2.50
Hdl Handle:
http://hdl.handle.net/10755/335328
Category:
Full-text
Type:
Presentation
Title:
Electronic Monitoring of Hand Hygiene: Challenges and Methods
Author(s):
Larson, Elaine; Cohen, Bevin; Saiman, Lisa; Murray, Meghan; Conway, Laurie; Alper, Paul
Lead Author STTI Affiliation:
Non-member
Author Details:
Elaine Larson, RN, BSN, MA, PhD, ell23@columbia.edu; Bevin Cohen, BA, MPH; Lisa Saiman, BA, MPH, MD; Meghan Murray, BA, MPH; Laurie Conway, BSN, MSN; Paul Alper, BA
Abstract:
Session presented on Friday, July 25, 2014: Purpose: Because hand hygiene (HH) is one of the primary strategies to prevent infection transmission, many facilities are now monitoring staff HH behavior using direct observation. Observation, however, is costly and subject to multiple biases. Therefore, electronic monitoring of HH has been proposed as a feasible and potentially more accurate solution for tracking trends in HH practices and for providing staff with performance feedback. The purpose of this presentation is to discuss implementation of an electronic HH monitoring system, including challenges and strategies. Methods: An electronic group monitoring system which counted number of HH events, but had no individual identifiers, was installed in all soap and alcohol dispensers in patient care areas of three pediatric long term care facilities (284 beds) and one acute care community hospital (140 beds) located in the United States. The system generates graphs and reports using various formats (locations, times). Researchers worked with administrative staff in each facility to develop implementation plans, determine how feedback would be provided to patient care staff, and track changes in HH rates. Reports were generated and sent to individuals selected by each facility. Report formats could also be changed by these individuals at each facility. Results: Challenges during implementation of the system included addressing staff/administrator concerns about the validity and use of data, ensuring that feedback on HH reached patient care staff, and dealing with wide variations in implementation across sites. Administrators were inconsistent in disseminating the information; several months after installation, many staff members in some facilities were still unaware of the monitoring strategy and had received no feedback. In the community hospital, when compared to HH frequency before staff feedback, frequency of HH for medical-surgical units, coronary care unit, and emergency department was slightly, but statistically significantly higher, after providing staff feedback (mean difference=4.9% compliance, SD 4.3, p=0.02). In the pediatric long term care facilities, however, HH frequency 3 month prior to and 3 months following staff receipt of electronic HH feedback was not significantly changed (21,730 and 20,910 HH episodes, respectively). Conclusion: Monitoring HH is performed in many facilities, but feedback alone is not sufficient to improve practice. Even with automated monitoring systems, well planned implementation strategies are essential to improve HH practice.
Keywords:
Behavior change; Adherence to practice guidelines; hand hygiene
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14PST64
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleElectronic Monitoring of Hand Hygiene: Challenges and Methodsen
dc.contributor.authorLarson, Elaineen
dc.contributor.authorCohen, Bevinen
dc.contributor.authorSaiman, Lisaen
dc.contributor.authorMurray, Meghanen
dc.contributor.authorConway, Laurieen
dc.contributor.authorAlper, Paulen
dc.contributor.departmentNon-memberen
dc.author.detailsElaine Larson, RN, BSN, MA, PhD, ell23@columbia.edu; Bevin Cohen, BA, MPH; Lisa Saiman, BA, MPH, MD; Meghan Murray, BA, MPH; Laurie Conway, BSN, MSN; Paul Alper, BAen
dc.identifier.urihttp://hdl.handle.net/10755/335328-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: Because hand hygiene (HH) is one of the primary strategies to prevent infection transmission, many facilities are now monitoring staff HH behavior using direct observation. Observation, however, is costly and subject to multiple biases. Therefore, electronic monitoring of HH has been proposed as a feasible and potentially more accurate solution for tracking trends in HH practices and for providing staff with performance feedback. The purpose of this presentation is to discuss implementation of an electronic HH monitoring system, including challenges and strategies. Methods: An electronic group monitoring system which counted number of HH events, but had no individual identifiers, was installed in all soap and alcohol dispensers in patient care areas of three pediatric long term care facilities (284 beds) and one acute care community hospital (140 beds) located in the United States. The system generates graphs and reports using various formats (locations, times). Researchers worked with administrative staff in each facility to develop implementation plans, determine how feedback would be provided to patient care staff, and track changes in HH rates. Reports were generated and sent to individuals selected by each facility. Report formats could also be changed by these individuals at each facility. Results: Challenges during implementation of the system included addressing staff/administrator concerns about the validity and use of data, ensuring that feedback on HH reached patient care staff, and dealing with wide variations in implementation across sites. Administrators were inconsistent in disseminating the information; several months after installation, many staff members in some facilities were still unaware of the monitoring strategy and had received no feedback. In the community hospital, when compared to HH frequency before staff feedback, frequency of HH for medical-surgical units, coronary care unit, and emergency department was slightly, but statistically significantly higher, after providing staff feedback (mean difference=4.9% compliance, SD 4.3, p=0.02). In the pediatric long term care facilities, however, HH frequency 3 month prior to and 3 months following staff receipt of electronic HH feedback was not significantly changed (21,730 and 20,910 HH episodes, respectively). Conclusion: Monitoring HH is performed in many facilities, but feedback alone is not sufficient to improve practice. Even with automated monitoring systems, well planned implementation strategies are essential to improve HH practice.en
dc.subjectBehavior changeen
dc.subjectAdherence to practice guidelinesen
dc.subjecthand hygieneen
dc.date.available2014-11-17T13:49:50Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:49:50Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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