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Preparations to Prevent a Norovirus Outbreak

  • Hospital Name: Arimakougen Hospital
  • Address: 4663-3, Nagaocho Kozu, Kita-ku Kobe City, Hyogo
  • Number of beds: 417 (360/Psychiatric care, 57/Long-term care)
  • Total number of staff: 360 (Psychiatric care), 57(Long-term care)
  • Number of surgeries: 0
  • Website: http://www.arimakougen.or.jp/
  • Introduction text: Arimakogen Hospital is located in the Arima Highlands area of Kobe city. Based on its philosophy, 'To provide medical care and welfare services with love, to cooperate in harmony, and to devote ourselves to creative ingenuity', the hospital offers comprehensive psychiatric care and welfare services. Arimakogen's verdant setting, in 130,000 ㎡ of parkland, features not only healthcare facilities, but also a farm and bird sanctuary, offering a calm and healing environment for patients.
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    Alcohol-based hand rub
    ウィル・ステラV (Alsoft V)

  • Interviewees:
    • Name: Ms. Mitsuko Tsuji, Title: Head of the long-term care division. Aoisoranosato Long-term Care Facility., Photo: , Background: 1996: Joined the facility 2001: Qualified as a long-term care support specialist 2008: Qualified as a long-term care health facility risk manager
    • Name: Mr. Yuji Fujii, Title: Chief Nurse Ward B2, Photo: , Background: 2003: Joined the facility  
  • Editor note: Many patients receive long-term care, and they assumed that most microorganisms affecting them are brought from outside the facility by staff or visitors. With this in mind, Alsoft V was installed at all facility entrances. We were impressed by the staff determined to prevent the intrusion of pathogens from outside. At the same time, various approaches for improving hand hygiene compliance, such as using a no-touch dispenser or portable product, have been implemented. This prepared environment and heightening the staff's consciousness of the importance of hand hygiene could be two of the most important elements in preventing further infections.
  • Footnote: 8 April 2011 Y. Yoshida, K. Komatsu, H. Imai Academic Department, Medical Division Saraya Co., Ltd.
Steps taken to introduce Alsoft V - What background led you to consider introducing Alsoft V in your facility? Two years ago, we experienced a month-long outbreak of Norovirus. We devoted a lot of money and effort to contain the outbreak, and the...

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The Introduction of the Rubbing Method through a Multilateral Approach

  • Hospital Name: Gifu University Hospital
  • Address: 1-1 Yanagido, Gifu City, Gifu, Japan
  • Number of beds: 606
  • Total number of staff: 1,170 (as of September, 2011)
  • Number of surgeries: 4,868 (April 2010 to March 2011)
  • Website: https://www.hosp.gifu-u.ac.jp/eng/
  • Introduction text: Founded at the beginning of the Meiji Era (the late 19th century), Gifu University Hospital has gained a long history of providing medical care as the leading hospital in the region. Currently, the hospital serves as a central hospital for intractable diseases, officially designated cancer hospital, and advanced emergency medical services centre, offering advanced and high-standard medical treatments. Along with these services, the hospital also offers palliative care to treat the physical and mental distress of patients. The hospital is also dedicated to the development of medical personnel and promotes the improvement of medical care quality, assurance of medical safety, and team medical care. The operation department of the hospital serves as part of the government-designated advanced treatment facility and the central clinical facility of the acute care hospital. It stands by its philosophy of offering an environment where all patients can receive safe, standardized, efficient, and high-quality perioperative care, regardless of whether on planned or emergency occasions. Now we will introduce how the Gifu University Hospital operation department introduced the rubbing method for surgical hand preparation.
  • Introduced product photos:
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    Alcohol-based hand rub

    ヒビスコール液A
    (Alsoft A)

