National Center of Public Health and Analyses
|Originally developed by:||Ordinance № 39 of 26 August 2010|
|Country of origin:||WHO, Guideline Hand Hygiene, May 2009, http://www.who.int/gpsc/5may/tools/en|
|Year of development:||2000 (Bulgarian -Swiss program), WHO strategy (2000); 2009|
|Next update:||Periodic update|
|Available in the following languages:||English,
|Reason for not fulfilling the requirements:||WHO translation|
Type of tool: tool for training and education, tool for evaluation and feedback, tool for reminding staff in the workplace, tool for promotion of a safety culture, tool for information of patients and relatives
The main objective of the program is to improve the quality and safety of medical care by reducing the incidence of nosocomial infections and to limit the spread of antimicrobial resistance.
Hygienic hand disinfection of medical and support staff are given before and after any medical treatment, after removing gloves, before and after each contact with patient. In the HBV, HIV, Herpes hands are washed thoroughly for 1 min. Performed by rubbing 3 ml. Undiluted disinfectant from SKINMAN SOFT on dry hands, by the process of the 6-steps CEN/EN 1500, for at least 30 seconds (attached to the questionnaire).
Medical and paramedical staff
Applicability (setting e.g. inpatient care, outpatient care, long term care etc.)
Information on how the tool has been applied/tested in practice
Diary for nosocomial infection with daily reporting, internal and external audits of hand disinfection personnel, microbiology, continuous reports nosocomial infection by Regional Health Inspection.
The program to be drawn up by / created by order of the Director of the hospital
Diary of nosocomial infections with daily reporting, internal and external audits of hand disinfection personnel microbiology, continuous reports nosocomial infection to Committee for IHI (in-hospital infection diary) and approved by him.
Control of the implementation is done at the hospital from chief of nurses in hospital, hospital epidemiologist and medical care in a hospital (with specialization in hospital hygiene). External control is executed by the Regional Health Inspection.
About patient safety issues while guaranteeing consideration of hand hygiene improvement as a high priority at all levels, including: active participation at both the institutional and individual levels; awareness of individual and institutional capacity to change and improve (self – efficacy) and parthership with patients and patient organisations depending on cultural issues and the resources available.