Pilot evaluation of a ward-based automated hand hygiene training system

Ghosh, Anarta; Ameling, Stefan; Zhou, Jiangcong; Lacey, Gerard; Creamer, E.; Dolan, Anthony; Sherlock, Orla; Humphreys, Hilary

doi:10.1016/j.ajic.2012.03.034

Cited by 12 publications

(11 citation statements)

References 8 publications

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“…The results of this study demonstrated that the provision of direct feedback on HH technique using an electronic system led to improved technique over time. 10 Analysis of the collected data revealed a visible decrease in HH quality improvement at the third event. After the second successful HR event, some HCWs may have thought that they had already acquired the correct technique, and consequently did not pay enough attention at the third event.…”

Section: Discussionmentioning

confidence: 97%

Quantitative impact of direct, personal feedback on hand hygiene technique

Lehotsky¹,

Szilágyi²,

Ferenci³

et al. 2015

Journal of Hospital Infection

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Section: Discussionmentioning

confidence: 97%

Quantitative impact of direct, personal feedback on hand hygiene technique

Lehotsky¹,

Szilágyi²,

Ferenci³

et al. 2015

Journal of Hospital Infection

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“…Gosh et al used the device in one clinical ward during two six-day phases; the first without feedback (16 subjects) and the second with feedback (34 subjects) [15]. Inter-rater agreement between two human observers was 0.76 (Krippendof's alpha), with agreement of 0.74 and 0.56 for each observer with the device.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a New Educational Tool to Improve Handrubbing Technique amongst Healthcare Workers: A Controlled, Before-After Study

et al. 2014

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IntroductionHand hygiene is a key component of infection control in healthcare. WHO recommends that healthcare workers perform six specific poses during each hand hygiene action. SureWash (Glanta Ltd, Dublin, Ireland) is a novel device that uses video-measurement technology and immediate feedback to teach this technique. We assessed the impact of self-directed SureWash use on healthcare worker hand hygiene technique and evaluated the device's diagnostic capacity.MethodsA controlled before-after study: subjects in Group A were exposed to the SureWash for four weeks followed by Group B for 12 weeks. Each subject's hand hygiene technique was assessed by blinded observers at baseline (T0) and following intervention periods (T1 and T2). Primary outcome was performance of a complete hand hygiene action, requiring all six poses during an action lasting ≥20 seconds. The number of poses per hand hygiene action (maximum 6) was assessed in a post-hoc analysis. SureWash's diagnostic capacity compared to human observers was assessed using ROC curve analysis.ResultsThirty-four and 29 healthcare workers were recruited to groups A and B, respectively. No participants performed a complete action at baseline. At T1, one Group A participant and no Group B participants performed a complete action. At baseline, the median number of poses performed per action was 2.0 and 1.0 in Groups A and B, respectively (p = 0.12). At T1, the number of poses per action was greater in Group A (post-intervention) than Group B (control): median 3.8 and 2.0, respectively (p<0.001). In Group A, the number of poses performed twelve weeks post-intervention (median 3.0) remained higher than baseline (p<0.001). The area under the ROC curves for the 6 poses ranged from 0.59 to 0.88.DiscussionWhile no impact on complete actions was demonstrated, SureWash significantly increased the number of poses per hand hygiene action and demonstrated good diagnostic capacity.

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“…In validation studies, the system's recognition of hand movements showed substantial agreement with a human observer. 20 Alongside the gesture recognition, the SureWash system provides a score for the user, which is a gamiication element that is thought to incentivise repeated practice as users try to better their previous score. SureWash units have previously been used to encourage uptake of training in the human hospital settings and have been linked with higher hand hygiene compliance among healthcare workers.…”

Section: Introductionmentioning

confidence: 99%

Teaching best practice in hand hygiene: student use and performance with a gamified gesture recognition system

Mosley

Bell

et al. 2019

Veterinary Record

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The use of an automated gesture recognition system to teach the commonly adopted, seven-stage hand hygiene technique to veterinary undergraduate students was evaluated. The system features moderate gamification, intended to motivate the student to use the machine repeatedly. The system records each handwash stage, and those found to be difficult are identified and reported back. The gamification element alone was not sufficient to encourage repeated use of the machine, with only 13.6 per cent of 611 eligible students interacting with the machine on one or more occasion. Overall engagement remained low (mean sessions per user: 3.5, ±0.60 confidence interval), even following recruitment of infection control ambassadors who were given a specific remit to encourage engagement with the system. Compliance monitoring was introduced to explore how students used the system. Hand hygiene performance did not improve with repeated use. There was evidence that the stages—fingers interlaced, rotation of the thumb, rotation of the fingertips and rotation of the wrists—were more challenging for students to master (p=0.0197 to p<0.0001) than the back of the hand and of the fingers. Veterinary schools wishing to use such a system should consider adopting approaches that encourage peer buy-in, and highlight the ability to practise difficult stages of the technique.

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Pilot evaluation of a ward-based automated hand hygiene training system

Cited by 12 publications

References 8 publications

Quantitative impact of direct, personal feedback on hand hygiene technique

Quantitative impact of direct, personal feedback on hand hygiene technique

Efficacy of a New Educational Tool to Improve Handrubbing Technique amongst Healthcare Workers: A Controlled, Before-After Study

Teaching best practice in hand hygiene: student use and performance with a gamified gesture recognition system

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