Standardized, App-Based Disinfection of iPads in a Clinical and Nonclinical Setting: Comparative Analysis

Albrecht, Urs‐Vito; Jan, Ute von; Sedlacek, Ludwig; Groos, Stephanie; Suerbaum, Sebastian; Vonberg, Ralf‐Peter

doi:10.2196/jmir.2643

Cited by 39 publications

(28 citation statements)

References 34 publications

(39 reference statements)

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“…At this time, we will encourage our students to use isopropanol alcohol wipes daily on used devices which have been shown to substantially decrease the bacterial load acquired from use in patient care. 14 …”

Section: Discussionmentioning

confidence: 99%

Ipad Usage and Impact on Pediatric Medical Students’ Learning and Patient Care

Riss¹,

Manguvo²,

Quaintance³

et al. 2016

JournalMTM

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Background and Aims: The advent of mobile technologies has stimulated an academic shift in medical education from traditional methods to mobile teaching and learning. This study investigated medical students' current and anticipated iPad usage as well as perceived impact of iPads on their learning and patient care. The ultimate purpose of the inquiry was to improve future implementation processes.Methods: Twenty-three iPads were loaded with applications including Cerner Citrix Receiver, question banks, review texts, DynaMed, and the iTunes U application that contained clerkship curriculum. Fifty-eight students used the iPads during a Pediatrics rotation and filled out a survey upon completion. Descriptive statistics were generated from quantitative responses while thematic analysis was used to summarize ideas from qualitative responses. An exploratory mixed methods approach was used to integrate qualitative and quantitative findings. T-tests were used to determine differential usage as a function of prior iPad ownership and experience.Results and Conclusions: Students variably used iPads to access question banks, didactics and review texts, conduct internet searches, and monitor patient information. IPads were most used compared to other electronic and print sources with cited advantages of portability, convenience, instant accessibility, enhancement of professional conduct, and time management. Respondents proposed other areas in which iPads could be used in the rotation. This highlighted the need to expand our iPad initiative to cover other aspects of learning. Given that prior iPad ownership and experience did not determine differences in usage, the observed variability in iPad usage suggests mere diversity of baseline needs.

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Section: Discussionmentioning

confidence: 99%

Ipad Usage and Impact on Pediatric Medical Students’ Learning and Patient Care

Riss¹,

Manguvo²,

Quaintance³

et al. 2016

JournalMTM

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“…However, in the agar contact method each CASO agar and nutrient agar culture plate may contact an average area of 22-25cm 2 . However, mobile phones/devices of larger size cannot achieve full contact on the culture plate, thus cfu/cm 2 cannot be calculated in the cultured surfaces [8,13]. One objective of the present study was to determine the microbial load on phones/devices.…”

Section: Discussionmentioning

confidence: 99%

“…Larger equipment harbours a higher microbial load and the frequent use of these devices in hospital information systems is crucial to limit the spread of hospital infections. Tablet PC (and larger mobile device) hygiene has garnered attention, and disinfection methods and standardization protocols have been published [13,22,23]. Over time, more detailed research into mobile device infection control methods is expected to facilitate the development of guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, TMPs/Ds are increasingly used in hospitals, and are used more often by their owners than KMPs [8,12]. Many of these devices have a touch-screen with a single smooth surface as opposed to a keypad with separate buttons and numerous crevices [8,13]. In addition, with the rapid development of hospital information system technologies, the utilization of wireless networks and mobile touch-screen devices such as tablet Personal Computers (tablet PCs) is becoming common in clinical settings by HCWs [13].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of keypads and touch-screen mobile phones/devices as potential risk for microbial contamination

Köroğlu

Günal

Yıldız

et al. 2015

J Infect Dev Ctries

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Introduction: Touch-screen mobile phones/devices (TMPs/Ds) are increasingly used in hospitals. They may act as a mobile reservoir for microbial pathogens. The rates of microbial contamination of TMPs/Ds and keypad mobile phones (KMPs) with respect to different variables including use by healthcare workers (HCWs)/non-HCWs and the demographic characteristics of users were investigated. Methodology: A total of 205 mobile phones/devices were screened for microbial contamination: 76 devices belonged to HCWs and 129 devices belonged to the non-HCW group. By rubbing swabs to front screen, back, keypad, and metallic surfaces of devices, 444 samples were collected. Results: Of 205 mobile phones/devices, 143 (97.9%) of the TMPs/Ds and 58 (98.3%) of the KMPs were positive for microbial contamination, and there were no significant differences in contamination rates between these groups, although TMPs/Ds had significantly higher microbial load than KMPs (p <0.05). The significant difference in this analysis was attributable to the screen size of mobile phones ≥ 5". Microbial contamination rates increased significantly as phone size increased (p <0.05). Higher numbers of coagulase-negative Staphylococci (CNS) were isolated from KMPs than TMPs/Ds (p = 0.049). The incidence of Enterococcus spp. was higher on the KMPs of HCWs, and methicillin resistant CNS was higher from the TMPs/Ds of non-HCWs (p <0.05). Isolation of CNS, Streptococcus spp. and Escherichia coli was higher from the TMPs/Ds of HCWs (p <0.05). Conclusions: We found no significant difference between TMP/Ds and KMPs in terms of microbial contamination, but TMP/Ds harboured more colonies and total microbial counts increased with screen size.