  • Interviewees:
    • Name: Ms. Taeko Murase, Title: Chief nurse of the operation department, Photo: , Background: 1989: Began working in the operation department of Gifu University Hospital 1998: Began working on the surgery ward 2006: Became chief training nurse 2009: Became chief nurse of the operation department
    • Name: Mr. Katsunori Kakimi, Title: Nursing department member of the Infection Control Committee, Photo: , Background: 2002: Began working in the operation department of Gifu University Hospital 2009: Became a member of the nursing department infection control committee.
  • Editor note: Recently, the use of the rubbing method has been growing worldwide, and Gifu University Hospital made their transition to this method possible through the initiative of nurses. The hospital eventually implemented and made the entire staff familiar with the rubbing method through a variety of efforts, gaining the help and understanding of doctors. This hospital-wide systematic effort made after SSI incidents led to the need for cooperation from the entire staff. Their self-made and original DVD, "Surgical Hand Preparation Using the Rubbing Method", has been posted on YouTube. We were impressed by their broad perspective and approach of looking beyond their own hospital, sharing it so that other facilities may also use it.
  • Footnote: August 24, 2011 Y. Yoshida, S. Indo, N. Nozu Academic Department, Medical Division Saraya Co., Ltd.
Steps taken to introduce the rubbing method - What is the background that led you to consider the introduction of the rubbing method? In 2006, a member of the infection control team (ICT) from our operation department performed some research and...

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Hand Hygiene as a Countermeasure against the Norovirus Outbreak

  • Hospital Name: Sanda City Hospital
  • Address: 3-1-1 Keyakidai, Sanda city, Hyogo, Japan
  • Number of beds: 300 (general)
  • Total number of staff: 589 (including contract)
  • Number of surgeries: 2,561 (April 2010 to March 2011)
  • Website: https://www.hospital.sanda.hyogo.jp/
  • Introduction text: Located in Sanda City, Hyogo, Sanda City Hospital has served as the leading hospital in the region since 1949, providing comfortable, satisfying, and heart-warming medical care. It is also a designated training facility for postgraduate clinical training and an institute-designated specialist training facility, and thus contributes to the further development of healthcare.
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    Alcohol-based hand rub

    ウィル・ステラV
    (Alsoft V)

  • Interviewees:
    • Name: Mr. Tomoyuki Nakamura, Title: Infection Control Officer, Assistant Chief of the Nursing Department. Certified Nurse in Infection Control, Photo: , Background: 1995: Began working at Sanda City Hospital 1998: Became Nursing Department ICC member 2007: Became Certified Nurse in Infection Control and started working with ICC 2010: Became Infection Control Officer
  • Editor note: We were especially impressed by the speed of the initial response, from the confirmation of the norovirus to the consideration of and the determination to use Alsoft V. We must say that the prompt response and staff adherence to hand hygiene protocols resulted in preventing the spread of the norovirus. In addition, placing Alsoft V at the entrance of the hospital, along with the usage instruction panel made by the nursing department administration staff, shows how much the hospital cares for raising awareness of hand hygiene practices among the staff, the patients and their families.
  • Footnote: April 8, 2011 Y. Yoshida, K. Komatsu, H. Imai Academic Department, Medical Division Saraya Co., Ltd.
Outbreak and the initial response - Please tell us about your countermeasures against the norovirus outbreak last winter.   Mr. Tomoyuki Nakamura On January 18, 2011, we confirmed that several patients in one ward manifested diarrhoea,...

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Actions Taken to Prevent Skin Irritation

  • Hospital Name: Kitasato University East Hospital
  • Address: 2-1-1 Asamizodai, Minami-ku, Sagamihara-shi, Kanagawa, Japan
  • Number of beds: 538
  • Total number of staff: approx. 800 (excl. temp staff)
  • Number of surgeries: 1,825 (April 2011 to March 2012)
  • Website: https://www.kitasato-u.ac.jp/ehp/
  • Introduction text: Located in Sagamihara City, Kanagawa, Kitasato University East Hospital has three main centres (the Digestive System Disease Diagnosis Center, the Neurologic and Motor System Disease Diagnosis Center and the Psycho-Neurologic Disease Diagnosis Center) and implements various medical treatments from acute to chronic stages. Opened in April 1986, Kitasato University East Hospital has been rooted in the community for more than 26 years. The hospital follows its principles of providing patient-centred clinical practice, high quality and advanced medical care and contributions to the community health.
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    Hand care lotion

    プライムローション 無香タイプ
    Prime Lotion (Non-Fragrance)

