Light-guided nudging and data-driven performance feedback improve hand hygiene compliance among nurses and doctors - 25/05/21
, Marie Stangerup, RN b, Michelle From-Hansen, RN b, Rosa Hansen, RN c, Louise Palasin Sode, RN c, Krassimir Kostadinov, MD c, Marco Bo Hansen, MD, PhD d, Henrik Calum, MD, PhD b, e, Svend Ellermann-Eriksen, MD, DrMSci f, Jenny Dahl Knudsen, MD, DrMSci gHighlights |
• | Doctors (surgeons) have lower baseline hand hygiene compliance than nurses. |
• | Light-guided nudging and data-driven performance feedback improve compliance. |
• | Individual performance feedback might be more effective than group feedback. |
• | The Sani nudge system detects more opportunities than using manual observations. |
• | Nurses and doctors disinfect hands more often after rather than before patient contact. |
Graphical Abstract |
Résumé |
Background |
Evidence-based practices to increase hand hygiene compliance (HHC) among health care workers are warranted. We aimed to investigate the effect of a multimodal strategy on HHC.
Methods |
During this 14-month prospective, observational study, an automated monitoring system was implemented in a 29-bed surgical ward. Hand hygiene opportunities and alcohol-based hand rubbing events were measured in patient and working rooms (medication, utility, storerooms, toilets). We compared baseline HHC of health care workers across periods with light-guided nudging from sensors on dispensers and data-driven performance feedback (multimodal strategy) using the Student's t test.
Results |
The doctors (n = 10) significantly increased their HHC in patient rooms (16% vs 42%, P< .0001) and working rooms (24% vs 78%, P= .0006) when using the multimodal strategy. The nurses (n = 26) also increased their HHC significantly from baseline in both patient rooms (27% vs 43%, P = .0005) and working rooms (39% vs 64%, P< .0001). The nurses (n = 9), who subsequently received individual performance feedback, further increased HHC, compared with the period when they received group performance feedback (patient rooms: 43% vs 55%, P< .0001 and working rooms: 64% vs 80%, P< .0001).
Conclusions |
HHC of doctors and nurses can be significantly improved with light-guided nudging and data-driven performance feedback using an automated hand hygiene system.
Le texte complet de cet article est disponible en PDF.Key Words : Electronic monitoring, Surveillance, Health care-acquired, Infection prevention, Adherence
Plan
| Conflicts of interest: None to report. |
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| Funding: This study was partly funded by the Danish Ministry of Health (J. no. 1608966). |
Vol 49 - N° 6
P. 733-739 - juin 2021 Retour au numéro
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