Int J Med Inform - The feasibility of an automated monitoring system to improve nurses' hand hygiene.

Tópicos

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Resumo

CKGROUND: Inadequate hand hygiene (HH) by healthcare staff results in increased rates of hospital acquired infections in healthcare institutions, considerable waste of resources, and negative economic impact for the healthcare system. Toronto Rehabilitation Institute has developed an automated HH monitoring system that detects HH opportunities, generates HH reminding signals when it is necessary and enables hospital management to monitor individual and aggregated HH performance on ongoing basis.OBJECTIVE: To demonstrate that HH improvement is feasible with the proposed technical solution and that technology is acceptable by potential users.METHODS: The technology was installed in four rooms on a nursing unit of a larger complex continuous care hospital. The rooms were selected to make it possible to automatically follow the same nurses for the duration of their entire shift. Eleven nurses were provided with the wearable electronic HH monitors as well as with the instrumented personal wearable alcohol gel dispensers. Stationary gel dispensers installed in the unit were also instrumented with technology.RESULTS: Over 145 h of testing the system automatically recorded a total of 1438 events of entering and leaving monitored rooms and indicated an average of 6.42 HH actions per hour. The baseline observational study indicated 4.2 HH actions per hour. Approximately half of the HH actions recorded by the system were performed using personal wearable alcohol gel dispensers.CONCLUSION: The results obtained when testing the embedded HH monitoring system demonstrated the feasibility of HH improvement and proved that proposed solution merits a larger and longer clinical trial to measure the degree of improvement and the sustainability of that improvement.

Resumo Limpo

ckground inadequ hand hygien hh healthcar staff result increas rate hospit acquir infect healthcar institut consider wast resourc negat econom impact healthcar system toronto rehabilit institut develop autom hh monitor system detect hh opportun generat hh remind signal necessari enabl hospit manag monitor individu aggreg hh perform ongo basisobject demonstr hh improv feasibl propos technic solut technolog accept potenti usersmethod technolog instal four room nurs unit larger complex continu care hospit room select make possibl automat follow nurs durat entir shift eleven nurs provid wearabl electron hh monitor well instrument person wearabl alcohol gel dispens stationari gel dispens instal unit also instrument technologyresult h test system automat record total event enter leav monitor room indic averag hh action per hour baselin observ studi indic hh action per hour approxim half hh action record system perform use person wearabl alcohol gel dispensersconclus result obtain test embed hh monitor system demonstr feasibl hh improv prove propos solut merit larger longer clinic trial measur degre improv sustain improv

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