Das Hygiene-Ranking der Frankfurter Altenpflegeheime - Konzept und erste Erfahrungen

Abstract

Public health departments are obliged by law to survey hygienic procedures and condition in residential homes for the aged. Based on the annual hygiene control visits, a standardised hygiene ranking was established with the aggregation of more than 60 detailed single observations in the following fields: building, organisation, training of the staff, actual hygiene situation, repeated deficits, food and kitchen hygiene, and drinking water. This hygiene ranking enables not only intra-institutional comparisons in different years but also the comparison between different homes. The data obtained in 2004 to 2006 demonstrated that this method was very well accepted by the institutions and was readily appreciated as a tool for external quality assessment.

Prevention and control of catheter-associated urinary tract infections – implementation of the recommendations of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) in nursing homes for the elderly in Frankfurt am Main, Germany

“…In the 1990s, the focus was mainly on structures and hygiene deficiencies [ 13 ]. In 2004, a standardized ranking for nursing homes was developed and the supervision of the facilities was adapted accordingly [ 14 ]. Besides centering attention on structures, the public health office has in recent years also determined specific topics which have been in focus: in 2011 and 2012, the structure, process, and result quality of cleaning procedures was inspected [ 15 ], and in 2015, the handling of indwelling urinary catheters was chosen as priority.…”

Multiresistant pathogens in geriatric nursing – infection control in residential facilities for geriatric nursing in Germany

“…For example, the studies performed by the Frankfurt am Main Health Office should be mentioned. The experience from these studies and the results on hygiene monitoring in geriatric nursing facilities have been published and are continuously updated [ 14 ], [ 15 ], [ 16 ]. In addition, Hansen et al [ 17 ] have studied the hygienic problems of dealing with laundry and rubbish.…”

The role of surface disinfection in infection prevention

“…Audits in the UK can be carried out by domestic services managers or by independent teams, sometimes including members of the public. Generally, feedback about the compliance and efficacy of disinfection regimens leads to significant improvements in performance [57], [58]. …”