  • Interviewees:
    • Name: Ms. Nobuko Fukahori, Title: Assistant Chief, Infection Control Team. Certified Nurse in Infection Control., Photo: , Background: 1988: Began working in Kitasato University East Hospital; has worked in gastrointestinal medicine, the surgical ward, outpatient dept. and operating theatre 2008: Became Certified Nurse in Infection Control. Full-time infection control team official since 2011
    • Name: Mr. Kenichi Shimizu, Title: Occupational Safety Team/Infection Control Team. Assistant Manager., Photo: , Background: 1986: Began working in Kitasato University Hospital; has worked in the medical affairs section and the personnel section 2010: Transferred to Kitasato University East Hospital (In charge of medical safety and the infection control team)
  • Editor note: Kitasato University East Hospital has addressed hand hygiene with enthusiasm and has regarded hand care as an important component of hand hygiene practice. We were impressed that the hospital supplied hand lotion, as it is an infection control measure and helps reduce the burden on the staff. It is also impressive that the link staff has been active in playing an important role, such as continuous hand hygiene training and environmental contamination evaluation; this includes their quick response to the results of the evaluation.
  • Footnote: August 30, 2012 Y. Yoshida, H. Endo Academic Department, Medical Division Saraya Co., Ltd.
Steps taken to introduce Prime Lotion - What is the background that led you to consider introducing Prime Lotion? We recognized that skin irritation can cause the colonization of bacteria and can also lead to lower hand hygiene compliance rates....

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Hospital-wide efforts toward Thorough Hand Hygiene

  • Hospital Name: Kobe Rosai Hospital
  • Address: 4-1-23, Kagoikedori, Chuo-ku, Kobe city, Hyogo, Japan
  • Number of beds: 360
  • Total number of staff: 452
  • Number of surgeries: 3,141 (April 2010 to March 2011)
  • Website: https://www.kobeh.johas.go.jp/
  • Introduction text: Located on the mountainside of central Kobe, Japan Organization of Occupational Health and Safety Kobe Rosai Hospital is an advanced treatment hospital with up-to-date equipment, which promotes health care for workers. The hospital also exchanges information with private doctors in the local medical society, through clinical conferences and academic meetings. As a leading hospital in the region, Kobe Rosai Hospital provides safe, high-quality medical care.
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    Sensor activated dispenser

    UD-8600

  • Interviewees:
    • Name: Ms. Chifumi Suzuki, Title: Community Healthcare Chief Nurse. Certified Infection Control Nurse, Photo: , Background: 1986: Started working at Kobe Rosai Hospital 2004: Became a member of ICT 2009: Became a Certified Infection Control Nurse
  • Editor note: With the recent rise in hand hygiene awareness, many hospitals have started implementing dispensers. However, Kobe Rosai Hospital has a particularly strong environment of hand hygiene, with automated dispensers next to all patients' rooms, on nurses' trolleys and for nurses to carry on themselves. The hospital also conducts training sessions with ICT, which staff from different job categories attend so that hand hygiene is taught thoroughly, which conveys their hospital-wide awareness of hand hygiene.
  • Footnote: July 26, 2011 Y. Yoshida, S. Indo, N. Nozu Academic Department, Medical Division Saraya Co., Ltd.
Steps taken to introduce UD-8600 - What led you to consider UD-8600?   Ms. Suzuki, Chief Nurse Prior to introducing UD-8600, we used manually operated dispensers, for their sophisticated appearance and ability to retain the chemical...

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Pursuing Correct Hand Hygiene Practices

  • Hospital Name: Chugoku Central Hospital
  • Address: 148-13 Miyukicho Oaza Kamiiwanari, Fukuyama-shi, Hiroshima, Japan
  • Number of beds: 277 (General 271, TB 6)
  • Total number of staff: 469
  • Number of surgeries: 1,800 (April 2010 to March 2011)
  • Website: http://www.kouritu-cch.jp/
  • Introduction text: The Chugoku Central Hospital of the Japan Mutual Aid Association of Public School Teachers is located in Fukuyama City, Hiroshima Prefecture, and opened in 1961 as a sanatorium for patients with tuberculosis. In 1979, it became a general hospital and developed as a core hospital in the community, promoting team medical care. In 2010, it was selected by the Hiroshima Prefecture to be a Designated Cancer Hospital and is currently being developed into a regional core hospital. Together with certified/specialised doctors qualified by medical societies, the hospital is contributing to local communities, based on the philosophy of providing patient-centred, "people-friendly and high-quality medical care".
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    Alcohol-based hand rub

    サニサーラW
    ( Sanisara W / Alsoft GW )

