scholarly journals Electronic hand hygiene monitoring: accuracy, impact on the Hawthorne effect and efficiency

2020 ◽  
Vol 21 (4) ◽  
pp. 136-143 ◽  
Author(s):  
Dinah Gould ◽  
Håkan Lindström ◽  
Edward Purssell ◽  
Neil Wigglesworth
Keyword(s):  
Hand Hygiene ◽  
Electronic Monitoring ◽  
Health Workers ◽  
Hawthorne Effect ◽  
Observation Methods ◽  
National Health Service Trust ◽  
Monitoring Accuracy ◽  
Electronic Measurement ◽  
High Level ◽  
Continuous Movements

Objectives: To evaluate a type five electronic monitoring system (EMS) for hand hygiene (HH) adherence with respect to accuracy and ability to avoid the Hawthorne effect. Design: HH events were observed manually and electronically. The agreement between the two observation methods was evaluated. Continuous electronic measurement was made throughout the study. Setting: An acute 31-bed medical ward in a National Health Service trust in London, United Kingdom. Participants: Staff working or attached to the ward. Intervention: A newly developed type five EMS that can measure disinfectant dispenser usage as well as continuous movements of health workers throughout the ward with arm-length precision and analyse HH adherence was installed at the ward. Results: A total of 294 HH events were observed in five sessions by an observer previously unknown to the ward. There was concordance between HH adherence assessed by manual observer and the EMS on 84% (79.1%–89.9%) of the occasions. During the five observation sessions, the observed HH adherence increased from 24% to 76% while the EMS measurements immediately before the arrival of the observer remained constant for all sessions. Conclusion: The 84% agreement between the EMS and the manual observation suggest a high level of precision for the evaluated system. The Hawthorne effect (higher rate of HH performance) was clearly seen in the increase by a factor of three in the manually observed adherence from session to session as the health workers became more aware of them being observed. The EMS was able to avoid the Hawthorne effect when the observer was not present.

scholarly journals Electronic hand hygiene monitoring systems can be well-tolerated by health workers: Findings of a qualitative study

2021 ◽  
pp. 175717742110127
Author(s):  
D Kelly ◽  
E Purssell ◽  
N Wigglesworth ◽  
DJ Gould
Keyword(s):  
Hand Hygiene ◽  
Monitoring System ◽  
Electronic Monitoring ◽  
Health Workers ◽  
Qualitative Interviews ◽  
Poor Performance ◽  
Frontline Health Workers ◽  
National Health Service Trust ◽  
Personal Accountability ◽  
The Uk

Background: Electronic hand hygiene monitoring overcomes limitations associated with manual audit but acceptability to health workers varies and may depend on culture of the ward and the nature of the system. Objectives: Evaluate the acceptability of a new fifth type electronic monitoring system to frontline health workers in a National Health Service trust in the UK. Methods: Qualitative interviews with 11 informants following 12 months experience using an electronic monitoring system. Results: Informants recognised the importance of hand hygiene and embraced technology to improve adherence. Barriers to hand hygiene adherence included heavy workload, dealing with emergencies and ergonomic factors related to placement of alcohol dispensers. Opinions about the validity of the automated readings were conflicting. Some health workers thought they were accurate. Others reported problems associated with differences in the intelligence of the system and their own clinical decisions. Opinions about feedback were diverse. Some health workers thought the system increased personal accountability for hand hygiene. Others ignored feedback on suboptimal performance or ignored the data altogether. It was hard for health workers to understand why the system registered some instances of poor performance because feedback did not allow omissions in hand hygiene to be related to the context of care. Conclusion: Electronic monitoring can be very well tolerated despite some limitations. Further research needs to explore different reactions to feedback and how often clinical emergencies arise. Electronic and manual audit have complementary strengths.

scholarly journals Extraction of Arecanut Planting Distribution Based on the Feature Space Optimization of PlanetScope Imagery

Agriculture ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 371
Author(s):  
Yu Jin ◽  
Jiawei Guo ◽  
Huichun Ye ◽  
Jinling Zhao ◽  
Wenjiang Huang ◽  
...  
Keyword(s):  
Random Forest ◽  
Satellite Imagery ◽  
Feature Space ◽  
Kappa Coefficient ◽  
Classification Model ◽  
Support Vector ◽  
Textural Feature ◽  
Monitoring Accuracy ◽  
Areca Catechu ◽  
High Level

