Evaluation of hand hygiene compliance and associated factors with a radio-frequency-identification-based real-time continuous automated monitoring system

Autor: Jean-Charles Dufour, Pauline Reynier, A. Soto Aladro, P. Brouqui, Sophia Boudjema, Roch Giorgi
Přispěvatelé: Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U912 INSERM - Aix Marseille Univ - IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Assistance Publique - Hôpitaux de Marseille (APHM), Unité de Recherche sur les Maladies Infectieuses Tropicales Emergentes (URMITE), Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, Institut des sciences biologiques (INSB-CNRS)-Institut des sciences biologiques (INSB-CNRS)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, Institut des sciences biologiques (INSB-CNRS)-Institut des sciences biologiques (INSB-CNRS)-Centre National de la Recherche Scientifique (CNRS), Institut de Recherche pour le Développement (IRD)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Aix Marseille Université (AMU), INSB-INSB-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR48, INSB-INSB-Centre National de la Recherche Scientifique (CNRS), COMBE, Isabelle
Rok vydání: 2016
Předmět:
Microbiology (medical)
Male
medicine.medical_specialty
Time Factors
media_common.quotation_subject
Health Personnel
Health Behavior
030501 epidemiology
03 medical and health sciences
0302 clinical medicine
Hygiene
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Health care
Medicine
Humans
Hand Hygiene
030212 general & internal medicine
Health Workforce
Intensive care medicine
Routine care
Hand disinfection
media_common
Cross Infection
Infection Control
business.industry
Continuous monitoring
Outcome measures
Monitoring system
General Medicine
medicine.disease
Hospitals
3. Good health
Radio Frequency Identification Device
Infectious Diseases
[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Female
Medical emergency
Guideline Adherence
0305 other medical science
business
Bedroom
Zdroj: Journal of Hospital Infection
Journal of Hospital Infection, 2017, 95 (4), pp.344-351. ⟨10.1016/j.jhin.2017.02.002⟩
Journal of Hospital Infection, WB Saunders, 2017, 95 (4), pp.344-351. ⟨10.1016/j.jhin.2017.02.002⟩
ISSN: 1532-2939
0195-6701
DOI: 10.1016/j.jhin.2017.02.002⟩
Popis: International audience; Background: Hand hygiene is a major means for preventing healthcare-associated infections. One critical point in understanding poor compliance is the lack of relevant markers used to monitor practices systematically. Methods: This study analysed hand hygiene compliance and associated factors with a radiofrequency-identification-based real-time continuous automated monitoring system in an infectious diseasewardwith 17 single bedrooms. Healthcareworkers (HCWs) were trackedwhile performing routine care over 171 days. Amulti-levelmulti-variate logisticsmodelwas used for data analysis. The main outcome measures were hand disinfection before entering the bedroom (outside use) and before entering the patient care zone, defined as the zone surrounding the patient's bed (inside/bedside use). Variables analysed included HCWs' characteristics and behaviour, patients, room layouts, path chains and duration of HCWs' paths. Findings: In total, 4629 paths with initial hand hygiene opportunities when entering the patient care zone were selected, of which 763 (16.5%), 285 (6.1%) and 3581 (77.4%) were associated with outside use, inside/bedside use and no use, respectively. Hand hygiene is caregiver-dependent. The shorter the duration of the HCW's path, the worse the bedside hand hygiene. Bedside hand hygiene is improved when one or two extra HCWs are present in the room. Interpretation: Hand hygiene compliance at the bedside, as analysed using the continuous monitoring system, depended upon the HCW's occupation and personal behaviour, number of HCWs, time spent in the room and (potentially) dispenser location. Meal tray distribution was a possible factor in the case of failure to disinfect hands. (C) 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
Databáze: OpenAIRE
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