  • Interviewees:
    • Name: Ms. Midori Takahashi, Title: Deputy Head Nurse, Medical Safety Management Office. Certified Infection Control Nurse., Photo: , Background: 1985: Began working at Chugoku Central Hospital 2006: Certified as an Infection Control Nurse
  • Editor note: We were impressed with the enthusiastic on-site activities led by the Link Nurse Association to improve safety, including infection control, with the aim of providing safe and secure medical care. We believe that thorough awareness of infection control measures, particularly hand hygiene and instructions for donning and removing personal protective equipment, is a regular activity that is essential to prevent healthcare-associated infections and is a major premise for medical safety. We could see that the hospital places special emphasis on education to support medical safety.
  • Footnote: 24th April, 2012 Y. Yoshida, N. Nozu, T. Koinuma Academic Department, Medical Division Saraya Co., Ltd.
Steps taken to introduce Sanisara W - What is the background that led you to consider introducing Sanisara W? Prior to the introduction of Sanisara W, we used liquid hand disinfectants from other companies. For the liquid hand disinfectants, the...

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Promoting Hand Hygiene with Unique Ideas

  • Hospital Name: Hospital Canselor Tuanku Muhriz UKM(HCTM)
  • Address: Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
  • Number of beds: 1,300
  • Total number of staff: 4,000
  • Website: https://hctm.ukm.my/en/
  • Introduction text: Located in Kuala Lumpur, Malaysia, Hospital Canselor Tuanku Muhriz UKM (HCTM), provides high-quality medical services to the community and residents in training. The hospital’s predecessor was the Faculty of Medicine UKM, established in 1973, which produced specialists in various fields of medicine and health. HCTM provides comprehensive and integrated training through advanced facilities to both undergraduate and postgraduate students from the Faculty of Medicine, Faculty of Allied Health Sciences, and Faculty of Dentistry under the motto “Integrating Learning and Research for the Betterment of Society.”
  • Introduced product photos:
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    Alcohol-based hand rub (ABHR)

    Alsoft Liquid Hand Disinfectant A

  • Interviewees:
    • Title: From left, Ms. Puan Zurina Mohamad Saleh, Dr. Nur Ayuni Ahamad Faudzi, Dr. Maliha Farah Nurhazirah, Ms. Siti Rokiah Yusof, Ms. Puteri Fairuz Izyan Zainuddin, and Ms. Siti Amirah Ramli., Photo:
  • Editor note: We interviewed doctors and nurses who work in the Infection Prevention and Control Department. Although their roles in the hospital vary, they work together as a team to ensure thorough infection control and staff education.
Steps taken to introduce Alsoft a - WHEN DID YOU HEAR ABOUT ALSOFT A FOR THE FIRST TIME? I first heard about Alsoft A over 15 years ago. I had heard from other alcohol disinfectant manufacturers that its formulation is excellent, and I was always...

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Continuous Promotion to Increase Hand Hygiene Compliance

  • Hospital Name: Hospital Ampang
  • Address: Jalan Mewah Utara, Pandan Mewah, 68000 Ampang, Selangor Darul Ehsan
  • Number of beds: 700
  • Website: https://hampg.moh.gov.my/
  • Introduction text: HospitalAmpang, established in 2006 as a Malaysian national project, is located in Taman Pandan Mewah, Ampang, Selangor Darul Ehsan, adjacent to Kuala Lumpur,and provides medical services to the local population. The hospital is a national referral center for hematology care and offers tertiary and secondary medical care.
  • Introduced product photos:
    • Products:
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    Alcohol-based hand rub (ABHR)

    Alsoft Liquid Hand Disinfectant A

  • Interviewees:
    • Name: Dr. Nur Farhanal Ismail, Photo: , Background: 2012: Joined the facility and began working at the Obstetrics and Gynecology Department 2019: Began working at the Infection Control Unit
feedback on Alsoft a - HOW DID YOU LEARN ABOUT ALSOFT A? Dr. Nur Farhanal Ismail In 2012, I started working at the Obstetrics and Gynecology Department (O&G) by providing clinical services. I have been using Alsoft A since I started...

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Introducing a No-Touch Dispenser Dedicated to Surgical Hand Disinfection

  • Hospital Name: Okazaki City Hospital
  • Address: 3-1, Goshoai, Koryujicho, Okazaki, Aichi 444-8553
  • Number of beds: 715
  • Total number of staff: 1,424
  • Number of surgeries: 5,396
  • Website: http://www.okazakihospital.jp/
  • Introduction text: Since its establishment in 1878 as an Okazaki Branch Hospital within the Aichi Prefectural Public Hospital system, Okazaki Municipal Hospital has been a core regional medical facility that has continued to develop with a focus on advanced acute care. "To always strive to be a hospital that is trusted by local residents”. Based on this philosophy, the hospital is actively working to enhance its medical systems, including the introduction of state-of-the-art radiotherapy equipment, with the aim of providing the best possible medical services.
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    No-touch Dispenser TUD-1000
    ノータッチ式ディスペンサー TUD-1000

