Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: Validation of the HOW2 Benchmark Study

Reduction of Healthcare-Associated Infections by Exceeding High Compliance with Hand Hygiene Practices

“…We overcame these concerns by simplifying the compliance measurement to only evaluate the opportunities that cover most (≈87%) of the World Health Organization–defined “Five Moments” on the basis of a 24-hour validation video surveillance of activity in patient rooms; that is, 21% of episodes before patient contact, 22% of episodes after touching a patient, and 44% of episodes after touching patient surroundings ( 10 ). Furthermore, by engaging all hospital staff in measuring hand hygiene compliance, all opportunities of the hygiene program were eligible opportunities for measurement.…”

Electronic hand hygiene monitoring as a tool for reducing health care–associated methicillin-resistant Staphylococcus aureus infection

“…Since 2009, our institution has been involved in developing and deploying such a system (DebMed GMS; DebMed USA, Charlotte, NC) to deliver real-time World Health Organization's My 5 Moments for Hand Hygiene (WHO5) 1 HHC data to individual hospital nursing units. 2,3 The purpose of our current study was to determine if implementation and use of this system by the unit leadership was effective in reducing the unit-specific incidence of health care-associated methicillin-resistant Staphylococcus aureus (MRSA) infection.…”

A response to the article, “Comparison of Hand Hygiene Monitoring Using the My 5 Moments for Hand Hygiene Method Versus a Wash in-Wash out Method”

“…Previous studies by our group, including 1 using 24-hour inroom video monitoring of 4,522 HHOs, found that only 6% of HHOs involved physicians, whereas 73% involved nurses. 2,3 In addition, our studies found that physician visits tended to have fewer moments 2 and 3 than nurse visits, which would tend to minimize any difference between the monitoring methods (unpublished data).…”

“…1,2 Employees typically make up the biggest audience for hospital social media. 3 In general, adults aged 18-34 years are most likely to use social media, and adults aged 35-40 years are also avid users. 4 Given that these age groups make …”