Implementation of Quality Assurance to Reduce Hospital Acquired Infection AN Applied Study on Emergency and Accidents Hospital, Omdurman Military Corporation

Abstract

Infection prevention and control measures aim to ensure the protection of those who might be susceptible to acquiring an infection both in the general community and while receiving care due to health problems. This cross-sectional hospital-based study was conducted at emergency and accidents Hospital, Omdurman Military Corporation, Khartoum State during the period from January to March 2018 aiming to assess Impact of implementation of Quality assurance in reducing hospital acquired infection . Sample size of this study consisted of 80. Data was collected using a questionnaire designed for the study. Data was analysed using statistical package for Social Sciences (SPSS). The study revealed that the majority of respondents (86%) did not attend any training programs regarding infection control. Posters concerning with the infection control were mostly unavailable (57.5%) posters to the hands washing (76.3%) is available in their sections. The study revealed that the 87.5% of sample size responded with correct answers regarding washing hands at any nursing Intervention from patient to another, 90% answer correctly regarding hand washing as the best procedure of infection control, 92% knew that Hands should be washed whenever touch different body fluid and after checking of any vital sign , Only 40% of the study sample responded with correct answers regarding the time of routine hand washing and the time of alcoholic hand rub. Results showed that knowledge of sample size regarding medical waste disposal was inadequate regarding disposal of medical waste in red bags and quantity of non medical waste in hospitals (%40). 80% responded with correct answers regarding disposing protection equipment after nursing intervention and types of protection equipment, 75% causes for wearing protection equipments. Knowledge of respondents regarding safe injection was adequate specially regarding frequencies of using syringes (100%),. It can be concluded that lack of adequate training for health workers, lack of regular follow-up and lack of educational tools and posters resulted in inadequate knowledge regarding infection control program items such as hand washing, medical waste disposal and isolation. The study recommended availability of educational tools and equipments such as posters panes and leaflets concerning with different items of infection control guidelines such as hand washing and medical waste disposal, conducting of special training sessions in emergency hospitals for medical staff and establishing of special unit in every hospital concerning with training and evaluation of implementation of infection control programs.