    Alcohol-based hand rub

    Alsoft Hand Disinfectant A
    ヒビスコール液A1.0%
    (Hibiscohol A 1.0%)

  • Interviewees:
    • Name: Mr. Rikiya Sato, Title: Pharmacist, Infection Control Office, Pharmacy /Pharmacist, Photo: , Background: April 2013: Joined Okazaki City Hospital
    • Name: Mr. Seiji Sugiura, Title: Certified Infection Control Nurse, Infection Control Office, Photo: , Background: April 1998: Joined Okazaki City Hospital April 2013: Certified as Certified Infection Control Nurse April 2015: Joined Infection Control Office
    • Name: Ms. Mariko Hamatani, Title: Chief nurse, Nursing Team, Photo: , Background: April 1991: Joined Okazaki City Hospital
  • Editor note: The Saraya exhibition booth at the conference of the Japanese Society of Infection Prevention and Control showcases new products every year. It is our top priority to provide you with the proper tools to solve your facility's problems as we did in many facilities this year. In addition to our exhibition booth, we also strive to disseminate information through various media such as our website. Thus, we will do our best to continually bring you new information and innovations that will be of interest to you.
STEPS TAKEN TO INTRODUCE NO-TOUCH DISPENSER TUD-1000 - How are hands disinfected before surgery? In the past, the scrubbing method with antimicrobial soap was used in the hospital. But when rubbing with alcohol hand disinfectant was recommended by...

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Sponge Brush Contributes to the Reduction of VAP Cases

  • Hospital Name: Cho Ray Hospital
  • Address: 201B Đ. Chí Thanh, Phường 12, Quận 5, Thành phố Hồ Chí Minh 700000, Vietnam
  • Number of beds: 3,200 (As of July, 2024)
  • Total number of staff: 4,500 (As of July, 2024)
  • Website: http://www.choray.vn/
  • Introduction text: Cho Ray Hospital is one of the largest hospitals in Vietnam and is located in the southern part of the country. The hospital is under the Ministry of Health and provides special and high-level care for patients while functioning as a training and practical facility for medical students. In addition, the hospital plays a wide range of roles, including providing health checkups for local residents and foreigners and conducting research on the prevention of infectious diseases. As Cho Ray Hospital is one of the largest healthcare facilities in the country, many patients seek care from this hospital every year.
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    SARAYA OraCare Oral Care Sponge Brush

  • Interviewees:
    • Name: Ms. Nguyen Thi Ngoc Yen, Title: Head nurse of ICU-C, Background: Work Experience: For 24 years at ICU-C
  • Footnote: Interview date: March 20, 2024
Steps Taken to Introduce SARAYA OraCare Oral Care Sponge Brush - How were implementing oral care prior to the introduction of the sponge brush? Before the sponge brush was introduced, we used normal cottons to implement oral care. We changed the...

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Improving Work Efficiency with Saracide Sanitizing Wipes

  • Hospital Name: Cho Ray Hospital
  • Address: 201B Đ. Chí Thanh, Phường 12, Quận 5, Thành phố Hồ Chí Minh
  • Number of beds: 3,200 (As of July, 2024)
  • Total number of staff: 4,500 (As of July, 2024)
  • Website: http://www.choray.vn/
  • Introduction text: Cho Ray Hospital is one of the largest hospitals in Vietnam and is located in the southern part of the country. The hospital is under the Ministry of Health and provides special and high-level care for patients while functioning as a training and practical facility for medical students. In addition, the hospital plays a wide range of roles, including providing health checkups for local residents and foreigners and conducting research on the prevention of infectious diseases. As Cho Ray Hospital is one of the largest healthcare facilities in the country, many patients seek care from this hospital every year.
  • Introduced product photos:
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  • Introduced product text:

    Saracide Sanitizing Wipes

  • Interviewees:
    • Name: Ms. Ngoc Lien, Title: Head nurse of ICU-D, Background: Work Experience: For 25 years at ICU
  • Footnote: Interview date: March 20, 2024
Steps taken to introduce Saracide Sanitizing Wipes - Did you ever use ready-to-use disinfectant wipes before the introduction of Saracide Sanitizing Wipes? We had been using a product containing 70% ethanol, spraying it directly onto the environmental...

