TY - JOUR
T1 - Comparison of two electronic hand hygiene systems using real-time feedback via wireless technology to improve hand hygiene compliance in an intensive care unit
AU - Generoso, José R.
AU - Casaroto, Eduardo
AU - Neto, Ary Serpa
AU - Prado, Marcelo
AU - Gagliardi, Guilherme M.
AU - De Menezes, Fernando Gatti
AU - Gonçalves, Priscila
AU - Hohmann, Fábio Barlem
AU - Olivato, Guilherme Benfatti
AU - Gonçalves, Gustavo Potratz
AU - Pereira, Andréa Marques
AU - Xavier, Nathalia
AU - Miguel, Marcelo Fernandes
AU - Da Silva Victor, Elivane
AU - Edmond, Michael B.
AU - Marra, Alexandre R.
N1 - Funding Information:
No financial support was provided relevant to this article.
Publisher Copyright:
©
PY - 2022/7/25
Y1 - 2022/7/25
N2 - Background: 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. Objectives: 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. Methods: 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. Results: 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; P =.0001). Conclusion: An enhanced feedback loop system connected to invasive devices, providing real-time alerts to HCWs, is effective in improving HH compliance.
AB - Background: 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. Objectives: 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. Methods: 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. Results: 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; P =.0001). Conclusion: An enhanced feedback loop system connected to invasive devices, providing real-time alerts to HCWs, is effective in improving HH compliance.
UR - https://www.scopus.com/pages/publications/85135244527
U2 - 10.1017/ash.2022.270
DO - 10.1017/ash.2022.270
M3 - Article
AN - SCOPUS:85135244527
SN - 2732-494X
VL - 2
JO - Antimicrobial Stewardship and Healthcare Epidemiology
JF - Antimicrobial Stewardship and Healthcare Epidemiology
IS - 1
M1 - e127
ER -
