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医疗机构合规 14 项

Hand Hygiene Direct Observation Audit

此检查清单为英文版。

Direct-observation tool for auditing hand hygiene compliance across the WHO Five Moments, including technique, product use, and glove practices.

WHO Five Moments for Hand HygieneCDC Hand Hygiene GuidelineTJC NPSG.07.01.01

免费 PDF 或 Word · 输入邮箱即可下载。

WHO Five Moments

  • Was hand hygiene performed BEFORE touching a patient? *
  • Was hand hygiene performed BEFORE a clean/aseptic procedure? *
  • Was hand hygiene performed AFTER body fluid exposure risk? *
  • Was hand hygiene performed AFTER touching a patient? *
  • Was hand hygiene performed AFTER touching patient surroundings? *

Technique & Product

  • Was alcohol-based hand rub used for at least the manufacturer-specified contact time and full coverage? *
  • Was soap and water used when hands were visibly soiled or after C. difficile/norovirus contact? *
  • Were fingernails kept short and artificial nails avoided by staff with direct patient contact? *

Glove Use & Program

  • Were gloves removed and hand hygiene performed between patients (gloves not a substitute for hand hygiene)? *
  • Are trained observers using a standardized, non-punitive observation tool? *
  • Is compliance data aggregated and fed back to units with improvement goals? *

Access & Infrastructure

  • Are alcohol-based hand rub dispensers accessible at the point of care and at room entrances? *
  • Are dispensers monitored for function and refilled promptly when empty? *
  • Is a skin-care program available to reduce dermatitis that discourages hand hygiene?

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