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Removing Dirt and Odors in a Veterinary Hospital with Sanipaster

  • Hospital Name: Doc. Love Dog Animal Hospital
  • Address: 83/4-6 Chaeng Watthana Rd, Thung Song Hong, Lak Si, Bangkok 10210, Thailand
  • Introduction text: Doc. Love Dog Animal Hospital, located in Bangkok, has been serving the community for over 23 years. This veterinary hospital provides a wide range of services, including veterinary treatment, surgery, a pet shop, and a pet hotel. Its high level of medical expertise and exceptional cleanliness attract not only local residents but also visitors from distant areas. The hospital is also well-known for its extensive selection of dog and cat food, along with other pet-related products, leading to a loyal clientele that has been returning for many years.
  • Introduced product photos:
    • Products: Sanipaster
  • Introduced product text:

    Sanipaster

  • Interviewees:
    • Name: Dr. Paiboon Rungsuriyasilp, Title: Owner of the hospital, Background: A veterinarian in a private hospital. After that, opened his own hospital for 23 years.
  • Footnote: Interview date: July 19, 2024
Steps taken to introduce Sanipaster S(L) - Why did the hospital become interested in using Sanipaster S(L)? The main issue for our animal hospital was unpleasant odors from pets’ bodies, feces, and urine. These odors, caused by bacteria or other...

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Excellence in Hand Hygiene Begins Where Strategy, Leadership, and Culture Come Together

  • Magazine Volume: 2020 Vol. 1
  • Article number: 1
  • Content Type: World Information
  • Category: Hand Hygiene
  • Facility: Acute Care Hospital
  • Full Magazine Preview Image:
  • Field to link to full PDF field: HosCom_International_2020vol1_web.pdf
  • Authors :

    Alexandra Peters, MA, PhD Candidate & Prof. Didier Pittet, MD, MS, CBE
    Infection Control Program and WHO Collaborating Centre on Patient Safety, The University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

