Valoración del impacto de un programa docente, según metodología OMS, para la prevención de las infecciones nosocomiales en un hospital general

Abstract

In 2005, WHO launched the first challenge for patient safety "Clean care is safer care", which aimed to reduce infections related to health care and considers MH to be the cornerstone for its prevention. In 2009, the WHO program for patient safety launched an expansion of this program; SAVE LIVES: Clean Your Hands, an initiative designed to promote MH as a center of ongoing interest in health care worldwide, regionally, nationally and locally. In particular, SAVE LIVES: Clean Your Hands emphasizes that the use of the "5 moments for hand hygiene" model is fundamental to protect the patient, the healthcare professional and the healthcare environment from the proliferation of pathogens and, therefore, reduce the IRAS. The intervention was associated with a statistically significant increase in compliance with HM; however, the improvement in compliance with HM in the different professional categories evaluated has not been homogeneous. The application of an intervention based on the multimodal strategy of the WHO has managed to improve the structural conditions for the MB, a better availability of PBA, training and awareness of health professionals and finally compliance with HM. The structural conditions related to MH in our hospital are close to 84% in basal conditions. The intervention improved this standard and managed to provide resources to the units that previously had insufficient resources. Despite the improvement achieved in adherence to compliance with MH (AHM), it is necessary to maintain a consolidation strategy and continue working to improve this basic practice of prevention and control of infections related to health care IRAS, since a aspect to take into account and fundamental if you want to achieve long-term results in the same way, establish long-term strategies. Specific interventions such as information panels, training or any other action, however successful they may be, will not have a sustained effect if they are not repeated over time, so it is important to plan long-tearm strategies