Effect of video camera monitoring feedback on hand hygiene compliance in neonatal intensive care unit, an interventional study.

Autor: Bilgin H; Department of Infectious Diseases and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey. Electronic address: husambilginer@gmail.com., Sili U; Department of Infectious Diseases and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Pazar N; Infection Prevention and Control, Marmara University Hospital, Istanbul, Turkey., Kucuker I; Infection Prevention and Control, Marmara University Hospital, Istanbul, Turkey., Kepenekli E; Department of Pediatric Infectious Diseases and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Yanar MA; Department of Neonatal Intensive Care Unit, Marmara University School of Medicine, Istanbul, Turkey., Memisoglu A; Department of Neonatal Intensive Care Unit, Marmara University School of Medicine, Istanbul, Turkey., Ozek E; Department of Neonatal Intensive Care Unit, Marmara University School of Medicine, Istanbul, Turkey., Adhikari NK; Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada; Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada., Pinto R; Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada., Korten V; Department of Infectious Diseases and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2023 Sep; Vol. 51 (9), pp. 1028-1033. Date of Electronic Publication: 2023 Jan 02.
DOI: 10.1016/j.ajic.2022.12.011
Abstrakt: Background: The purpose of this study was to determine whether use of a video camera surveillance system for hand hygiene (HH) monitoring, video-based education, and feedback could improve the HH compliance in a neonatal intensive care unit (NICU).
Methods and Materials: This was an interventional before-after trial conducted in a level-III NICU between July 2019 and June 2020. HH compliance was measured using randomly selected video-camera footage in the baseline, intervention, and maintenance periods. After the baseline, an intervention consisting of feedback and education with video scenarios was implemented. The primary outcome was change in HH compliance. The compliance rates were analyzed as an interrupted time series (ITS) with a segmented regression model adjusted for autocorrelation for each study period.
Results: We identified a total of 8335 HH indications. There were non significant increases in the total compliance rate (9.0%, 95% CI -2% to 20%) at the time of intervention and in the compliance rate after intervention (0.26%, 95% CI -0.31% to 0.84%) per day. The hand hygiene compliance before patient contact significantly increased (19.8%, 95% CI, 4.8%-34.8%). Incorrect glove use improved non-significantly with the intervention (-3.4%, 95% CI -13.4% to 6.7%).
Conclusion: In this study of HH monitoring using video-camera footage combined with an intervention including feedback and education, there were inconsistent improvements in HH compliance. However, these improvements were not sustained in the long term. Frequent feedback and education may be required to sustain high compliance.
(Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: