Light-guided nudging and data-driven performance feedback improve hand hygiene compliance among nurses and doctors.
Am J Infect Control
; 49(6): 733-739, 2021 06.
Article
in English
| MEDLINE | ID: covidwho-1269211
ABSTRACT
BACKGROUND:
Evidence-based practices to increase hand hygiene compliance (HHC) among health care workers are warranted. We aimed to investigate the effect of a multimodal strategy on HHC.METHODS:
During this 14-month prospective, observational study, an automated monitoring system was implemented in a 29-bed surgical ward. Hand hygiene opportunities and alcohol-based hand rubbing events were measured in patient and working rooms (medication, utility, storerooms, toilets). We compared baseline HHC of health care workers across periods with light-guided nudging from sensors on dispensers and data-driven performance feedback (multimodal strategy) using the Student's t test.RESULTS:
The doctors (nâ¯=â¯10) significantly increased their HHC in patient rooms (16% vs 42%, P< .0001) and working rooms (24% vs 78%, P= .0006) when using the multimodal strategy. The nurses (nâ¯=â¯26) also increased their HHC significantly from baseline in both patient rooms (27% vs 43%, P = .0005) and working rooms (39% vs 64%, P< .0001). The nurses (nâ¯=â¯9), who subsequently received individual performance feedback, further increased HHC, compared with the period when they received group performance feedback (patient rooms 43% vs 55%, P< .0001 and working rooms 64% vs 80%, P< .0001).CONCLUSIONS:
HHC of doctors and nurses can be significantly improved with light-guided nudging and data-driven performance feedback using an automated hand hygiene system.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Cross Infection
/
Hand Hygiene
/
Nurses
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
Am J Infect Control
Year:
2021
Document Type:
Article
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