Anne-Mette Iversen1, Christiane Pahl Kavalaris2, Rosa Hansen3, Marco Bo Hansen4, Rebekah Alexander4, Krassimir Kostadinov3, Jette Holt5, Brian Kristensen5, Jenny Dahl Knudsen6, Jens Kjølseth Møller7, Svend Ellermann-Eriksen8. 1. Department of Oncology, Aarhus University Hospital, Aarhus, Denmark. Electronic address: annivers@rm.dk. 2. Department of Quality and Education, Infection Control Unit, Bispebjerg University Hospital, Copenhagen, Denmark. 3. Department of Orthopedic, Bispebjerg University Hospital, Copenhagen, Denmark. 4. Konduto ApS, Sani nudge, Copenhagen, Denmark. 5. National Center of Infection Control, Statens Serum Institut, Copenhagen, Denmark. 6. Department of Clinical Microbiology, Hvidovre University Hospital, Copenhagen, Denmark. 7. Department of Clinical Microbiology, Vejle Hospital, Vejle, Denmark. 8. Department of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark.
Abstract
BACKGROUND: Hand hygiene compliance (HHC) among health care workers remains suboptimal, and good monitoring systems are lacking. We aimed to evaluate HHC using an automated monitoring system. METHODS: A prospective, observational study was conducted at 2 Danish university hospitals employing a new monitoring system (Sani nudge). Sensors were located on alcohol-based sanitizers, health care worker name tags, and patient beds measuring hand hygiene opportunities and sanitations. RESULTS: In total, 42 nurses were included with an average HHC of 52% and 36% in hospitals A and B, respectively. HHC was lowest in patient rooms (hospital A: 45%; hospital B: 29%) and highest in staff toilets (hospital A: 72%; hospital B: 91%). Nurses sanitized after patient contact more often than before, and sanitizers located closest to room exits and in hallways were used most frequently. There was no association found between HHC level and the number of beds in patient rooms. The HHC level of each nurse was consistent over time, and showed a positive correlation between the number of sanitations and HHC levels (hospital A: r = 0.69; hospital B: r = 0.58). CONCLUSIONS: The Sani nudge system can be used to monitor HHC at individual and group levels, which increases the understanding of compliance behavior.
BACKGROUND: Hand hygiene compliance (HHC) among health care workers remains suboptimal, and good monitoring systems are lacking. We aimed to evaluate HHC using an automated monitoring system. METHODS: A prospective, observational study was conducted at 2 Danish university hospitals employing a new monitoring system (Sani nudge). Sensors were located on alcohol-based sanitizers, health care worker name tags, and patient beds measuring hand hygiene opportunities and sanitations. RESULTS: In total, 42 nurses were included with an average HHC of 52% and 36% in hospitals A and B, respectively. HHC was lowest in patient rooms (hospital A: 45%; hospital B: 29%) and highest in staff toilets (hospital A: 72%; hospital B: 91%). Nurses sanitized after patient contact more often than before, and sanitizers located closest to room exits and in hallways were used most frequently. There was no association found between HHC level and the number of beds in patient rooms. The HHC level of each nurse was consistent over time, and showed a positive correlation between the number of sanitations and HHC levels (hospital A: r = 0.69; hospital B: r = 0.58). CONCLUSIONS: The Sani nudge system can be used to monitor HHC at individual and group levels, which increases the understanding of compliance behavior.
Authors: Qian Xu; Yang Liu; Darius Cepulis; Ann Jerde; Rachel A Sheppard; Kaitlin Tretter; Leah Oppy; Gina Stevenson; Sarah Bishop; Sean P Clifford; Peng Liu; Maiying Kong; Jiapeng Huang Journal: Am J Infect Control Date: 2021-05-28 Impact factor: 2.918
Authors: Anne-Mette Iversen; Marie Stangerup; Michelle From-Hansen; Rosa Hansen; Louise Palasin Sode; Krassimir Kostadinov; Marco Bo Hansen; Henrik Calum; Svend Ellermann-Eriksen; Jenny Dahl Knudsen Journal: Am J Infect Control Date: 2020-11-10 Impact factor: 2.918
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