A simple national indicator, based on WHO(1) recommendations, has been developed in many countries. In France, it is called "IcSHA".
IcSHA Indicator for consumption of Hydro-Alcoholic Solutions
IcSHA has many different names in most countries worldwide. It is used to evaluate the performance of a hospital or clinic. The indicator is based on the volume of HAS(2) ordered, paid for and delivered to major hospital sectors. This volume is calculated according to a simple rule: estimated number of frictions per day per patient.
Weakness n°1? It does not record HAS consumption, neither generally nor close to patients. Weakness n°2? It is an annual administrative indicator, the quality of which depends on the sufficient delivery of HAS, even at the very end of the year. Consequence: the IPC(3) team must juggle irrelevant indicators with a need for real improvement in the field, without being able to correlate both.
Thus, increased HAS consumption is not always associated with improved hand hygiene. Multi-annual programmes to control healthcare-associated infections(4) provide guidance but do not provide a binding framework for compliance with the disinfection protocols recommended by the WHO.
This lack of means and measures report, facing a real issue of poor hand disinfection, and associated with a quantitative global consumption of HAS, should encourage to develop resources and methodologies for hand hygiene measures that could ensure their durability in compliance with WHO required protocols.
The solution is in the automated, continuous and real-time monitoring provided by the connected MediHandTrace solutions.
(1) WHO: World Health Organisation
(2) HAS: Hydro-Alcoholic Solution
(3) IPC: Infection and Prevention Control
(4) PROPIAS (France)