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Data Summary Report Framework. Revised October 2009. User instructions (1). This presentation is intended to give some examples of how best to present the results of the surveys performed during the evaluation phases of the implementation of the hand hygiene improvement strategy

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data summary report framework

Data Summary Report Framework

© World Health Organization 2009. All rights reserved.

Revised October 2009

user instructions 1
User instructions (1)
  • This presentation is intended to give some examples of how best to present the results of the surveys performed during the evaluation phases of the implementation of the hand hygiene improvement strategy
  • The presented results can refer to the entire facility (hospital-wide) or can be related to the unit, service or ward where the data were collected
  • These results can be reported to staff, to explain the current practices, knowledge and perception of hand hygiene in their health-care setting and to highlight the aspects that need improvement, or to compare baseline with follow-up data to show possible improvements resulting from the range of efforts made
user instructions 2
User instructions (2)
  • The local data must be inserted in the template presentation
  • The template includes reporting of the knowledge survey, the perception surveys (for health-care workers and senior managers) and the hand hygiene observation survey
  • Correct answers where provided by WHO are written in this colour
  • Slides 84 to 88 are examples of comparisons between baseline and follow-up measurements
  • Data for the slides can be generated using data-entry and data-analysis in Epi InfoTM(available at: http://www.who.int/gpsc/5may/tools/evaluation_feedback/en/index.html)
results of the hand hygiene knowledge questionnaire for health care workers

Results of the Hand Hygiene Knowledge Questionnaire for Health-Care Workers

(Name of facility)

© World Health Organization 2009. All rights reserved.

methods
Methods
  • Distribution of the WHO “Hand Hygiene Knowledge Questionnaire for Health-Care Workers” to health-care workers in identified clinical settings
  • Data entry and analysis using the Data Entry Analysis Tools
  • Use of this presentation to provide feedback
q8 9 participants characteristics
Q8–9. Participants’ characteristics
  • Total number of participants:
  • Gender:
    • Female: (%)
    • Male: (%)
  • Age:
    • Median: + interquartile range
    • Mean: ± standard deviation (SD)
    • (Median and range are preferred as they represent centrality and spread of not normally distributed data)
q12 13 hand hygiene training and availability of alcohol based handrub
Q12–13. Hand hygiene training and availability of alcohol-based handrub
  • Formal training in hand hygiene: number (%)
  • Do you routinely use an alcohol-based handrub for hand hygiene?: number (%)
slide10

Q14. Which of the following is the main route of cross-transmission of potentially harmful germs between patients in a health-care facility?

  • HCWs’ hands when not clean: number (%)
  • Air circulating in the hospital: number (%)
  • Patients’ exposure to colonised surfaces: number (%)
  • Sharing non-invasive objects (i.e. stethoscopes, pressure cuffs, etc.) between patients: number (%)
q15 what is the most frequent source of germs responsible for health care associated infections
Q15. What is the most frequent source of germs responsible for health care-associated infections?
  • The hospital’s water system: number (%)
  • The hospital air: number (%)
  • Germs already present on or within the patient: number (%)
  • The hospital environment (surfaces): number (%)
q16 which of the following hand hygiene actions prevents transmission of germs to the patient
Q16. Which of the following hand hygiene actions prevents transmission of germs to the patient?
slide13
Q17. Which of the following hand hygiene actions prevents transmission of germs to the health-care worker?
slide14
Q18. Which of the following statements on alcohol-based handrub and hand washing with soap and water are true?
q19 what is the minimal time needed for alcohol based handrub to kill most germs on your hands
Q19. What is the minimal time needed for alcohol-based handrub to kill most germs on your hands?
  • 20 seconds: (%)
  • 3 seconds: (%)
  • 1 minute: (%)
  • 10 seconds: (%)
slide18
Q21. Which of the following should be avoided, as associated with a likelihood of colonisation of hand with harmful germs?
conclusions and recommended actions

Conclusions and recommended actions:

To be inserted locally.

