Implementing an electronic hand hygiene system improved compliance in the intensive care unit - 18/11/21
, Jiapeng Huang, MD, PhD e, f, g, h, 2, 3, ⁎ Highlights |
• | A sensor-based electronic hand hygiene system improved hand hygiene compliance in the intensive care unit. |
• | Significant variations among providers in terms of hand hygiene compliance. |
• | Hand rubbing duration in partial compliance occurrences did not change significantly over time. |
Resumen |
Background |
Hand hygiene (HH) compliance is low and difficult to improve among health care workers. We aim to validate an electronic HH system and assess the impact of this system on HH compliance and quality changes over time at both group and individual levels.
Methods |
An automated electronic HH system was installed in a 10-bed surgical intensive care unit.
Results |
The full HH compliance rate increased significantly from 8.4% in week 1 to 20.5% in week 16 with week 10 being the highest (27.4%). The partial compliance rate maintained relative consistency between 13.2% and 20.0%. The combined compliance rate (full compliance rate + partial compliance rate) increased from 23.5% in week 1 to 34.6% in week 16 with week 10 being the highest (41.4%).
Discussion |
We found significant variations among providers in terms of HH opportunities per shift, full compliance, partial compliance and combined compliance rates. The average duration of hand rubbing over time in partial compliance occurrences did not change significantly over time.
Conclusions |
A sensor-based platform with automated HH compliance and quality monitoring, real time feedback and comprehensive individual level analysis, improved providers’ HH compliance in an intensive care unit. There were significant variations among individual providers.
El texto completo de este artículo está disponible en PDF.Keywords : Electronic monitoring, Hand hygiene, Hospital acquired, Infection control, Infection prevention
Esquema
| Funding: Research reported in this publication was supported by the National Institute on Aging of the National Institutes of Health under award number R44AG060848, and by the National Institute of Nursing Research of the National Institutes of Health under award number R43NR017372. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Qian Xu, Yang Liu, Darius Cepulis, Sarah Bishop, Peng Liu, Maiying Kong, Jiapeng Huang are supported by NIH R44AG060848, and R43NR017372. Jiapeng Huang is also supported by NIH P30 (P30ES030283) grant, Gilead Sciences COMMIT COVID-19 RFP Program grant (Gilead IN-US-983-6063), and National Center for Advancing Translational Sciences grant 1U18TR003787-01. |
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| Conflicts of interest: Peng Liu, Yang Liu, Jiapeng Huang have ownership interests, patents, and managerial positions with Microsensor Labs, LLC. Darius Cepulis is employed by Microsensor Labs, LLC and has ownership interests with Microsensor Labs, LLC. |
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| Author contributions: Q.X.: Study design, statistical analysis, and manuscript preparation. Y.L., D.C., P.L., and J.H.: Electronic hand hygiene system design, data collection, and manuscript preparation. A.J., R.A.S., K.T., L.O., G.S., and S.B.: Study design, implementation, regulatory compliance, and manuscript preparation. S.P.C., P.L., M.K., and J.H.: Study design, data analysis, and manuscript preparation. |
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| Clinical trial registration: NCT03948672. |
Vol 49 - N° 12
P. 1535-1542 - décembre 2021 Regresar al número
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