Journal article
Comparison of two electronic hand hygiene systems using real-time feedback via wireless technology to improve hand hygiene compliance in an intensive care unit
Antimicrobial stewardship & healthcare epidemiology : ASHE, Vol.2(1), e127
07/25/2022
DOI: 10.1017/ash.2022.270
PMCID: PMC9726596
PMID: 36483415
Appears in UI Libraries Support Open Access
Abstract
Most hand hygiene (HH) intervention studies use a quasi-experimental design, are primarily uncontrolled before-and-after studies, or are controlled before-and-after studies with a nonequivalent control group. Well-funded studies with improved designs and HH interventions are needed.
To evaluate healthcare worker (HCW) HH compliance with alcohol-based hand rub (ABHR) through direct observation (human observer), 2 electronic technologies, a radio frequency identification (RFID) badge system, and an invasive device sensor.
In our controlled experimental study, 2,269 observations were made over a 6-month period from July 1 to December 30, 2020, in a 4-bed intensive care unit. We compared HH compliance between a basic feedback loop system with RFID badges and an enhanced feedback loop system that utilized sensors on invasive devices.
Real-time feedback by wireless technology connected to a patient's invasive device (enhanced feedback loop) resulted in a significant increase in HH compliance (69.5% in the enhanced group vs 59.1% in the basic group;
= .0001).
An enhanced feedback loop system connected to invasive devices, providing real-time alerts to HCWs, is effective in improving HH compliance.
Details
- Title: Subtitle
- Comparison of two electronic hand hygiene systems using real-time feedback via wireless technology to improve hand hygiene compliance in an intensive care unit
- Creators
- José R Generoso Jr - Hospital Israelita Albert EinsteinEduardo Casaroto - Hospital Israelita Albert EinsteinAry Serpa Neto - Monash UniversityMarcelo Prado - Universidade de São PauloGuilherme M Gagliardi - Universidade de São PauloFernando Gatti de Menezes - Hospital Israelita Albert EinsteinPriscila Gonçalves - Hospital Israelita Albert EinsteinFábio Barlem Hohmann - Hospital Israelita Albert EinsteinGuilherme Benfatti Olivato - Hospital Israelita Albert EinsteinGustavo Potratz Gonçalves - Hospital Israelita Albert EinsteinAndréa Marques Pereira - Hospital Israelita Albert EinsteinNathalia Xavier - Hospital Israelita Albert EinsteinMarcelo Fernandes Miguel - Hospital Israelita Albert EinsteinElivane da Silva Victor - Hospital Israelita Albert EinsteinMichael B Edmond - West Virginia UniversityAlexandre R Marra - Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
- Resource Type
- Journal article
- Publication Details
- Antimicrobial stewardship & healthcare epidemiology : ASHE, Vol.2(1), e127
- DOI
- 10.1017/ash.2022.270
- PMID
- 36483415
- PMCID
- PMC9726596
- NLM abbreviation
- Antimicrob Steward Healthc Epidemiol
- ISSN
- 2732-494X
- eISSN
- 2732-494X
- Publisher
- Cambridge University Press
- Language
- English
- Date published
- 07/25/2022
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984361758002771
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