Best practice, Systematic review
In May 2004 the Fifty Seventh World Health Assembly approved the creation of an international alliance to improve patient safety as a global initiative and the ‘World Health Alliance for Patient Safety’ was launched in October 2004. ‘The Global Patient Safety Challenge’ a core element of the Alliance has chosen healthcare associated infection as the first Challenge and a key action within this is to promote hand hygiene in healthcare globally as well as at country level. To provide healthcare workers and supporting managers with the best scientific evidence and recommendations to improve practices and reduce healthcare associated infections WHO has developed this document (advanced draft) prepared with the help of more than a 100 international experts and are in testing and implementation phases in different parts of the world. The document outlines: - · The problems of healthcare associated infection worldwide, the economic burden and interventions that are available but not used. · The solutions, overcoming potential barriers and information to support training material and plan implementation strategies · Recommendations which include o When to clean hands, Hand hygiene techniques, selection of hand hygiene agents, use of gloves, motivational programmes and government and institutional responsibilities. · The benefits of improved hand hygiene o Helping to reduce HCAI and cost effectiveness · Implementation strategies to achieve maximum dissemination of the guidelines and to impact on the burden of disease The main goal of the pilot phase is to ensure the feasibility of the Challenge overall and to learn practical lessons in real field situations. The pilot phase results will be reviewed and final version of the document will reflect this analysis. The Alliance is also focusing its actions on the following areas; Patients for Patient Safety; Taxonomy; Research; Solutions for Patient Safety; and Reporting and Learning.