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

Autor: Huseyin Bilgin, Uluhan Sili, Nazli Pazar, Isil Kucuker, Eda Kepenekli, Meral Agirman Yanar, Asli Memisoglu, Eren Ozek, Neill KJ Adhikari, Ruxandra Pinto, Volkan Korten
Přispěvatelé: Bilgin H., SİLİ U., Pazar N., Kucuker I., Kepenekli E., Yanar M. A., MEMİŞOĞLU A., ÖZEK E., Adhikari N. K., Pinto R., et al.
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Social Sciences and Humanities
Social Sciences (SOC)
Hawthorne effect
Family Medicine
Epidemiology
SOCIAL SCIENCES
GENERAL
SAĞLIK BAKIM BİLİMLERİ VE HİZMETLERİ
Hospital acquired infections
Life Sciences (LIFE)
Aile Hekimliği
Glove use
Sağlık Bilimleri
Clinical Medicine (MED)
IMMUNOLOGY
Sağlık Politikaları
Sociology
Video camera footage
Yaşam Bilimleri
Health Sciences
Epidemiyoloji
Sosyal ve Beşeri Bilimler
Klinik Tıp (MED)
Sosyoloji
Halk
Çevre ve İş Sağlığı
PUBLIC
ENVIRONMENTAL & OCCUPATIONAL HEALTH
Internal Medicine Sciences
Klinik Tıp
İmmünoloji
Temel Bilimler
Health Policy
Public Health
Environmental and Occupational Health
Life Sciences
Dahili Tıp Bilimleri
INFECTIOUS DISEASES
Sosyal Bilimler Genel
CLINICAL MEDICINE
KAMU
ÇEVRE VE İŞ SAĞLIĞI
HEALTH CARE SCIENCES & SERVICES
Tıp
Bulaşıcı hastalıklar
Yaşam Bilimleri (LIFE)
BULAŞICI HASTALIKLAR
Medicine
Sosyal Bilimler (SOC)
Natural Sciences
Popis: 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.
Databáze: OpenAIRE
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