Journal article
Comparison of human and electronic observation for the measurement of compliance with hand hygiene
AJIC: American Journal of Infection Control, Vol.42(11), pp.1188-1192
11/2014
DOI: 10.1016/j.ajic.2014.07.031
PMID: 25234045
Abstract
Monitoring of hand hygiene is an important part of the improvement of hospital quality indicators. This study was prospectively performed over a 14-week (electronic observer) period from December 3, 2013-March 9, 2014, to evaluate hand hygiene compliance in an adult step-down unit. We compared electronic handwash counters with the application of radiofrequency identification (RFID - ZigBee; i-Healthsys, São Carlos, Brazil) (electronic observer), which counts each activation of the alcohol gel dispenser to direct observation (human observer) using the iScrub application. For the overall time period of simultaneous electronic and human observation, we found that the electronic observer identified 414 hand hygiene episodes, whereas the human observers identified 448 episodes. Therefore, we found 92% (95% confidence interval [CI], 90%-95%) overall concordance (414/448), with an intraclass correlation coefficient of .87 (95% CI, 0.77-0.92). Our RFID (ZigBee) system showed good accuracy (92%) and is a useful method to monitor hand hygiene compliance.
Details
- Title: Subtitle
- Comparison of human and electronic observation for the measurement of compliance with hand hygiene
- Creators
- Miguel Almeida O Filho - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilAlexandre R Marra - Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, BrazilThyago Pereira Magnus - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilRodrigo Dias Rodrigues - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilMarcelo Prado - Division of Research and Development, i-Healthsys, São Carlos, BrazilTales Roberto de Souza Santini - Division of Research and Development, i-Healthsys, São Carlos, BrazilElivane da Silva Victor - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilEder Issao Ishibe - Division of Research and Development, i-Healthsys, São Carlos, BrazilOscar Fernando Pavão dos Santos - Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilMichael B Edmond - Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA
- Resource Type
- Journal article
- Publication Details
- AJIC: American Journal of Infection Control, Vol.42(11), pp.1188-1192
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.ajic.2014.07.031
- PMID
- 25234045
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Grant note
- GOJO Latin America
- Language
- English
- Date published
- 11/2014
- Academic Unit
- Internal Medicine
- Record Identifier
- 9983905646702771
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