Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit*

@article{Swoboda2004ElectronicMA,
  title={Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit*},
  author={Sandra Maria Swoboda and Karen A Earsing and Kevin Strauss and Stephen Lane and Pamela A. Lipsett},
  journal={Critical Care Medicine},
  year={2004},
  volume={32},
  pages={358-363}
}
ObjectiveTo determine whether electronic monitoring of hand hygiene and voice prompts can improve hand hygiene and decrease nosocomial infection rates in a surgical intermediate care unit. DesignThree-phase quasi-experimental design. Phase I was electronic monitoring and direct observation; phase II was electronic monitoring and computerized voice prompts for failure to perform hand hygiene on room exit; and phase III was electronic monitoring only. SettingNine-room, 14-bed intermediate care… Expand
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159 Citations
Highly Influential Citations
6
Background Citations
29
Methods Citations
7
Results Citations
7

159 Citations

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It is hypothesized that both patient isolation and electronic hand hygiene prompts incrementally improve hand hygiene of health care workers compared with nonisolation rooms. Expand
Impact of an automated hand hygiene monitoring system and additional promotional activities on hand hygiene performance rates and healthcare-associated infections
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Implementation of an AHHMS, when combined with several supplementary strategies as part of a multimodal program, resulted in significantly improved hand hygiene performance rates. Expand
Impact of an automated hand hygiene monitoring system combined with a performance improvement intervention on hospital-acquired infections
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Interrupted time series analysis indicated a significant effect of hand hygiene on healthcare facility-onset Clostridioides difficile infection rates during the first 9 months of the intervention but was nonsignificant. Expand
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TLDR
It is demonstrated that CCTV is an appropriate, reliable, and neutral method for observation of hand hygiene, and there is no clear basis for incorporating a CCTV observation modality into a health care system that already operates an overt observation program. Expand
Increasing Hand Hygiene Performance in Health Care Workers with Electronic Real-time Prompting
TLDR
Results showed that real-time prompts of 20 seconds’ duration nearly doubled HH activity and caused HH to occur sooner after entering a patient room, and were sustainable over a year. Expand
Implementing an electronic hand hygiene monitoring system: Lessons learned from community hospitals
TLDR
Realizing the full benefit of investments in electronic HH monitoring systems requires careful consideration of implementation strategies, planning for ongoing support and maintenance, and presenting data in a meaningful way to empower and inspire staff. Expand
The feasibility of an automated monitoring system to improve nurses' hand hygiene
TLDR
The results obtained when testing the embedded HH monitoring system demonstrated the feasibility of HH improvement and proved that proposed solution merits a larger and longer clinical trial to measure the degree of improvement and the sustainability of that improvement. Expand
Comparison of two electronic hand hygiene monitoring systems in promoting hand hygiene of healthcare workers in the intensive care unit
TLDR
Monitoring and feedback can improve the HH of HCWs and the EHHMS, with the function of real-time reminders and feedback, has a more noticeable effect on promoting HH. Expand
Automated and electronically assisted hand hygiene monitoring systems: a systematic review.
TLDR
A systematic review of the existing evidence surrounding the adoption and accuracy of automated systems or electronically enhanced direct observations and the effectiveness of such systems in health care settings finds limited data are currently available to recommend adoption of specific automatic or electronically assisted hand hygiene surveillance systems. Expand
Measuring Healthcare Worker Hand Hygiene Activity: Current Practices and Emerging Technologies
  • J. Boyce
  • Medicine
  • Infection Control & Hospital Epidemiology
  • 2011
TLDR
Preliminary studies suggest that use of electronic monitoring systems is associated with increased hand hygiene compliance rates and that such systems may be acceptable to care givers. Expand
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