Authors (including presenting author) :
Lam MW(1), Chan SY(1), Wong KC(1), Wong YT(1)
Affiliation :
(1) Department of Neurosurgery, Princess Margaret Hospital
Introduction :
As neurosurgical patients are prone to acquire MRSA and MDRO and staff behaviors are key contributors to hospital-acquired infection (HAI), a series of intervention had been implemented to reduce HAI by changing staff behavior in Department of Neurosurgery, PMH since September, 2020.
Objectives :
To enhance staff hand hygiene compliance and minimize hospital-acquired MRSA/ MDRO infection.
Methodology :
Interventions were mainly focused on staff hand hygiene behavior and infection control behavior through empowering staff to monitor, teach and correct infection control practices in the unit. Enhanced measures included adoption of antimicrobial curtain, use of dedicated equipment, promotion of hand hygiene, enhanced cleansing schedule and strategies on improving patient hygiene. To ensure staff compliance to improvement measures, infection control leaders were assigned in each shift of duty. Malpractice and wrong concepts can be stopped and rectified by immediate prompts. Through reminder and encouragement, staff awareness on infection control had been raised. Nurses were motivated to perform better as role models for new-comers and supporting staff.
Result & Outcome :
With positive staff behavioral change, staff hand hygiene compliance improved from 77.43% in 2020 to 94.3% in 2021. Number of hospital-acquired MRSA/ MDRO had 70% significant reduction in 2021, compared with previous two years.