© World Health Organization 2009. All rights reserved.

results of the perception survey for health care workers

Results of the Perception Survey for Health-Care Workers

(Name of facility)

© World Health Organization 2009. All rights reserved.

methods21
Methods
  • Distribution of the WHO “Perception Survey for Health-Care Workers" to health-care workers in identified clinical settings
  • Data entry and analysis using the Data Entry Analysis Tools
  • Use of this presentation to provide feedback
q8 9 participants characteristics22
Q8-9. Participants’ characteristics
  • Total number of participants:
  • Gender:
    • Female: (%)
    • Male: (%)
  • Age:
    • Median: + interquartile range
    • Mean: ± standard deviation (SD)
    • (Median and range are preferred as they represent centrality and spread of not normally distributed data)
q12 13 hand hygiene training and availability of alcohol based handrub25
Q12–13. Hand hygiene training and availability of alcohol-based handrub
  • Formal training in hand hygiene: number (%)
  • Do you routinely use an alcohol-based handrub for hand hygiene?: number (%)
slide26
Q14. In your opinion, what is the average rcentage of hospitalised patients who will develop a health care-associated infection (HCAI)?

Percentage of hospitalized patients developing a HCAI

slide27
Q15. In general, what is the impact of a health care-associated infection on a patient's clinical outcome?
  • Very low: number (%)
  • Low: number (%)
  • High: number (%)
  • Very high: number (%)
q16 what is the effectiveness of hand hygiene in preventing health care associated infection
Q16. What is the effectiveness of hand hygiene in preventing health care-associated infection?
  • Very low: number (%)
  • Low: number (%)
  • High: number (%)
  • Very high: number (%)
q17 among all patient safety issues how important is hand hygiene at your institution
Q17. Among all patient safety issues, how important is hand hygiene at your institution?
  • Low priority: (%)
  • Moderate priority: (%)
  • High priority: (%)
  • Very high priority: (%)
slide30

Q18. On average, in what percentage of situations requiring hand hygiene do health-care workers in your hospital actually perform hand hygiene?

slide31

Q19.

In your opinion, how effective would the following actions be to improve hand hygiene permanently in your institution?

© World Health Organization 2009. All rights reserved.

q19 a leaders and senior managers at your institution support and openly promote hand hygiene
Q19.a. Leaders and senior managers at your institution support and openly promote hand hygiene
q19 b the health care facility makes alcohol based handrub always available at each point of care
Q19.b. The health-care facility makes alcohol-based handrub always available at each point of care
q19 e clear and simple instructions for hand hygiene are made visible for every health care worker
Q19.e. Clear and simple instructions for hand hygiene are made visible for every health-care worker
slide40
Q20. What importance does the head of your department attach to the fact that you perform optimal hand hygiene?
q21 what importance do your colleagues attach to the fact that you perform optimal hand hygiene
Q21. What importance do your colleagues attach to the fact that you perform optimal hand hygiene?
slide43
Q23. How do you consider the effort required by you to perform good hand hygiene when caring for patients?
slide44

Q24. On average, in what percentage of situations requiring hand hygiene do you actually perform hand hygiene, either by handrubbing or handwashing?

Percentage of situations where you perform hand hygiene when required

conclusions and recommended actions45

Conclusions and recommended actions:

To be inserted locally.

© World Health Organization 2009. All rights reserved.

results of the perception survey for senior managers

Results of the Perception Survey for Senior Managers

(Name of facility)

© World Health Organization 2009. All rights reserved.

methods47
Methods
  • Distribution of the WHO “Perception Survey for Health-Care Workers" to health-care workers in identified clinical settings
  • Data entry and analysis using the Data Entry Analysis Tools
  • Use of this presentation to provide feedback
q5 participants characteristics
Q5. Participants’ characteristics
  • Total number of participants:
  • Gender:
    • Female: (%)
    • Male: (%)
q6 8 participants characteristics
Q6–8. Participants’ characteristics
  • Time spent in current position:
  • Time spent in present institution:
  • Current position(s):
    • Director: (%)
    • Head nurse: (%)
    • Head physician: (%)
    • Hospital administrator: (%)
q9 10 hand hygiene campaign and availability of alcohol based handrub
Q9–10. Hand hygiene campaign and availability of alcohol-based handrub
  • Have you had any previous experience of a hand hygiene campaign: number (%)
  • Is an alcohol-based formulation available for hand hygiene at your facility: number (%)
slide51
Q11. In your opinion, what is the average percentage of hospitalised patients who will develop a health care-associated infection?

