The Application Study On The Effect Of Quality Control Circle In Improving The Medical Staff Hand Hygiene Compliance

Objective：To provide a basis for hand hygiene management in primary hospitals and to improve handhygiene, which are enforced to reduce hospital infection and to ensure patients’ safety by studying thepresent cognition situations and factors of hand hygiene from the certain grade-three ge neral hospitals ofXinjiang construction corps. To explore the effect of quality control circle in improving the medical staffhand hygiene compliance, to reduce hospital infection rates and to ensure the safety of health careenvironment.Methods：By using the stratified cluster sampling method, the self made《Medical staff hand hygieneawareness questionnaire》of investigation and analysis were used for the representative department staffs inthe hospital. By conducting quality control circle activities, medical staff hand hygiene compliancedepartment had improved to28.08%from12.23%which gave an increment being up to19.40%towardsthe target value; Medical staffs have larger ascensions in the understanding of the quality improvementmethods, confidence, communication and coordination ability， problem-solving ability, team cohesion,etc.Results：The full mark for this survey is14points, and the average is13.64±1.01points. The female has ahigher level of awareness of knowledge associated with hand hygiene than the male, the difference hassignificantly statistical meanings (x2=5.699, P=0.017, P<0.05); The levels of awareness of hand hygieneknowledge in different departments were not all the same（χ2=16.1,P=0.003,P<0.05). The awareness inICU staff was highest (93.8%).While the awareness in outpatient department is lowest (72.3%). The levelsof awareness in the other departments were80%. There were statistical differences in awareness ofknowledge associated with hand hygiene in the medical staff with different degrees（χ2=9.4,P=0.025,P<0.05）.The awareness in staff with master degree and above was highest(86.3%). Theawareness in staff with bachelor degree was lowest(77.7%). The frequency of hand hygiene should beexecuted were2506times but the actual frequency of executed hand hygiene was467which results anexecution rate of18.64%.ICU hand hygiene compliance was best with the execution rate was39%.Nextwere staffs in department of hepatobiliary surgery, respiration medicined and anesthesia department, withthe execution rates of26.32%、20.69%、20%respectively. Pediatric nurses hand hygiene compliance wasworst and their execution rate was only4.76%. The execution rate in the emergency department was lessthan10%meanwhile the execution rates in the rest of the departments were around15%.For the influentialfactors which influence medical staffs hand hygiene execution,58.6%of people admit detergent andsanitizer could excite hand skins and dry skin. All in all,92.1%of the medical staffs admit that a betterquick-drying hand disinfectant can reduce skin hurt and improve hand hygiene compliance.Conclusions: The cognition degrees of hand hygiene on medical personnel were high, but theimplementation rate of hand-washing was low. Continuous quality improvement through qualitymanagement circle activity can effectively improve the medical staffs’ hand hygiene awareness and compliance. We should also strengthen supervision and training of hand hygiene execution, improvefacilities of hand hygiene, and institute management methods with rewards and punishments incombination to improve hand hygiene compliance.