Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?

Cohen, Bevin; Murray, Meghan; Jia, Haomiao; Jackson, Olivia; Saiman, Lisa; Neu, Natalie; Hutcheon, Gordon; Larson, Elaine

doi:10.1016/j.ajic.2016.06.022

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…All the 89 reviewed studies were published between 2009 and 2020, with 9 (10%) dated in or before 2010 [ 42 , 46 , 56 , 60 , 81 , 83 , 86 , 92 , 113 ], 38 (43%) dated between 2011 and 2015 [ 32 , 33 , 36 , 38 , 39 , 45 , 48 , 49 , 51 , 52 , 54 , 59 , 61 , 63 - 65 , 67 , 68 , 72 , 73 , 78 - 80 , 82 , 84 , 87 - 89 , 93 - 97 , 99 - 101 , 108 , 116 ], and 42 (47%) dated in or after 2016 [ 25 , 29 - 31 , 34 , 35 , 37 , 40 , 41 , 43 , 44 , 47 , 50 , 53 , 55 , 57 , 58 , 62 , 66 , 69 - 71 , 74 - 77 , 85 , 90 , 91 , 98 , 102 -…”

Section: Resultsmentioning

confidence: 99%

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology

Wang¹,

Jiang²,

Yang³

et al. 2021

J Med Internet Res

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Background Hand hygiene is one of the most effective ways of preventing health care–associated infections and reducing their transmission. Owing to recent advances in sensing technologies, electronic hand hygiene monitoring systems have been integrated into the daily routines of health care workers to measure their hand hygiene compliance and quality. Objective This review aims to summarize the latest technologies adopted in electronic hand hygiene monitoring systems and discuss the capabilities and limitations of these systems. Methods A systematic search of PubMed, ACM Digital Library, and IEEE Xplore Digital Library was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were initially screened and assessed independently by the 2 authors, and disagreements between them were further summarized and resolved by discussion with the senior author. Results In total, 1035 publications were retrieved by the search queries; of the 1035 papers, 89 (8.60%) fulfilled the eligibility criteria and were retained for review. In summary, 73 studies used electronic monitoring systems to monitor hand hygiene compliance, including application-assisted direct observation (5/73, 7%), camera-assisted observation (10/73, 14%), sensor-assisted observation (29/73, 40%), and real-time locating system (32/73, 44%). A total of 21 studies evaluated hand hygiene quality, consisting of compliance with the World Health Organization 6-step hand hygiene techniques (14/21, 67%) and surface coverage or illumination reduction of fluorescent substances (7/21, 33%). Conclusions Electronic hand hygiene monitoring systems face issues of accuracy, data integration, privacy and confidentiality, usability, associated costs, and infrastructure improvements. Moreover, this review found that standardized measurement tools to evaluate system performance are lacking; thus, future research is needed to establish standardized metrics to measure system performance differences among electronic hand hygiene monitoring systems. Furthermore, with sensing technologies and algorithms continually advancing, more research is needed on their implementation to improve system performance and address other hand hygiene–related issues.

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Section: Resultsmentioning

confidence: 99%

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology

Wang¹,

Jiang²,

Yang³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Of these 29 studies, 15 (52%) used electronic dispensers to record the frequency of hand hygiene events and estimate the volume of hand hygiene products dispensed [32,33,[44][45][46][47][48][49][50][54][55][56][57]59,67]. A range of sensors was used to trigger the electronic dispenser counter, including pressure resistors [45,53], magnetic sensors [66], and photosensors [58].…”

Section: Sensor-assisted Observationmentioning

confidence: 99%

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology (Preprint)

Wang¹,

Jiang²,

Yang³

et al. 2021

Preprint

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BACKGROUND Hand hygiene is one of the most effective ways of preventing health care–associated infections and reducing their transmission. Owing to recent advances in sensing technologies, electronic hand hygiene monitoring systems have been integrated into the daily routines of health care workers to measure their hand hygiene compliance and quality. OBJECTIVE This review aims to summarize the latest technologies adopted in electronic hand hygiene monitoring systems and discuss the capabilities and limitations of these systems. METHODS A systematic search of PubMed, ACM Digital Library, and IEEE Xplore Digital Library was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were initially screened and assessed independently by the 2 authors, and disagreements between them were further summarized and resolved by discussion with the senior author. RESULTS In total, 1035 publications were retrieved by the search queries; of the 1035 papers, 89 (8.60%) fulfilled the eligibility criteria and were retained for review. In summary, 73 studies used electronic monitoring systems to monitor hand hygiene compliance, including application-assisted direct observation (5/73, 7%), camera-assisted observation (10/73, 14%), sensor-assisted observation (29/73, 40%), and real-time locating system (32/73, 44%). A total of 21 studies evaluated hand hygiene quality, consisting of compliance with the World Health Organization 6-step hand hygiene techniques (14/21, 67%) and surface coverage or illumination reduction of fluorescent substances (7/21, 33%). CONCLUSIONS Electronic hand hygiene monitoring systems face issues of accuracy, data integration, privacy and confidentiality, usability, associated costs, and infrastructure improvements. Moreover, this review found that standardized measurement tools to evaluate system performance are lacking; thus, future research is needed to establish standardized metrics to measure system performance differences among electronic hand hygiene monitoring systems. Furthermore, with sensing technologies and algorithms continually advancing, more research is needed on their implementation to improve system performance and address other hand hygiene–related issues.

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“…14,19,23,24 Although the general presumption is that greater product usage or dispenser activity equates to a higher rate of compliance, 9 some studies have in fact failed to demonstrate a convincing link. 25 Such systems are also often unable to demonstrate the appropriateness of the hand hygiene episode, particularly when it occurs within the patient room or zone. That is, did hand hygiene occur at the optimally correct point in the sequence of the clinical care episode to prevent microbial transmission?…”

mentioning

confidence: 99%

Using video-based surveillance for monitoring hand hygiene compliance according to the World Health Organization (WHO) Five Moments framework: A pragmatic trial

McKay

Shaban

2022

Infect. Control Hosp. Epidemiol.

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Objective: To examine the utility of video-based monitoring systems (VMSs) for auditing hand hygiene compliance according to the World Health Organization (WHO) Five Moments. Design: Pragmatic quasi-experimental observation trial. Setting: The New South Wales Biocontainment Centre, Westmead, New South Wales, Australia. Participants: Volunteer healthcare workers (HCWs). Method: Six high-fidelity simulations were recorded and subsequently assessed for their ability to audit hand hygiene compliance according to the WHO Five Moments for hand hygiene criteria using tools provided by the National Hand Hygiene Initiative (NHHI). Results: In total, 206 minutes of recorded footage were reviewed in 120 minutes, yielding 111 moments. Overall HCW hand hygiene compliance was 88% according to the WHO Five Moments framework. The cost per moment was $0.91 AUD ($0.66 USD) and the time required per moment was 64 seconds. Conclusions: Auditing of hand hygiene compliance according to all 5 of the WHO Five Moments from recorded footage is not only possible but provides cost and time savings. In addition, the process may produce output that is less subject to the biases inherent in direct human observational auditing.

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Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?

Abstract: Background-Studies in adult long-term care facilities (LTCFs) have shown a correlation between hand hygiene (HH) and viral outbreak reduction, but no such studies have been conducted in pediatric LTCFs where the epidemiology of viral pathogens is different.

Cited by 4 publications

References 8 publications

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology (Preprint)

Using video-based surveillance for monitoring hand hygiene compliance according to the World Health Organization (WHO) Five Moments framework: A pragmatic trial

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