Journal article
The use of real-time feedback via wireless technology to improve hand hygiene compliance
AJIC: American Journal of Infection Control, Vol.42(6), pp.608-611
06/2014
DOI: 10.1016/j.ajic.2014.02.006
PMID: 24725515
Abstract
Hand hygiene (HH) is widely regarded as the most effective preventive measure for health care-associated infection. However, there is little robust evidence on the best interventions to improve HH compliance or whether a sustained increase in compliance can reduce rates of health care-associated infection. To evaluate the effectiveness of a real-time feedback to improve HH compliance in the inpatient setting, we used a quasiexperimental study comparing the effect of real-time feedback using wireless technology on compliance with HH. The study was conducted in two 20-bed step-down units at a private tertiary care hospital. Phase 1 was a 3-month baseline period in which HH counts were performed by electronic handwash counters. After a 1-month washout period, a 7-month intervention was performed in one step-down unit while the other unit served as a control. HH, as measured by dispensing episodes, was significantly higher in the intervention unit (90.1 vs 73.1 dispensing episodes/patient-day, respectively, P = .001). When the intervention unit was compared with itself before and after implementation of the wireless technology, there was also a significant increase in HH after implementation (74.5 vs 90.1 episodes/patient-day, respectively, P = .01). There was also an increase in mean alcohol-based handrub consumption between the 2 phases (68.9 vs 103.1 mL/patient-day, respectively, P = .04) in the intervention unit. We demonstrated an improvement in alcohol gel usage via implementation of real-time feedback via wireless technology.
Details
- Title: Subtitle
- The use of real-time feedback via wireless technology to improve hand hygiene compliance
- Creators
- Alexandre R Marra - Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, BrazilThiago Zinsly Sampaio Camargo - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilThyago Pereira Magnus - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilRosangela Pereira Blaya - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilGilson Batista dos Santos - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilLuciana Reis Guastelli - 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, BrazilElivane da Silva Victor - Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, BrazilHumberto Bogossian - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilJulio Cesar Martins Monte - Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, BrazilOscar Fernando Pavão dos Santos - Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilCarlos Kazume Oyama - Division of Logistics and Supplies, 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(6), pp.608-611
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajic.2014.02.006
- PMID
- 24725515
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Grant note
- GOJO
- Language
- English
- Date published
- 06/2014
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9983905530002771
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