Adoption of electronic hand hygiene monitoring systems in New York state hospitals and the associated impact on hospital-acquired C. difficile infection rates
| Autor: | Loretta Willis, Danielle J. Durant, Sarah Duvall |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject New York Hospitals State 03 medical and health sciences 0302 clinical medicine Hygiene Acute care medicine Infection control Humans Hand Hygiene 030212 general & internal medicine media_common 0303 health sciences Cross Infection Infection Control 030306 microbiology business.industry Clostridioides difficile Health Policy Public Health Environmental and Occupational Health Monitoring system Clostridium difficile C difficile Critical access hospital Hospitals Trend analysis Infectious Diseases Emergency medicine Guideline Adherence Electronics business |
| Zdroj: | American journal of infection control. 48(7) |
| ISSN: | 1527-3296 |
| Popis: | Background Approximately 721,800 hospital acquired infections occur annually, generating an estimated $10 billion in provider costs. Proper hand hygiene (HH) prevents hospital acquired infections, yet compliance is low. Electronic hand hygiene monitoring systems (EHHMS) are a potential solution, tracking and signaling HH events. Methods We explored adoption of EHHMS in New York State acute care hospitals through a survey and interviews. Trend analysis was used to evaluate the impact of EHHMS on hospital-acquired Clostridium difficile infection (HA-CDI) rates. Results Survey respondents represented approximately 30% (N = 56) of the total population of hospitals (N = 184) and EHHMS adoption was low (N = 2). The primary reason for nonadoption was cost (79.6%). HH compliance increased 20%-30% and HA-CDI decreased 70% for one hospital after an EHHMS, though not sustained; robust HH culture was mentioned as a necessary accompaniment. The trend analysis showed negligible impact on HA-CDI post-EHHMS for the second hospital. A critical access hospital without an EHHMS reported HH compliance of 90% attributed to strong HH culture. Conclusions Proliferation of EHHMS is low in New York State acute care hospitals and its impact on HH compliance and infection rates is questionable. Putting technology aside, strong HH culture seems essential for high compliance. |
| Databáze: | OpenAIRE |
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