Significantly Improved Hand Hygiene Compliance Using Nudging and Performance Feedback Based on Data from an Automated Monitoring System

2020 ◽  
Vol 48 (8) ◽  
pp. S56-S57
Author(s):  
Marie Stangerup ◽  
Christiane P. Kavalaris ◽  
Michelle From-Hansen ◽  
Marco B. Hansen ◽  
Rosa Hansen ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Monitoring System ◽  
Performance Feedback ◽  
Hand Hygiene Compliance ◽  
Automated Monitoring ◽  
Automated Monitoring System ◽  
Hygiene Compliance ◽  
And Performance

The feasibility of an automated monitoring system to improve nurses’ hand hygiene

2011 ◽  
Vol 80 (8) ◽  
pp. 596-603 ◽  
Author(s):  
Alexander I. Levchenko ◽  
Veronique M. Boscart ◽  
Geoffrey R. Fernie
Keyword(s):  
Hand Hygiene ◽  
Monitoring System ◽  
Automated Monitoring ◽  
Automated Monitoring System

Integrating the SEEV Model with Performance Improvement Methods to Increase Hand Hygiene in the Operating Room

2018 ◽  
Vol 62 (1) ◽  
pp. 1182-1186
Author(s):  
Zach Kaznica ◽  
Orysia Bezpalko ◽  
Grayson Privette ◽  
Kimberly Wilson ◽  
James Won
Keyword(s):  
Hand Hygiene ◽  
Human Factors ◽  
Performance Improvement ◽  
Hand Hygiene Compliance ◽  
Operating Rooms ◽  
Fiscal Year ◽  
Targeted Interventions ◽  
Improvement Methodologies ◽  
Hygiene Compliance ◽  
And Performance

The Main Hospital operating rooms at Children’s Hospital of Philadelphia identified a decrease in hand hygiene compliance during the second half of fiscal year (FY) 2017. To address this, a combined approach of Human Factors and process improvement methodologies was used to increase compliance, with a global aim of achieving 100% compliance by the end of FY 2018. The Human Factors and Performance Improvement team relied upon a combined approached of methodologies and tools including: the SEEV model (Saliency, Effort, Expectancy, and Value), in-person observation, spaghetti diagrams, link analyses, and a survey to gain qualitative and quantitative data to drive the improvement work. Targeted interventions increased hand hygiene compliance in two pilot rooms by nearly 23%; following spread to the rest of the operating rooms, overall compliance was measured at 100%.

Effect of a contact monitoring system with immediate visual feedback on hand hygiene compliance

2014 ◽  
Vol 88 (2) ◽  
pp. 84-88 ◽  
Author(s):  
S.J. Storey ◽  
G. FitzGerald ◽  
G. Moore ◽  
E. Knights ◽  
S. Atkinson ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Monitoring System ◽  
Visual Feedback ◽  
Hand Hygiene Compliance ◽  
Hygiene Compliance

scholarly journals Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach over 13 Years in 51 Cities of 19 Limited-Resource Countries from Latin America, Asia, the Middle East, and Europe

2013 ◽  
Vol 34 (4) ◽  
pp. 415-423 ◽  
Author(s):  
Victor D. Rosenthal ◽  
Mandakini Pawar ◽  
Hakan Leblebicioglu ◽  
Josephine Anne Navoa-Ng ◽  
Wilmer Villamil-Gómez ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Performance Feedback ◽  
Hand Hygiene Compliance ◽  
Administrative Support ◽  
Univariate Analysis ◽  
Limited Resource ◽  
Improve Hand Hygiene ◽  
Hygiene Compliance