The remote sensing extraction of large areas of arecanut (Areca catechu L.) planting plays an important role in investigating the distribution of arecanut planting area and the subsequent adjustment and optimization of regional planting structures. Satellite imagery has previously been used to investigate and monitor the agricultural and forestry vegetation in Hainan. However, the monitoring accuracy is affected by the cloudy and rainy climate of this region, as well as the high level of land fragmentation. In this paper, we used PlanetScope imagery at a 3 m spatial resolution over the Hainan arecanut planting area to investigate the high-precision extraction of the arecanut planting distribution based on feature space optimization. First, spectral and textural feature variables were selected to form the initial feature space, followed by the implementation of the random forest algorithm to optimize the feature space. Arecanut planting area extraction models based on the support vector machine (SVM), BP neural network (BPNN), and random forest (RF) classification algorithms were then constructed. The overall classification accuracies of the SVM, BPNN, and RF models optimized by the RF features were determined as 74.82%, 83.67%, and 88.30%, with Kappa coefficients of 0.680, 0.795, and 0.853, respectively. The RF model with optimized features exhibited the highest overall classification accuracy and kappa coefficient. The overall accuracy of the SVM, BPNN, and RF models following feature optimization was improved by 3.90%, 7.77%, and 7.45%, respectively, compared with the corresponding unoptimized classification model. The kappa coefficient also improved. The results demonstrate the ability of PlanetScope satellite imagery to extract the planting distribution of arecanut. Furthermore, the RF is proven to effectively optimize the initial feature space, composed of spectral and textural feature variables, further improving the extraction accuracy of the arecanut planting distribution. This work can act as a theoretical and technical reference for the agricultural and forestry industries.

scholarly journals Group Electronic Monitoring of Hand Hygiene on Inpatient Units: A Multicenter Cluster Randomized Quality Improvement Study

2020 ◽  
Vol 41 (S1) ◽  
pp. s38-s39
Author(s):  
Jerome Leis ◽  
Jeff Powis ◽  
Allison McGeer ◽  
Daniel Ricciuto ◽  
Tanya Agnihotri ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Hand Hygiene ◽  
Electronic Monitoring ◽  
Current Approach ◽  
Antibiotic Resistant ◽  
Guide Unit ◽  
Cluster Randomized ◽  
Healthcare Associated ◽  
The Impact ◽  
Inpatient Units

Background: The current approach to measuring hand hygiene (HH) relies on human auditors who capture <1% of HH opportunities and rapidly become recognized by staff, resulting in inflation in performance. Our goal was to assess the impact of group electronic monitoring coupled with unit-led quality improvement on HH performance and prevention of healthcare-associated transmission and infection. Methods: A stepped-wedge cluster randomized quality improvement study was undertaken across 5 acute-care hospitals in Ontario, Canada. Overall, 746 inpatient beds were electronically monitored across 26 inpatient medical and surgical units. Daily HH performance as measured by group electronic monitoring was reported to inpatient units who discussed results to guide unit-led improvement strategies. The primary outcome was monthly HH adherence (%) between baseline and intervention. Secondary outcomes included transmission of antibiotic resistant organisms such as methicillin resistant Staphylococcus aureus (MRSA) and other healthcare-associated infections. Results: After adjusting for the correlation within inpatient units, there was a significant overall improvement in HH adherence associated with the intervention (IRR, 1.73; 95% CI, 1.47–1.99; P < .0001). Monthly HH adherence relative to the intervention increased from 29% (1,395,450 of 4,544,144) to 37% (598,035 of 1,536,643) within 1 month, followed by consecutive incremental increases up to 53% (804,108 of 1,515,537) by 10 months (P < .0001). We identified a trend toward reduced healthcare-associated transmission of MRSA (0.74; 95% CI, 0.53–1.04; P = .08). Conclusions: The introduction of a system for group electronic monitoring led to rapid, significant, and sustained improvements in HH performance within a 2-year period.Funding: NoneDisclosures: None

scholarly journals Conflict affected, parallel health systems: challenges to collaboration between ethnic and government health systems in Kayin State, Myanmar

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Colette Pang Biesty ◽  
Aung Ja Brang ◽  
Barry Munslow
Keyword(s):  
Health System ◽  
Health Systems ◽  
Health Workers ◽  
Health Providers ◽  
Peace Accord ◽  
Government Health ◽  
Peace Processes ◽  
Post Conflict ◽  
Observation Methods ◽  
Minority Ethnic Groups

