Healthcare Associated Infections: educational intervention by "Adult Learning" in an Italian teaching hospital.

• DOI: 10.7416/ai.2016.2126
• Publication Date: 2016-11-16
• Authors: A Rinaldi; Alessandra Marani; M Montesano; S Berdini; Petruccioli Mc; Di Ninno F; Riccardo Orioli; Filippo Ferretti; G Tarsitani; Christian Napoli; Assunta De Luca; Orsi Gb
• Keywords: Economic shortage; Prioritization; Health Professionals

An educational intervention for HAI prevention based on a combination of training, motivation and subsequent application in the current clinical practice an Italian teaching hospital.In 2015-2016 pilot mandatory training targeted to HCWs was organized 450 bed hospital Sant'Andrea Rome. By adopting "Impact/control matrix" prioritization tool, relative level impact (risk causing or favoring HAI) control (possibility prevent attributed by participants issues associated during their working groups evaluated.Overall, 34 physicians, 43 nurses 15 non professionals participated actively seven courses, identifying 58 different related HAI, which were reported 128 times. Results showed frequently that, within same type issue, HCW referred various levels personal HAI). Overall staff shortage most problem our hospital. Also hand washing regarded as main problem, but expressed feeling that individuals could act more successfully this issue (high medium control). did not know how handle correctly visitors, similarly many colleagues some difficulty communicating information patients relatives HAI. Surprisingly, "antimicrobial therapy" "excessive invasive procedures" particularly highlighted personnel. satisfaction course approac.The study overall good knowledge regarding importance principles infection HCW. However personnel perceived variability even possibility effect. In order improve compliance with programs, "Adult Learning" model seems be very useful.