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- Baseline hand observation audits were compiled and repeated every 3 months.
There is a need for more reliability assessments of direct observation audits of park characteristics.
- Evaluation and feedback -Assessed staffs perception of hand hygiene – thru focused groups and surveys, Hand hygiene focused observation audits were completed prior to initiating the project and post implementation, Completed environmental Infection control audits to supplement infection control processes overall.
Assessment methods involving simulated patients, video observation, audits of clinical records, critical incident analysis and multisource feedback are all suggested, but these approaches involve subjective judgements and lack adequate psychometric evaluation [ 2, 4- 7].
- Training / Education -Family, Patients, staff, visitors, and outside contractors were trained on the moments of hand hygiene and correct procedures for hand rubbing and hand washing, Trained staff to complete hand hygiene observation audits, Staff reviews utilization of gloves, All staff watched a hand hygiene video.
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A wide variety of techniques to gather data have been used singly or in combinations, including questionnaires, interviews, observation, audit and using routinely collected data.
Phase II comprised intervention development, implementation and evaluation of tool feasibility and effects using staff survey, observation, audit of records and relative survey.
To collect additional qualitative information on the natural environment and on other physical and social features, systematic observations (audits) are conducted by trained researchers in selected neighbourhoods in the four case cities using the same methods.
Focus groups, participant observations, audit documents and individual interviews were separately analysed.
Professionals' perceptions were evaluated by means of focus-group discussions; participant observations of audit meetings; audit documents (data collection forms, audit report forms, minutes and lists of attendance at meetings); and interviews with staff of the maternity unit (Table 2).
Observation and audits on adherence to infection control practices yielded numerous targets for improvement such as disposing of disposables, cleaning procedures, storage, dress code and hand hygiene.
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