Clean Care is Safer Care

The World Health Organizations' First Global Patient Safety Challenge 'Clean Care is Safer Care"

Issue 10

Welcome to the revised and bi-monthly news bulletin of the First Global Patient Safety Challenge. Every two months the WHO World Alliance for Patient Safety will issue a news bulletin on the First Global Patient Safety Challenge, Clean Care is Safer Care, to key stakeholders, sharing news and developments.

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Patient participation in hand hygiene improvement:

Patient participation in hand hygiene improvement strategies is one of the 9 recommendations of the WHO Guidelines on Hand Hygiene in Health Care. In an effort to explore more deeply how such an approach can add value across all WHO regions we are undertaking a survey of patient perspectives. The web-based survey is in two phases.

For anyone with experience as a patient in a health care system, you are invited to complete the current survey. The survey is available in:

The phase 2 survey runs until the 31st January 2008.

National Hand Hygiene Campaigns on the increase

We are currently aware of over twenty countries running national hand hygiene improvement campaigns. In August, representatives from many of these countries convened in Geneva for the first meeting of campaigning nations.

Eighty countries/special autonomous regions pledge to tackle HAI

Since the previous bulletin, the number of countries to make a national ministerial pledge to tackle health care-associated infection has now reached 80, with the most recent events taking place in Africa, China, Colombia, Jordan, Norway, Pakistan, Qatar, and Uruguay.

AFRO regional workshop

The "First Awareness Raising Workshop on Patient Safety Issues in the African Region" saw delegates from 20 countries (Rwanda, Botswana, Zambia, Zimbabwe, Mozambique, Angola, Swaziland, Lesotho, Malawi, Uganda, Kenya, Tanzania, Gambia, Nigeria, Liberia, Sierra Leone, Eritrea, Ethiopia, Namibia, Seychelles and Mauritius) participating.

The minister of health, Rwanda, signed a statement of commitment to the First Global Patient Safety Challenge.

My Five Moments for Hand Hygiene

A new and exciting concept in hand hygiene improvement has been developed by the WHO team and the University Hospitals of Geneva. Developed around a user-centred design approach incorporating strategies of human factors engineering, cognitive behaviour science and elements of social marketing, the Five Moments approach is central to the WHO multifaceted hand hygiene improvement strategy. "My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene” was published in the Journal of Hospital Infection, September 2007.

Pilot sites start active phase of implementation

November saw the official launch of Step 3 of the Five-Step Implementation Strategy at the National Children’s Hospital, San Jose, Costa Rica. With the combined efforts of the local coordinator, Dr Orlando Urroz, all of the pilot implementation team in the hospital and the Regional Patient Safety Focal Point (PAHO Washington), the event was a huge success.

IFIC 2007

In October, the Eighth Congress of the International Federation of Infection Control took place in Budapest, Hungary. The Congress demonstrated the support of IFIC for the First Global Patient Safety Challenge, and has resulted in a strengthening of the partnership. The IFIC Special Interest Group on Hand hygiene held their first meeting in Budapest.

Other news in brief

Guidelines finalization

The WHO Guidelines on Hand Hygiene in Health Care (Advanced Draft) were issued in 2006. As the pilot and Complementary Test Site results are received, each chapter will be reviewed and updated. Authors of the guidelines will review evidence which has emerged since publication, to ensure the final version is up to date and relevant. A final version is anticipated towards the end of 2008. The News Bulletin will keep you updated on progress