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

  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},
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… 

Impact of an automated hand hygiene monitoring system and additional promotional activities on hand hygiene performance rates and healthcare-associated infections

Implementation of an AHHMS, when combined with several supplementary strategies as part of a multimodal program, resulted in significantly improved hand hygiene performance rates.

Increasing Hand Hygiene Performance in Health Care Workers with Electronic Real-time Prompting

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.

The feasibility of an automated monitoring system to improve nurses' hand hygiene

Comparison of two electronic hand hygiene monitoring systems in promoting hand hygiene of healthcare workers in the intensive care unit

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.

Measuring Healthcare Worker Hand Hygiene Activity: Current Practices and Emerging Technologies

  • J. Boyce
  • Medicine
    Infection Control & Hospital Epidemiology
  • 2011
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.

Introduction of an electronic monitoring system for monitoring compliance with Moments 1 and 4 of the WHO "My 5 Moments for Hand Hygiene" methodology

MedSense provides an unobtrusive and objective measurement of hand hygiene compliance and is important for staff training by the infection control team and allocation of manpower by hospital administration.



Handwashing compliance depends on professional status.

Significant opportunities exist for quality improvement, novel educational strategies, and assessment of reasons why MDs and, to a lesser extent, RNs fail to follow simple HW practices, suggesting that improvement in HW to the level of NSP could have a major impact on infection transmission.

Compliance with Handwashing in a Teaching Hospital

This observational study investigated factors associated with poor compliance with handwashing in a teaching hospital and used Stata version 5 (Stata Corp., College Station, Texas) for all analyses.

Hand-washing patterns in medical intensive-care units.

Hand washing is considered the single most important procedure in preventing nosocomial infections, and it has been recommended after contact with every patient by both the Centers for Disease Control and the Americal Hospital Association.

No Time for Handwashing!? Handwashing Versus Alcoholic Rub Can We Afford 100% Compliance?

It is concluded that 100% compliance with handwashing may interfere with patient care and partly explains the low compliance, and AHD, with its rapid activity, superior efficacy, and minimal time commitment, allows 100% healthcare-worker compliance without interfering with the quality of patient care.

A multifaceted approach to changing handwashing behavior.

APIC Guideline for Hand Washing and Hand Antisepsis in Health-Care Settings *

The Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) Board of Directors and Guidelines Committee are pleased to present the ‘‘APIC’’ Guideline for Hand Washing and

The Role of Understaffing in Central Venous Catheter-Associated Bloodstream Infection

Nursing staff reductions below a critical level, during a period of increased TPN use, may have contributed to the increase in CVC-BSI in the SICU by making adequate catheter care difficult.

The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals.

It is found that the establishment of intensive infection surveillance and control programs was strongly associated with reductions in rates of nosocomial urinary tract infection, surgical wound infection, pneumonia, and bacteremia between 1970 and 1975-1976, after controlling for other characteristics of the hospitals and their patients.