department, Kabale Regional Referral Hospital, Uganda.

Received: October 25, 2021; Published: January 12, 2022

Abstract

Background: Health care-associated infections (HAI) occur worldwide and affect both developed and developing countries, and in developed countries, between 5% and 10% of patients acquire one or more infections, resource- limited settings, rates of infection can exceed 20%. Simple measures like appropriate hand hygiene can limit nosocomial infections.

Method: In this prospective cross-sectional study, a survey was conducted in some clinical areas of the hospital using the standard WHO hand hygiene observation form (based on the 5 moments of hand hygiene) in the month of December 2018. Targeting all professional categories. The reports were analyzed using excel and the denominator is number of opportunities while numerator, the number of actions

Results: The results of the study showed 22% as an average compliance rate to hand hygiene protocol by staff and students.

Nurses who were assessed, opportunities were 14 with 0 action representing 0%. The student nurse’s available opportunities were 11 with actions of 1 representing 09%. The medical students were assessed with opportunity of 02 and actions of 00 representing 0%. The medical officers (doctors) had 10 opportunities with actions of 01 representing 10%. The cadres of orthopedic had 06 opportunities with 00 actions leading to 0%. The midwives had 33 opportunities with 05 actions representing a percentage of 15%. Other cadres like counselors, data officer was with 01 opportunities with 00 action representing 0%. Other medical technicians e.g., lab technicians, dieticians had 03 opportunities with 02 action representing 66.7%.

Discussion: The above results show that ophthalmic staffs were better than others in adhering to hand hygiene practices whereas laboratory staff, dispensers and radiologist were performing averagely. while others are below standard in adhering to hand hygiene practices.

Conclusion: The reason for conducting the above assessment is from the background that one of the contributing factors to hospital acquired infections (HAIs) is as a result of poor hand hygiene practices by health workers leading to antimicrobial resistance.

Keywords: Hand Hygiene; Kaizen; Continuous Quality Improvement; Health Care Associated Infections; Patient Safety; PDSA Cycle

References

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Citation

Citation: Bako Lilian., et al. “Impact of Kaizen/CQI On Improving Adherence to Hand Hygiene Protocol Among Staff and Students at Kabale Hospital Uganda”.Acta Scientific Medical Sciences 6.2 (2022): 52-57.

Copyright

Copyright: © 2021 Bako Lilian., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.