  • References:
    1. World Health Organization. "Health care-associated infections FACT SHEET." (NA). Available at: https://www.who.int/gpsc/country_work/gpsc_ccisc_fact_sheet_en.pdf (Accessed: 18th December 2018)
    2. Pittet, D. et al. "Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme." Lancet 356, 1307–1312 (2000).
    3. World Health Organization. "Hand hygiene a key defence in Europe’s fight against antibiotic resistance." (2017). Available at: http://www.euro.who.int/en/health-topics/disease-prevention/antimicrobial-resistance/news/news/2017/05/ hand-hygiene-a-key-defence-in-europes-fight-against-antibiotic-resistance (Accessed: 15th December 2018)
    4. World Health Organization. "Guide to Implementation: A Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy." (2009). Available at: https://www.who.int/gpsc/5may/Guide_to_ Implementation.pdf (Accessed: 18th December 2018)
    5. Grayson, M. L. et al. "Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative." The Medical Journal of Australia 195, 615–619 (2011).
    6. S. Fonguh, A. Uwineza, B. Catry, A. Simon & the national hand hygiene working group. "National campaigns to promote hand hygiene in Belgian hospitals: A continuous project." (NA) Available at: https://slideplayer.com/slide/12851324/ (Accessed: 18th December 2018)
    7. Magiorakos, A. P. et al. "Pathways to clean hands: highlights of successful hand hygiene implementation strategies in Europe." Eurosurveillance 15, 19560 (2010).
    8. Sheldon Stone et al. "Report to the Patient Safety Research Programme: on 'The National Observational Study to Evaluate the Cleanyourhands Campaign (NOSEC)' and 'The Feedback Intervention Trial (FIT)'." (2010).
    9. World Health Organization. "World Alliance for Patient Safety: The Launch of the World Alliance for Patient Safety, Washington DC, USA — 27 October 2004." (2018). Available at: http://www.who.int/patientsafety/worldalliance/en/(Accessed: 15th October 2018)
    10. Allegranzi, B. et al. "Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study." Lancet Infectious Diseases 13, 843–851 (2013).
    11. Allegranzi, B. et al. "Successful implementation of the World Health Organization hand hygiene improvement strategy in a referral hospital in Mali, Africa." Infection Control & Hospital Epidemiology 31, 133–141 (2010).
    12. World Health Organization. "Local production of WHO-recommended alcohol based handrubs: feasibility, advantages, barriers and costs." (2013). Available at: http://www.who.int/bulletin/volumes/91/12/12-117085/en/ (Accessed: 30th August 2018)
    13. World Health Organization. "Web sites promoting WHO SAVE LIVES: Clean Your Hands." (2018). Available at: http://www.who.int/infection-prevention/campaigns/clean-hands/SLCYH_support/en/ (Accessed: 31st August 2018)
    14. World Health Organization. "About SAVE LIVES: Clean Your Hands." (2018). Available at: http://www.who.int/gpsc/5may/background/5moments/en/ (Accessed: 15th October 2018)
    15. World Health Organization. "WHO Hand Hygiene Self-Assessment Framework." (2018). Available at: http://www.who.int/gpsc/5may/hhsa_framework/en/ (Accessed: 15th October 2018)
    16. Stewardson, A. J., Allegranzi, B., Perneger, T. V., Attar, H. and Pittet, D. "Testing the WHO Hand Hygiene Self-Assessment Framework for usability and reliability." Journal of Hospital Infection 83, 30–35 (2013).
    17. World Health Organization. "Support from WHO Member States and autonomous areas: Infection Prevention and Control." (2018). Available at: http://www.who. int/infection-prevention/countries/hand-hygiene/statements/en/ (Accessed: 15th October 2018)
    18. World Health Organization. "Private Organizations for Patient Safety (POPS)." (2018). Available at: http://www.who.int/gpsc/pops/en/ (Accessed: 16th December 2018)
    19. World Health Organization. "The First Global Patient Safety Challenge: ‘Clean Care is Safer Care’" (2018). Available at: http://www.who.int/gpsc/clean_care_ is_safer_care/en/ (Accessed: 28th August 2018)
    20. Stewardson, A. J. & Pittet, D. "Historical Perspectives." in Hand Hygiene: A Handbook for Medical Professionals 8–11 (Wiley-Blackwell, 2017). doi:10.1002/9781118846810.ch2
    21. TEDx Talks. Adapt to adopt | Didier Pittet | TEDxPlaceDesNations. (2016).
    22. Fakhry, M., Hanna, G. B., Anderson, O., Holmes, A. & Nathwani, D. "Effectiveness of an audible reminder on hand hygiene adherence." American Journal of Infection Control 40, 320–323 (2012).
    23. World Health Organization. "Guide to Local Production: WHO-recommended Handrub Formulations." Available at: https://www.who.int/gpsc/5may/Guide_ to_Local_Production.pdf (Accessed: 18th December 2018)
Everyone knows that hand hygiene is vitally important in healthcare, but to date, no one has figured out how to achieve optimal compliance. How does one achieve excellence in hand hygiene? In order to analyze this question, one must first understand...

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Why Should my Hospital use the Hand Hygiene Self-Assessment Framework Proposed by the World Health Organization?

  • Magazine Volume: 2020 Vol. 1
  • Article number: 2
  • Content Type: World Information
  • Category: Hand Hygiene
  • Facility: Acute Care Hospital
  • Field to link to full PDF field: HosCom_International_2020vol1_web.pdf
  • Authors :