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“…In a previously published study, we were able to show that a standardized disinfection procedure with isopropanol wipes as it can be performed aided by deBac can significantly reduce the microbiological load in medical as well as non-medical settings [6]. Since this initial study, we received many requests by other clinical centers who voiced an interest in using deBac for devices deployed at their centres and we are currently in the process of preparing a preparing a larger scale multicenter trial with some of these newfound partners.…”

Section: Objectivementioning

confidence: 95%

Track R

Seidel¹,

Liebl²,

Lauer³

et al. 2014

Biomedical Engineering / Biomedizinische Technik

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I n t r o d u c t i o n S i n c e 2 0 0 0 t h e a mo u n t o f s e r i o u s i n c i d e n t s r e l a t e d t o t h e a p p l i c a t i o n o f me d i c a l d e v i c e s r e p o r t e d t o t h e F e d e r a l I n s t i t u t e f o r Dr u g s a n d Me d i c a l De v i c e s ( Bf ArM) i s c o n s t a n t l y i n c r e a s i n g i n n u mb e r s ( i n 2 0 1 3 a p p r o x . 8 0 0 0 r e p o r t s ) . T h i s d e v e l o p me n t i n c o mb i n a t i o n wi t h i n c r e a s i n g c o mp l e x i t y o f me d i c a l d e v i c e s l e a d s t o i n c r e a s e d c h a l l e n g e s r e g a r d i n g e a r l y a n d r e l i a b l e r i s k i d e n t i 0 c a t i o n a n d a s s e s s me n t . He r e mo d e r n i n f o r ma t i o n t e c h n o l o g y p r o v i d e s s u p p o r t t o t h e a n a l y s i s o f r o o t c a u s e s a n d t h e d e t e c t i o n o f p a t t e r n s r e l a t e d t o s y s t e ma t i c d e v i c e f a i l u r e s . Me t h o d sR a t h e r t h a n h a v i n g a s t a n d a r d s t a t i c v i e w o n t h e d a t a we a r e c u r r e n t l y d e v e l o p i n g a p p r o a c h e s t o wa r d s a d y n a mi c p r e s e n t a t i o n o f t h e i n f o r ma t i o n a v a i l a b l e . T h i s e . g . me a n s t h e u s e r s h a l l b e a b l e a t a n y mo me n t t o s e e h o w i n c i d e n t s e v o l v e d a l o n g a t i me l i n e v i s u a l i s i n g t h e a b s o l u t e a n d r e l a t i v e v a l u e s b u t e v e n mo r e i mp o r t a n t t h e r a t e o f c h a n g e . As t h e v i s u a l i s a t i o n i s h e a v i l y d e p e n d e n t o n t h e a p p r o p r i a t e c l a s s i 0 c a t i o n o f t h e d a t a b u t a t t h e s a me t i me mo s t o f t h e d e t a i l s a b o u t t h e i n c i d e n t a r e a v a i l a b l e o n l y wi t h i n t h e n a r r a t i v e d e s c r i p t i o n, a s u b s t a n t i a l a mo u n t o u r r e s e a r c h f o c u s s e s o n t e x t mi n i n g t o i d e n t i f y p a t t e r n s a n d t o d y n a mi c a l l y c l a s s i f y t h e r e p o r t s . Re s u l t sT h e e a r l y r e s u l t s s h o w t h e d i 2c u l t y i n p r o p e r l y c l a s s i f y i n g i n c i d e n t s b y a f u l l y a u t o ma t e d s y s t e m. E v e n t h o u g h u s i n g s y n o n y m c a t a l o g u e s i mp r o v e s t h e p e r f o r ma n c e , a s e mi -a u t o ma t e d c l a s s i 0 c a t i o n p r o c e s s wh e r e t h e u s e r i s p r o mp t e d wi t h t h e mo s t l i k e l y c h o i c e s b u t c o n d u c t s t h e 0 n a l c l a s s i 0 c a t i o n h i ms e l f a p p e a r s t o b e t h e mo s t t a r g e t -o r i e n t e d a p p r o a c h . B y u s i n g d y n a mi c a l v i s u a l i s a t i o n o f i n c i d e n t s t h e e 5 e c t i v e n e s s t o s c a n l a r g e a mo u n t s o f d a t a c a n b e c o n s i d e r a b l y i mp r o v e d . Co n c l u s i o n B o t h , t h e t e x t mi n i n g s u p p o r t e d c l a s s i 0 c a t i o n a s we l l a s t h e d y n a mi c p r e s e n t a t i o n o f d a t a , p r o mi s e t o b e h i g h l y v ...

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Standardized, App-Based Disinfection of iPads in a Clinical and Nonclinical Setting: Comparative Analysis

Cited by 39 publications

References 34 publications

Ipad Usage and Impact on Pediatric Medical Students’ Learning and Patient Care

Ipad Usage and Impact on Pediatric Medical Students’ Learning and Patient Care

Comparison of keypads and touch-screen mobile phones/devices as potential risk for microbial contamination

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