Successful Implementation of the World Health Organization Hand Hygiene Improvement Strategy in a Referral Hospital in Mali, Africa

2010 ◽  
Vol 31 (2) ◽  
pp. 133-141 ◽  
Author(s):  
Benedetta Allegranzi ◽  
Hugo Sax ◽  
Loséni Bengaly ◽  
Hervé Riebet ◽  
Daouda K. Minta ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
World Health Organization ◽  
Low Income ◽  
Healthcare Workers ◽  
World Health ◽  
Improvement Strategy ◽  
Hand Hygiene Improvement ◽  
The World ◽  
Health Organization

Objective.To assess the feasibility and effectiveness of the World Health Organization hand hygiene improvement strategy in a low-income African country.Design.A before-and-after study from December 2006 through June 2008, with a 6-month baseline evaluation period and a follow-up period of 8 months from the beginning of the intervention.Setting.University Hospital, Bamako, Mali.Participants.TWO hundred twenty-four healthcare workers.Methods.The intervention consisted of introducing a locally produced, alcohol-based handrub; monitoring hand hygiene compliance; providing performance feedback; educating staff; posting reminders in the workplace; and promoting an institutional safety climate according to the World Health Organization multimodal hand hygiene improvement strategy. Hand hygiene infrastructure, compliance, healthcare workers' knowledge and perceptions, and handrub consumption were evaluated at baseline and at follow-up.Results.Severe deficiencies in the infrastructure for hand hygiene were identified before the intervention. Local handrub production and quality control proved to be feasible, affordable, and satisfactory. At follow-up, handrubbing was the quasi-exclusive hand hygiene technique (93.3%). Compliance increased from 8.0% at baseline to 21.8% at follow-up (P< .001). Improvement was observed across all professional categories and medical specialities and was independently associated with the intervention (odds ratio, 2.50; 95% confidence interval, 1.8-3.5). Knowledge enhanced significantly (P< .05), and perception surveys showed a high appreciation of each strategy component by staff.Conclusions.Multimodal hand hygiene promotion is feasible and effective in a low-income country. Access to handrub was critical for its success. These findings motivated the government of Mali to expand the intervention nationwide. This experience represents a significant advancement for patient safety in developing countries.

scholarly journals P113: The World Health Organization multimodal hand hygiene improvement strategy - a successful experience in a pediatric hospital

2013 ◽  
Vol 2 (Suppl 1) ◽  
pp. P113
Author(s):  
AM Ribeiro ◽  
Francisca Nogueira Della Guardia ◽  
Virginia Ramos Sampaio ◽  
Rivânia Barros ◽  
Diana Maria da Silva ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
World Health Organization ◽  
World Health ◽  
Pediatric Hospital ◽  
Improvement Strategy ◽  
Hand Hygiene Improvement ◽  
The World ◽  
Health Organization

scholarly journals Testing brief intervention and phone contact among subjects with suicidal behavior: a randomized controlled trial in French Polynesia in the frames of the World Health Organization/Suicide Trends in At-Risk Territories study

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Stéphane Amadéo ◽  
Moerani Rereao ◽  
Aurelia Malogne ◽  
Patrick Favro ◽  
Ngoc Lam Nguyen ◽  
...  
Keyword(s):  
At Risk ◽  
World Health Organization ◽  
Brief Intervention ◽  
Suicidal Behavior ◽  
French Polynesia ◽  
World Health ◽  
Suicidal Behaviors ◽  
The World ◽  
Health Organization

The World Health Organization <em>Suicide trends in at-risk territories</em> study is a multi-site regional research program operating first in French Polynesia and countries of the Western Pacific, then extended to the world. The aims of the study were to establish a monitoring system for suicidal behaviors and to conduct a randomised control trial intervention for non-fatal suicidal behaviors. The latter part is the purpose of the present article. Over the period 2008-2010, 515 patients were admitted at the Emergency Department of the Centre Hospitalier de Polynésie Française for suicidal behavior. Those then hospitalized in the Psychiatry Emergency Unit were asked to be involved in the study and randomly allocated to either Treatment As Usual (TAU) or TAU plus Brief Intervention and Contact (BIC), which provides a psycho-education session and a follow-up of 9 phone contacts over an 18-months period. One hundred persons were assigned to TAU, while 100 participants were allocated to the BIC group. At the end of the follow-up there were no significant differences between the two groups in terms of number of presentations to the hospital for repeated suicidal behaviors. Although the study could not demonstrate the superiority of a treatment over the other, nevertheless – given its importance – the investigation captured public attention and was able to contribute to the awareness of the need of suicide prevention in French Polynesia. The BIC model of intervention seemed to particularly suit the geographical and health care context of the country.

The World Health Organization hand hygiene observation method

2009 ◽  
Vol 37 (10) ◽  
pp. 827-834 ◽  
Author(s):  
Hugo Sax ◽  
Benedetta Allegranzi ◽  
Marie-Noëlle Chraïti ◽  
John Boyce ◽  
Elaine Larson ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
World Health Organization ◽  
World Health ◽  
The World ◽  
Observation Method ◽  
Health Organization

scholarly journals Spinal surgery complications: an unsolved problem—Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

2019 ◽  
Vol 29 (5) ◽  
pp. 927-936
Author(s):  
Giovanni Barbanti-Brodano ◽  
Cristiana Griffoni ◽  
Jarkko Halme ◽  
Giuseppe Tedesco ◽  
Silvia Terzi ◽  
...  
Keyword(s):  
World Health Organization ◽  
Spinal Surgery ◽  
World Health ◽  
The World ◽  
Oncological Diseases ◽  
Supplementary Material ◽  
The Mean ◽  
Health Organization ◽  
Surgical Checklist

Abstract Purpose To investigate whether the World Health Organization Safety Surgical Checklist (SSC) is an effective tool to reduce complications in spinal surgery. Methods We retrospectively evaluated the clinical and radiological charts prospectively collected from patients who underwent a spinal surgery procedure from January 2010 to December 2012. The aim of this study was to compare the incidence of complications between two periods, from January to December 2010 (without checklist) and from January 2011 and December 2012 (with checklist), in order to assess the checklist’s effectiveness. Results The sample size was 917 patients with an average of 30-month follow-up. The mean age was 52.88 years. The majority of procedures were performed for oncological diseases (54.4%) and degenerative diseases (39.8%). In total, 159 complications were detected (17.3%). The overall incidence of complications for trauma, infectious pathology, oncology, and degenerative disease was 22.2%, 19.2%, 18.4%, and 15.3%, respectively. No correlation was observed between the type of pathology and the complication incidence. We observed a reduction in the overall incidence of complications following the introduction of the SSC: In 2010 without checklist, the incidence of complications was 24.2%, while in 2011 and 2012, following the checklist introduction, the incidence of complications was 16.7% and 11.7%, respectively (mean 14.2%). Conclusions The SSC seems to be an effective tool to reduce complications in spinal surgery. We propose to extend the use of checklist system also to the preoperative and postoperative phases in order to further reduce the incidence of complications. Graphic abstract These slides can be retrieved under Electronic Supplementary Material.

Sign in / Sign up

Export Citation Format

Share Document