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Tytuł pozycji:

Electronic monitoring in combination with direct observation as a means to significantly improve hand hygiene compliance.

Tytuł :
Electronic monitoring in combination with direct observation as a means to significantly improve hand hygiene compliance.
Autorzy :
Boyce JM; J.M. Boyce Consulting, LLC, Middletown, CT. Electronic address: .
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Źródło :
American journal of infection control [Am J Infect Control] 2017 May 01; Vol. 45 (5), pp. 528-535.
Typ publikacji :
Journal Article; Review
Język :
English
Imprint Name(s) :
Original Publication: St. Louis, Mosby
MeSH Terms :
Guideline Adherence*
Behavior Therapy/*methods
Disinfection/*methods
Disinfection/*statistics & numerical data
Hand Hygiene/*methods
Humans
Contributed Indexing :
Keywords: Instrumentation; Methods; Numerical data; Radio frequency identification device; Standards; Statistics
Entry Date(s) :
Date Created: 20170501 Date Completed: 20180108 Latest Revision: 20181202
Update Code :
20210914
DOI :
10.1016/j.ajic.2016.11.029
PMID :
28456322
Czasopismo naukowe
Monitoring hand hygiene compliance among health care personnel (HCP) is an essential element of hand hygiene promotion programs. Observation by trained auditors is considered the gold standard method for establishing hand hygiene compliance rates. Advantages of observational surveys include the unique ability to establish compliance with all of the World Health Organization "My 5 Moments for Hand Hygiene" initiative Moments and to provide just-in-time coaching. Disadvantages include the resources required for observational surveys, insufficient sample sizes, and nonstandardized methods of conducting observations. Electronic and camera-based systems can monitor hand hygiene performance on all work shifts without a Hawthorne effect and provide significantly more data regarding hand hygiene performance. Disadvantages include the cost of installation, variable accuracy in estimating compliance rates, issues related to acceptance by HCP, insufficient data regarding their cost-effectiveness and influence on health care-related infection rates, and the ability of most systems to monitor only surrogates for Moments 1, 4, and 5. Increasing evidence suggests that monitoring only Moments 1, 4, and 5 provides reasonable estimates of compliance with all 5 Moments. With continued improvement of electronic monitoring systems, combining electronic monitoring with observational methods may provide the best information as part of a multimodal strategy to improve and sustain hand hygiene compliance rates among HCP.
(Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)

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