    Chloé Guitart1, Camille Bleeker2, Alexandra Peters1, Didier Pittet1

    1. Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
    2. University of Geneva Faculty of Medicine, Geneva, Switzerland
  • References:
    1. Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet. 2011 Jan 15 ; 377(9761) : 228–41.
    2. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985 Feb; 121(2): 182–205.
    3. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000 Oct 14 ; 356(9238) : 1307–12.
    4. WHO | Infection prevention and control [Internet]. WHO. [cited 2019 Mar 4]. Available from: http://www.who.int/infection-prevention/en/
    5. WHO | 2019 WHO Global Survey on Infection Prevention and Control (IPC) and Hand Hygiene [Internet]. WHO. [cited 2019 Mar 4]. Available from: http://www.who.int/infection-prevention/campaigns/ipc-global-survey-2019/en/
    6. WHO | Core components for IPC - Implementation tools and resources [Internet]. [cited 2019 Feb 27]. Available from: https://www.who.int/infection-prevention/tools/core-components/en/
    7. WHO | WHO Hand Hygiene Self-Assessment Framework [Internet]. WHO. [cited 2019 Mar 2]. Available from: https://www.who.int/gpsc/5may/hhsa_framework/en/
    8. Stewardson A, Allegranzi B, Sax H, Kilpatrick C, Pittet D. Back to the future: rising to the Semmelweis challenge in hand hygiene. Future Microbiol. 2011 Aug; 6(8): 855–76.
    9. Pittet D, Allegranzi B. Preventing sepsis in healthcare - 200 years after the birth of Ignaz Semmelweis. Euro Surveill. 2018 May ; 23(18).
    10. Karamanou M, Panayiotakopoulos G, Tsoucalas G, Kousoulis AA, Androutsos G. From miasmas to germs: a historical approach to theories of infectious disease transmission. Infez Med. 2012 Mar; 20(1): 58–62.
    11. Vermeil T, Peters A, Kilpatrick C, Pires D, Allegranzi B, Pittet D. Hand hygiene in hospitals: anatomy of a revolution. J Hosp Infect. 2019 Apr; 101(4): 383-392
    12. Andrew J. Stewardson, Didier Pittet. Historical Perspectives In Hand Hygiene: A Handbook for Medical Professionals. Wiley Blackwell. Didier Pittet, John M. Boyce and Benedetta Allegranzi; 2017. p. 8–11.
    13. Allegranzi B, Gayet-Ageron A, Damani N, Bengaly L, McLaws M-L, Moro M-L, et al. Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study. Lancet Infect Dis. 2013 Oct; 13(10): 843–51.
    14. Allegranzi B, Storr J, Dziekan G, Leotsakos A, Donaldson L, Pittet D. The First Global Patient Safety Challenge ‘Clean Care is Safer Care’: from launch to current progress and achievements. J Hosp Infect. 2007 Jun; 65 Suppl 2: 115–23.
    15. Sax H, Allegranzi B, Uçkay I, Larson E, Boyce J, Pittet D. ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect. 2007 Sep ; 67(1) : 9–21.
    16. Hand Hygiene Technical Reference Manual [Internet]. WHO 2009 [cited 2017 Oct 9]. Available from: http://apps.who.int/iris/bitstream/10665/44196/1/9789241598606_eng.pdf
    17. WHO | Guide to Implementation [Internet]. WHO 2009. [cited 2019 Mar 2]. Available from: http://www.who.int/infection-prevention/publications/hh_implementation-guide/en/
    18. Pittet D, Allegranzi B, Sax H, Chraiti M-N, Griffiths W, Richet H, et al. Doubleblind, randomized, crossover trial of 3 hand rub formulations: fast-track evaluation of tolerability and acceptability. Infect Control Hosp Epidemiol. 2007 Dec ; 28(12) : 1344–51.
    19. Claire Kilpatrick, Julie Storr, Benedetta Allegranzi. A Worldwide WHO Hand Hygiene in Healthcare Campaign. In: Hand Hygiene: A Handbook for Medical Professionals. Wiley-Blackwell. Didier Pittet, John M. Boyce and Benedetta Allegranzi; 2017. p. 275–84.
    20. World Health Organization. Registration update - countries or areas. [Internet]. WHO. [cited 2019 Apr 4]. Available from: http://www.who.int/infectionprevention/campaigns/clean-hands/registration_update/en/
    21. Kilpatrick C, Tartari E, Gayet-Ageron A, Storr J, Tomczyk S, Allegranzi B, et al. Global hand hygiene improvement progress: two surveys using the WHO Hand Hygiene Self-Assessment Framework. J Hosp Infect. 2018 Oct ; 100(2) : 202–6.
    22. Stewardson AJ, Allegranzi B, Perneger TV, Attar H, Pittet D. Testing the WHO Hand Hygiene Self-Assessment Framework for usability and reliability. J Hosp Infect. 2013 Jan ; 83(1) : 30–5.
    23. Allegranzi B, Conway L, Larson E, Pittet D. Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Am J Infect Control. 2014 Mar ; 42(3) : 224–30.
    24. Kritsotakis EI, Astrinaki E, Messaritaki A, Gikas A. Implementation of multimodal infection control and hand hygiene strategies in acute-care hospitals in Greece: A cross-sectional benchmarking survey. Am J Infect Control. 2018 Oct ; 46(10) : 1097–103.
    25. Bert F, Giacomelli S, Ceresetti D, Zotti CM. World Health Organization Framework: Multimodal Hand Hygiene Strategy in Piedmont (Italy) Health Care Facilities. J Patient Saf. 2017 Jan 10 ;
Healthcare-associated infections are the gravest threat to patient safety in hospitals worldwide1. By establishing infection prevention and control(IPC) teams and programs, hospitals can decrease healthcare-associated infections by at least 30%2, and...

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