Objective.To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multi-dimensional hand hygiene approach in 19 limited-resource countries and to analyze predictors of poor hand hygiene compliance.Design.An observational, prospective, cohort, interventional, before-and-after study from April 1999 through December 2011. The study was divided into 2 periods: a 3-month baseline period and a 7-year follow-up period.Setting.Ninety-nine intensive care unit (ICU) members of the INICC in Argentina, Brazil, China, Colombia, Costa Rica, Cuba, El Salvador, Greece, India, Lebanon, Lithuania, Macedonia, Mexico, Pakistan, Panama, Peru, Philippines, Poland, and Turkey.Participants.Healthcare workers at 99 ICU members of the INICC.Methods.A multidimensional hand hygiene approach was used, including (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Observations were made for hand hygiene compliance in each ICU, during randomly selected 30-minute periods.Results.A total of 149,727 opportunities for hand hygiene were observed. Overall hand hygiene compliance increased from 48.3% to 71.4% (P < .01). Univariate analysis indicated that several variables were significantly associated with poor hand hygiene compliance, including males versus females (63% vs 70%; P<.001), physicians versus nurses (62% vs 72%; P<.001), and adult versus neonatal ICUs (67% vs 81%; P<.001), among others.Conclusions.Adherence to hand hygiene increased by 48% with the INICC approach. Specific programs directed to improve hand hygiene for variables found to be predictors of poor hand hygiene compliance should be implemented.

scholarly journals Light-guided nudging and data-driven performance feedback improve hand hygiene compliance among nurses and doctors

2020 ◽  
Author(s):  
Anne-Mette Iversen ◽  
Marie Stangerup ◽  
Michelle From-Hansen ◽  
Rosa Hansen ◽  
Louise Palasin Sode ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Performance Feedback ◽  
Hand Hygiene Compliance ◽  
Data Driven ◽  
Improve Hand Hygiene ◽  
Hygiene Compliance

scholarly journals Monitoring Hand hygiene Compliance among Healthcare Workers at a Tertiary Care Center: Use of Secret Observers Is the Way Forward

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S409-S409
Author(s):  
Amar Krishna ◽  
Bhagyashri Navalkele ◽  
Amina Pervaiz ◽  
Aditya Kotecha ◽  
Shahram Maroof ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Performance Feedback ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Medical Center ◽  
Care Center ◽  
Compliance Rate ◽  
Tertiary Care ◽  
Smartphone App ◽  
Hygiene Compliance

Abstract Background Hand-hygiene (HH) is known to be the most effective way to reduce healthcare acquired conditions (HACs). Despite being a simple answer to the complex HAC issue, compliance with HH practice has been abysmal with reported compliance rate of 40% among healthcare workers (HCWs). In 2015, compliance rate with HH at Detroit Medical Center (DMC) was reported to be 100% when direct observers were used to monitor compliance. In order to confirm the previously reported compliance rates, this study used secret observers to audit HH compliance and provide performance feedback to HCWs. Methods A prospective observational study was conducted at DMC from June 2016 to December 2016. Hand hygiene committee was established comprising of Infection Prevention and Hospital leadership members. Trained medical residents were appointed as “secret observers” to provide accurate HH reporting. HH auditing was performed using the smartphone app “Speedy audits” to survey and capture the 5 moments of hand hygiene among HCWs. Compliance reports based on different professions, hospital sites, unit locations and auditors were generated using online web portal and analyzed to determine HH compliance rate. Results During the 7-month study period when secret observers were used, a total of 1229 HCWs were observed. Overall, the HH opportunity compliance rate was 31% (916 complied opportunities /2939 opportunities). Hand hygiene compliance rates drastically fell when secret observers were used (31% compared with 100% in 2015 using direct observers). Based on two major before and after patient contact indications, 1022 compliances were observed from 3343 opportunities (30.5% compliance rate). The other compliance rates were 44% before aseptic procedure, 35% after body fluid exposure and 20% after patient environment contact [Figure 1]. Based on profession, compliance rates were lowest among nurses (613/2058; 30%) and medical students (36/169; 21%) when compared with physicians (445/957; 46%). Conclusion Hand-hygiene monitoring by secret observers with use of smartphone app is a feasible and accurate way for tracking HH compliance. The advantage of generating profession-based and unit-based reports for feedback will help to promote HH awareness and improve adherence rates. Disclosures All authors: No reported disclosures.

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