Francois M, Girard R, Mauranne CC, Ruffion A, Terrier JE. [Integrate the surgical hand disinfection as a quality indicator in an operating room of urology].
Prog Urol 2017;
27:1015-1019. [PMID:
28947339 DOI:
10.1016/j.purol.2017.08.009]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 08/28/2017] [Accepted: 08/29/2017] [Indexed: 11/29/2022]
Abstract
The surgical hand disinfection by friction (SDF) helps to reduce the risk of surgical site infections. For this purpose and in order to promote good compliance to quality care, the urology service of Centre Hospitalier Lyon Sud achieved a continuous internal audit to improve the quality of the SDF.
METHODS
An internal audit executed by the medical students of urology was established in 2013. The study population was all operators, instrumentalists and operating aids of urology operating room (OR). Each student realized 5-10 random observations, of all types of professionals. The criteria measured by the audit were criteria for friction.
RESULTS
The evolution of indicators was positive. Particularly, the increasing duration of the first and second friction was statistically significant during follow-up (P=0.001). The total duration of friction shows a similar trend for all professionals.
CONCLUSION
The surgical hand disinfection by friction in the urology OR of the Centre Hospitalier Lyon Sud has gradually improved over the iterative audits.
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