Abstract Background Myanmar has had a long history of civil wars with its minority ethnic groups and is yet to see a sustainable peace accord. The conflicts have had a significant impact on health in Myanmar, with ethnic populations experiencing inequitable health outcomes. Consequently, to meet the health needs of ethnic people, Ethnic Health Organisations and Community-Based Health Organisations (EHO/CBHOs) created their own health system. The EHO/CBHO and Government health systems, provided by the Myanmar Ministry of Health and Sports (MoHS), remain parallel, despite both stakeholders discussing unification of the health systems within the context of ongoing but unresolved peace processes. EHO/CBHOs discuss the ‘convergence’ of health systems, whilst the MoHS discuss the integration of health providers under their National Health Plan. Methods A qualitative study design was used to explore the challenges to collaboration between EHO/CBHOs and the MoHS in Kayin state, Myanmar. Twelve health workers from different levels of the Karen EHO/CBHO health system were interviewed. Semi-structured, in-depth interviews were digitally recorded, transcribed, and coded. Data was analysed thematically using the Framework method. Topic guides evolved in an iterative process, as themes emerged inductively from the transcripts. A literature review and observation methods were also utilised to increase validity of the data. Results The challenges to collaboration were identified in the following five themes: (1) the current situation is not ‘post conflict’ (2) a lack of trust (3) centralised nature of the MoHS (4) lack of EHO/CBHO health worker accreditation (5) the NHP is not implemented in some ethnic areas. Conclusions Ultimately, all five challenges to collaboration stem from the lack of peace in Myanmar. The health systems cannot be ‘converged or ‘integrated’ until there is a peace accord which is acceptable to all actors. EHO/CBHOs want a federal political system, where the health system is devolved, equitable and accessible to all ethnic people. External donors should understand this context and remain neutral by supporting all health actors in a conflict sensitive manner.

scholarly journals FEATURES OF SELF-ESTEEM AND ITS INFLUENCE ON THE EFFECTIVENESS OF COMPETITIVE ACTIVITY OF QUALIFIED TAEKWONDO ATHLETES

2021 ◽  
Vol 6 (2) ◽  
pp. 169-182
Author(s):  
Romoldanova Iryna ◽  
Vysochina Nadiia
Keyword(s):  
Female Athletes ◽  
Self Esteem ◽  
Young Athletes ◽  
Skill Levels ◽  
Observation Methods ◽  
Competitive Activity ◽  
Effectiveness Of Training ◽  
And Gender ◽  
High Level ◽  
First Time

Introduction. The article discusses the features of self-esteem in taekwondo athletes of various skill levels and gender. The important role of diagnostics of the level of self-esteem of taekwondo athletes in the process of purposeful preparation of athletes for international competitions is pointed out. The interrelation of self-esteem with the effectiveness of competitive activity of qualified taekwondo athletes is shown.Aim is to study the level of self-esteem of taekwondo athletes of various qualifications and to establish its relationship with the effectiveness of training and competitive activity of athletes.Material and methods: analysis of literary sources and Internet, expert survey, pedagogical observation,methods of psychodiagnostics, methods of mathematical statistics.Results. It was found that more experienced taekwondo athletes who train in the second and more Olympic four-year cycle have a higher level of self-esteem in comparison with young athletes who are preparing for the Olympic Games for the first time. The lowest level of self-esteem (63.10 ± 11.34, p<0.05) was observed in young athletes who are preparing for the first time for responsible international competitions.Experienced male and female athletes had approximately the same high level of self-esteem manifestation (p> 0.05). Statistically significant correlations between the level of self-assessment of taekwondo athletes and the effectiveness of their competitive activity were established. Athletes with a higher level of self-esteem were distinguished by higher rates of impact efficiency (%) during performance in real competition conditions. Conclusion. The importance of research and further correction of the level of self-esteem of taekwondo athletes in the process of training athletes in the framework of four-year Olympic cycles is emphasized.

scholarly journals IDENTIFIKASI TINGKAT KEPATUHAN PASIEN GERIATRI YANG MENDERITA HIPERTENSI DISERTAI PENYAKIT PENYERTA DI RSU PANCARAN KASIH MANADO PERIODE SEPTEMBER-OKTOBER 2018

PHARMACON ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 142
Author(s):  
Widia N Runtuwene ◽  
Weny I Wiyono ◽  
Adithya Yudistira
Keyword(s):  
Chronic Disease ◽  
Geriatric Patients ◽  
Health Workers ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Low Level ◽  
Consecutive Sampling ◽  
Lack Of Information ◽  
High Level ◽  
Scale 8

