2025年全国1 248所医疗机构医务人员诊疗过程手卫生监测报告OA

Objective To investigate the current status of hand hygiene compliance and correct performance among healthcare workers in China,thereby providing comprehensive evidence for the continuous improvement of hand hygiene in medical institutions nationwide and a basis for relevant policy-making.Methods A direct observa-tional survey was conducted at each participating institution.Uniformly trained observers performed on-site obser-vations of antiseptic handrubbing and handwashing practices among healthcare workers in general intensive care unit(ICU),respiratory departments(groups),orthopedics departments,infectious diseases departments(groups),pediatric outpatient and emergency departments,hemodialysis units(centers)and operating departments(rooms).Data on the actual number of open beds in participating medical institutions,workload of each department,and consumption of hand-hygiene supplies were collected.Differences in hand hygiene compliance rate,correct performance rate,and hand hygiene supply consumption among groups were compared.Results A total of 1 248 medical insti-tutions completed the survey according to the protocol.For antiseptic handrubbing and handwashing,711 094 hand hygiene opportunities were observed;hand hygiene was performed on 619 483 occasions,yielding a compliance rate of 87.12％,and was performed correctly on 552 896 occasions,yielding a correct performance rate of 89.25％.For surgical hand antisepsis,107 872 opportunities were observed;107 489 actions were performed,yielding a compliance rate of 99.64％,and 91 775 were performed correctly,yielding a correct performance rate of 85.38％.Among medical institutions of different sizes,those with ≥900 open beds had the lowest compliance rate(84.82％)and correct performance rate(88.51％)for antiseptic handrubbing and handwashing.Across departments,general ICUs had the highest compliance rate(88.87％),whereas orthopedics departments had the lowest(85.84％);hemodialysis units(centers)had the highest correct performance rate(90.20％),whereas respiratory departments(groups)had the lowest(88.52％).Among hand hygiene moments,both compliance(78.55％)and correct performance(87.92％)were lowest after touching patient surroundings.Among indications for surgical hand anti-sepsis,compliance was lowest after glove damage or hand contamination(99.38％),whereas correct performance was lowest before surgical procedures(84.04％).The consumption of hand hygiene supplies in general ICUs,respiratory departments(groups),orthopedics departments,and infectious diseases departments(groups)was 79.64,12.06,10.96,and 19.98 mL/bed-day,respectively.The consumption was 2.87 mL/patient visit in the pediatric outpatient and emergency departments,11.12 mL/session in hemodialysis units(centers),and 63.02 mL/surgical procedure in operating departments(rooms).Significant differences in hand hygiene supply consumption were observed across medical institutions of different sizes for the surveyed departments.Overall,most departments in large medical institutions with ≥900 open beds consumed more hand hygiene supplies than their counterparts in institutions of other sizes.Conclusion The overall hand hygiene performance was good in this survey.Compliance rate with surgical hand antisepsis was higher than that with antiseptic handrubbing and handwashing,whereas its correct performance rate was slightly lower.Hand hygiene compliance varied significantly across medical institutions of different sizes,departments,and hand hygiene moments.Large medical institutions,orthopedics departments,the moment after touching patient surroundings,and surgical hand antisepsis before surgery should be prioritized for strengthened supervision.Hand hygiene supply consumption varied considerably among departments,with the highest consumption reported in general ICUs and operating departments(rooms).Large medical institu-tions generally consumed more supplies than institutions of other sizes.Marked imbalances remained in hand hygiene management,and targeted corrective measures should be prioritized to improve management effectiveness.