Percentage of hospitalized patients developing a HCAI

slide52
Q12. In general, what is the impact of a health care-associated infection on patient's clinical outcome?
  • Very low: (%)
  • Low: (%)
  • High: (%)
  • Very high: (%)
slide53
Q13. In general, what is the impact of a health care-associated infection on the facility expenditures?
  • Very low: (%)
  • Low: (%)
  • High: (%)
  • Very high: (%)
q14 what is the effectiveness of hand hygiene in preventing health care associated infection
Q14. What is the effectiveness of hand hygiene in preventing health care-associated infection?
  • Very low: (%)
  • Low: (%)
  • High: (%)
  • Very high: (%)
slide55
Q15. Among all patient safety issues, how important is hand hygiene within your management priorities at your institution?
  • Low priority: (%)
  • Moderate priority: (%)
  • High priority: (%)
  • Very high priority: (%)
slide56

Q16. On average, in what percentage of situations requiring hand hygiene do health-care workers in your facility actually perform hand hygiene?

Percentage of situations where health-care workers perform hand hygiene when required

q17 are senior nurses and doctors good examples for the promotion of hand hygiene at your facility
Q17. Are senior nurses and doctors good examples for the promotion of hand hygiene at your facility?
slide58
Q18. Is it common practice to inform patients about the importance of optimal hand hygiene during health-care delivery at your facility?
  • Yes: number (%)
  • No: number (%)
slide59

Q19. How do you consider the effort required by health-care workers to perform good hand hygiene when caring for patients at your facility?

slide60
Q20. How do health-care workers perceive your request to perform optimal hand hygiene during patient care at your facility?
slide61

Q21. In your opinion, how effective would the following actions be to increase hand hygiene permanently in your facility?

© World Health Organization 2009. All rights reserved.

slide62
Q21.a. Leaders and senior executive managers (you) at your facility support and openly promote hand hygiene
q21 e clear and simple instructions for hand hygiene are made visible for every health care worker
Q21.e. Clear and simple instructions for hand hygiene are made visible for every health-care worker
q21 g senior nurses and doctors perform hand hygiene perfectly being a good example
Q21.g. Senior nurses and doctors perform hand hygiene perfectly (being a good example…)
conclusions and recommended actions70

Conclusions and recommended actions

To be inserted locally.

© World Health Organization 2009. All rights reserved.

results of the hand hygiene observation survey

Results of the Hand Hygiene Observation Survey

(Name of facility)

© World Health Organization 2009. All rights reserved.

methodology of observation
Direct observation of hand hygiene practices in identified clinical settings

One (or two) trained and validated observer(s) observe health-care workers’ hand hygiene practices at the point-of-care

Professional categories to be observed: nurse, midwife, auxiliary nurse, medical doctor, therapist, technician, any other health-related professional involved in patient care

The observer conducts observations openly, but the identities of the health-care workers are kept confidential

Each observation session lasts approx 20 min

Compliance against WHO’s “5 Moments for Hand Hygiene” (indications) is detected: before patient contact, before an aseptic task, after body fluid exposure risk, after patient contact and after contact with patient surroundings

Compliance is recorded against the opportunities for hand hygiene that occurred

Handrubbing with alcohol-based handrub and handwashing practices are also recorded

Methodology of observation
methods for data collation and presentation

Hand hygiene actions performed

Hand hygiene actions required(hand hygiene opportunities)

Compliance=

Methods for data collation and presentation
  • Data entering and analysis using the Data Entry Analysis Tool
  • Calculation of compliance:
  • Use of this presentation to provide feedback
observations results
Observations: Results
  • name of facility
  • department
  • x opportunities
  • x sessions
  • x hours/mins
  • compliance x%
handrubbing vs handwashing
Handrubbing vs. handwashing

Handwashing

Handrubbing

conclusions and recommendation actions

Conclusions and recommendation actions:

To be inserted locally.

© World Health Organization 2009. All rights reserved.

slide83

The following 5 slides are examples of how to present results from the evaluation surveys at different moments in time as indicated by the variable Period Number (generated by Epi Info). This applies to the comparison of baseline and follow-up measurements produced by using the surveys multiple times.

© World Health Organization 2009. All rights reserved.

q8 9 of knowledge survey characteristics of respondents comparison of two periods
Q8-9. – of knowledge survey ("Characteristics of respondents"): comparison of two periods
slide86

Q20. - of the knowledge survey (Percentage of correct answers to question – "Which type of hand hygiene method is required in the following situations?"): comparison of two periods (period X and period Y)

slide87

Q19.a. - of the perception survey ("Leaders and senior managers at your institution support and openly promote hand hygiene"): comparison of two periods

slide89

Find out more about why all of these elements are important for improving and sustaining hand hygiene in the WHO Guidelines on Hand Hygiene in Health Care (2009) and in other implementation toolswww.who.int/gpsc

© World Health Organization 2009. All rights reserved.