ABSTRACTHypertension is one of chronic disease with commonly treatment for lifetime. The adherence of geriatric patients in following treatment very important that doesn’t happen can lead to death. This type of research is a descriptive study. The population of this study amounted to 465 patients. The number of samples taken was 40 patients. The sampling technique is consecutive sampling. The level of adherence was measured using the Modified MoriskyAdherence Scale-8 (MMAS-8)questionnaire. From the results of this study it can be concluded that geriatric patients who do treatment at the manado pancaran kasih hospital have a high level of adherence of 10%, have a moderate level of adherence of 40%, and have a low level of adherence of 50%. The results of this study found a problem related to the adherence of geriatric patients aged 60-69 years who took medication at the manado pancaran kasih hospital, namely because of forgetfulness and lack of information obtained from health workers regarding the patients condition and the importance of drugs to drink continue.Keywords : Hypertension, Geriatric, Adherence. ABSTRAKHipertensi merupakan salah satu penyakit kronis dengan pengobatan yang umumnya seumur hidup.Kepatuhan pasien geriatri dalam menjalani pengobatan sangat penting agar tidak terjadi komplikasi berbagai penyakit yang dapat berujung pada kematian. Jenis penelitian ini adalah penelitian deskriptif.Populasi dari penelitian ini berjumlah 465 pasien.Jumlah sampel yang di ambil sebanyak 40 pasien.Teknik pengambilan sampel secara consecutive sampling.Tingkat kepatuhan di ukur dengan menggunakan Kuesioner MMAS-8 (Modified MoriskyAdherence Scale). Hasil penelitian ini dapat disimpulkan pasien geriatri yang melakukan pengobatan di RSU Pancaran Kasih Manado memiliki tingkat kepatuhan tinggi sebanyak 10%, memiliki tingkat kepatuhan sedang sebanyak 40%, dan memiliki tingkat kepatuhan rendah sebanyak 50%. Hasil penelitian ini mendapatkan masalah terkait kepatuhan pasien geriatri yang berusia 60-69 yang melakukan pengobatan di RSU Pancaran Kasih Manado yaitu karena lupa dan kurangya informasi yang didapatkan pasien dari tenaga kesehatan terkait kondisi pasien dan pentingnya pengobatan secara kontinu.Kata Kunci : Hipertensi, Geriatri, Kepatuhan.

scholarly journals UNIVERSAL PRECAUTION KNOWLEDGE LEVELS IN POSTGRADUATE STUDENTS FACULTY OF DENTISTRY

2021 ◽  
Vol 1 (Volume 1 No 1) ◽  
pp. 71-79
Author(s):  
Sri Sarwendah ◽  
Syarif Suwondo ◽  
Irena Nisa Harliani
Keyword(s):  
Health Workers ◽  
Care Staff ◽  
Health Care Staff ◽  
Universal Precaution ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Universal Precautions ◽  
Postgraduate Students ◽  
Level Of Knowledge ◽  
High Level

ABSTRACT Universal precautions are one way to prevent the transmission of disease, which is transmitted by blood and all body fluids, including saliva, either from the patient to health worker and from patient to another patient. Patients should be treated as infected with the disease and potentially infectious every time. This action should be done by all health care staff in the risk of cross-infection between patients, and health workers can be minimized. Basic universal precautions include immunization, hand washing, personal protective equipment, medical equipment management, and hospital waste management. This study aims to describe the level of knowledge about universal precautions in postgraduate students Faculty of Dentistry Universitas Jenderal Achmad Yani Cimahi (Unjani). This study used a descriptive design by cross-sectional. Collection data for research using a questionnaire containing 20 questions tested for validity and reliability, then a questionnaire filled out by respondents as many as 40 people. Presentation of research data is processed and presented to illustrate the level of knowledge in postgraduate students of frequency distribution table. The results showed that most of postgraduate students has a high knowledge (60%), postgraduate students with a moderate level of knowledge (27.5%), and postgraduate students with the knowledge that a low level (12.5%). Conclusions of the research showed that the majority postgraduate students about universal precaution is at a high level.

scholarly journals Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya

2017 ◽  
Vol 5 (2) ◽  
pp. 240
Author(s):  
Rr Rizqi Saphira Nurani ◽  
Atik Choirul Hidajah
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Data Retrieval ◽  
Improve Hand Hygiene ◽  
Descriptive Research ◽  
Hemodialysis Unit ◽  
Audit Form ◽  
Hygiene Compliance

Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse

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