Automated Measures of Hand Hygiene Compliance among Healthcare Workers Using Ultrasound: Validation and a Randomized Controlled Trial

Fisher, Dale; Seetoh, Theresa; May-Lin, Helen Oh; Viswanathan, S.; Toh, Yanling; Yin, Wong Chiang; Eng, Loh Siw; Yang, Tan Shire; Schiefen, Steve; Je, Minkyu; Peh, Ruey Feng; Loke, Fiona Wei Ling; Dempsey, Michael

doi:10.1086/671738

Cited by 54 publications

(46 citation statements)

References 15 publications

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“…The two studies that used automated hand hygiene monitoring systems that delivered individual feedback reported different outcomes. 24,25 Fisher and colleagues randomly assigned 119 HCP to receive individual feedback weekly from a system composed of ultrasound transmitters in ABHR dispensers and wireless receiver tags worn by staff. 24 At the end of the 10- week intervention, hand hygiene compliance was 6.8% higher among HCP who wore the tags compared with those who did not.…”

Section: Discussionmentioning

confidence: 99%

“…24,25 Fisher and colleagues randomly assigned 119 HCP to receive individual feedback weekly from a system composed of ultrasound transmitters in ABHR dispensers and wireless receiver tags worn by staff. 24 At the end of the 10- week intervention, hand hygiene compliance was 6.8% higher among HCP who wore the tags compared with those who did not. However, the gains in compliance occurred during the early phase of the study, when HCP received reminder beeps, and not during the later phase, when weekly feedback commenced without audible beeps.…”

Section: Discussionmentioning

confidence: 99%

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Implementation and Impact of an Automated Group Monitoring and Feedback System to Promote Hand Hygiene Among Health Care Personnel

Conway

Riley

Saiman

et al. 2014

The Joint Commission Journal on Quality and Patient Safety

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Article-at-a-Glance Background Despite substantial evidence to support the effectiveness of hand hygiene for preventing health care–associated infections, hand hygiene practice is often inadequate. Hand hygiene product dispensers that can electronically capture hand hygiene events have the potential to improve hand hygiene performance. A study on an automated group monitoring and feedback system was implemented from January 2012 through March 2013 at a 140-bed community hospital. Methods An electronic system that monitors the use of sanitizer and soap but does not identify individual health care personnel was used to calculate hand hygiene events per patient-hour for each of eight inpatient units and hand hygiene events per patient-visit for the six outpatient units. Hand hygiene was monitored but feedback was not provided during a six-month baseline period and three-month rollout period. During the rollout, focus groups were conducted to determine preferences for feedback frequency and format. During the six-month intervention period, graphical reports were e-mailed monthly to all managers and administrators, and focus groups were repeated. Results After the feedback began, hand hygiene increased on average by 0.17 events/patient-hour in inpatient units (interquartile range = 0.14, p = .008). In outpatient units, hand hygiene performance did not change significantly. A variety of challenges were encountered, including obtaining accurate census and staffing data, engendering confidence in the system, disseminating information in the reports, and using the data to drive improvement. Conclusions Feedback via an automated system was associated with improved hand hygiene performance in the short term.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Implementation and Impact of an Automated Group Monitoring and Feedback System to Promote Hand Hygiene Among Health Care Personnel

Conway

Riley

Saiman

et al. 2014

The Joint Commission Journal on Quality and Patient Safety

View full text Add to dashboard Cite

show abstract

“…This arbitrary time was established based on prestudy observations of staff work habits. 15 Noncompliance was registered when an opportunity was not linked to a registered hand hygiene event.…”

Section: Feedback Technologymentioning

confidence: 99%

Comparison of human and electronic observation for the measurement of compliance with hand hygiene

Filho

Marra

Magnus

et al. 2014

American Journal of Infection Control

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“…These systems generally involve the healthcare worker carrying an electronic identifying badge or tag, with sensors installed at various locations in the healthcare setting to record use of ABHR by individual healthcare workers. Several recent studies have evaluated these systems, reporting varying levels of accuracy [49–51]. Nevertheless, some systems provide an automated mechanism for performance feedback, which may assist individuals in improving compliance.…”

Section: Assessing the Accuracy Of Various Approaches To Hand Hygienementioning

confidence: 99%

Back to basics

Huang¹,

Stewardson

Grayson

2014

Current Opinion in Infectious Diseases

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Purpose of reviewHand hygiene and isolation are basic, but very effective, means of preventing the spread of pathogens in healthcare. Although the principle may be straightforward, this review highlights some of the controversies regarding the implementation and efficacy of these interventions.Recent findingsHand hygiene compliance is an accepted measure of quality and safety in many countries. The evidence for the efficacy of hand hygiene in directly reducing rates of hospital-acquired infections has strengthened in recent years, particularly in terms of reduced rates of staphylococcal sepsis. Defining the key components of effective implementation strategies and the ideal method(s) of assessing hand hygiene compliance are dependent on a range of factors associated with the healthcare system. Although patient isolation continues to be an important strategy, particularly in outbreaks, it also has some limitations and can be associated with negative effects. Recent detailed molecular epidemiology studies of key healthcare-acquired pathogens have questioned the true efficacy of isolation, alone as an effective method for the routine prevention of disease transmission.SummaryHand hygiene and isolation are key components of basic infection control. Recent insights into the benefits, limitations and even adverse effects of these interventions are important for their optimal implementation.

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Automated Measures of Hand Hygiene Compliance among Healthcare Workers Using Ultrasound: Validation and a Randomized Controlled Trial

Cited by 54 publications

References 15 publications

Implementation and Impact of an Automated Group Monitoring and Feedback System to Promote Hand Hygiene Among Health Care Personnel

Implementation and Impact of an Automated Group Monitoring and Feedback System to Promote Hand Hygiene Among Health Care Personnel

Comparison of human and electronic observation for the measurement of compliance with hand hygiene

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