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Tytuł:
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Three-year hand hygiene monitoring and impact of real-time reminders on compliance.
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Autorzy:
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Huang F; Aix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, France.
Boudjema S; Aix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, France.
Brouqui P; Aix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, France; AP-HM, IHU-Méditerranée Infection, Marseille, France. Electronic address: .
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Źródło:
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The Journal of hospital infection [J Hosp Infect] 2021 Nov; Vol. 117, pp. 111-116. Date of Electronic Publication: 2021 Aug 21.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: London : W.B. Saunders For The Hospital Infection Society
Original Publication: New York, Academic Press.
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MeSH Terms:
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Cross Infection*/prevention & control
Hand Hygiene*
Guideline Adherence ; Hand Disinfection ; Health Personnel ; Humans ; Infection Control
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Contributed Indexing:
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Keywords: Carry-over effect; Hand hygiene compliance; Infection control; Real-time monitoring; Real-time reminder
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Entry Date(s):
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Date Created: 20210824 Date Completed: 20211110 Latest Revision: 20211110
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Update Code:
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20240104
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DOI:
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10.1016/j.jhin.2021.08.015
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PMID:
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34428506
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Background: Hand hygiene remains both the major strategy and an ongoing challenge for infection control. The main issues in the sustainability of hand hygiene automatic monitoring are healthcare worker (HCW) turnover rates and declining participation.
Aim: To assess hand hygiene compliance and the impact of real-time reminders over three years.
Methods: HCW compliance was observed for the use of alcohol-based hand rubs (AHR) on room entry and exit. Linear multi-level mixed models with time autocorrelations were performed to analyse the repeated measurements of daily room compliance and the effect of reminders over eight quarters (24 months).
Findings: In all, 111 HCWs were observed and 525,576 activities were identified in the database. There was an improvement in compliance both on room entry and exit over two years, and the rooms which had activated reminders had better performance than the rooms which did not have activated reminders.
Conclusions: This study showed the benefit of using real-time reminders; even 20% of rooms with an activated reminder improved overall hand hygiene compliance. A randomized real-time reminder setting may be a potential solution in reducing user fatigue and enhancing HCW self-awareness.
(Copyright © 2021 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.)
