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In fact, automated monitoring systems are not the only successful real-time solutions developed in the context of healthcare. Despite its limitations, this system was able to improve HH compliance to around 90%. For example, Møller-Sørensen and colleagues tested a dispensing technology that reminds HCWs, patients and visitors to perform HH after restroom visits. , are attempting to prove that these solutions can effectively lead to a better HH compliance, and so far they appear to be promising in improving monitoring performance and HH compliance among HCW. Some studies, like those performed by Levchenko et al. However, there are some remaining questions to concern about: accuracy, costs (which can be high, depending on the chosen technology), ethical questions (HCWs can be sceptical about being monitored this way), etc. These systems cope with direct observation method’s main limitation, which is the impossibility to collect continuous data during a period of time.
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These systems can electronically identify when an HCW uses a sink or an ABHR dispenser and generate exact quantitative results from automatically collected data, which can be used to examine trends regarding HH compliance value over time. In this case participants complained that no meaningful information could be extracted from the aggregated audit results, which often are disseminated long time after being collected.Īutomated monitoring systems can help providing this timely and personalized feedback. Alongside several interesting issues mentioned, the need of having individualized and immediate real-time feedback of HH practices must be highlighted. conducted a qualitative study that aimed at understanding the perspectives of senior managers regarding current and future strategies to improve HH compliance. Hospitals need to come up with innovative ways of monitoring HCWs’ HH performance and provide them with proper feedback. Despite being the method that provides the most accurate data and the only one that allows technique evaluation, it is costly, time-consuming and susceptible to several biases like the Hawthorne effect.
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This framework provides information that can be used to calculate the HH compliance rate, given by the reason between the number of complied moments and the total number of occurred moments.ĭirect observation of HCWs’ HH practice by professional observers, is the standard for monitoring HH compliance. The “My five moments for hand hygiene” framework links specific moments to HH opportunities, and it is further detailed in Additional file 1 Appendix I. To assist this, World Health Organization (WHO) proposed a framework for understanding, training, observing and communicating HH performance. Monitoring HCW’s HH performance is an important element of multimodal HH promotion programs. Therefore, it becomes crucial to understand and investigate ways to improve HH compliance. Factors like forgetfulness, lack of time, lack of guidelines’ knowledge, have been declared as barriers to better compliance. Overall compliance of the study was approximately 11,96%, which is dangerously low. During 3 months, 20-min direct observation sessions were performed. studied HCWs’ HH compliance rate in an ICU of a tertiary care hospital in India. Performing HH at the right times is a simple and inexpensive prevention measure that can save lives, but compliance is still suboptimal amongst HCWs. Surgical hand scrub: application of antiseptic hand rub or performing antiseptic hand wash by a surgical team before an operation.