Comparison of human and electronic observation for the measurement of compliance with hand hygiene
| Autor: | Thyago Pereira Magnus, Miguel Almeida O. Filho, Elivane da Silva Victor, Marcelo Pires Prado, Alexandre R. Marra, Michael B. Edmond, Eder Issao Ishibe, Oscar Fernando Pavão dos Santos, Rodrigo Dias Rodrigues, Tales Santini |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Observer (quantum physics) Epidemiology Intraclass correlation Concordance media_common.quotation_subject Hospital quality Hygiene medicine Humans Hand Hygiene Prospective Studies media_common business.industry Health Policy Public Health Environmental and Occupational Health Direct observation Confidence interval Surgery Infectious Diseases Epidemiological Monitoring Physical therapy Guideline Adherence business Brazil |
| Zdroj: | American Journal of Infection Control. 42:1188-1192 |
| ISSN: | 0196-6553 |
| DOI: | 10.1016/j.ajic.2014.07.031 |
| Popis: | Background Monitoring of hand hygiene is an important part of the improvement of hospital quality indicators. Methods This study was prospectively performed over a 14-week (electronic observer) period from December 3, 2013-March 9, 2014, to evaluate hand hygiene compliance in an adult step-down unit. We compared electronic handwash counters with the application of radiofrequency identification (RFID - ZigBee; i-Healthsys, Sao Carlos, Brazil) (electronic observer), which counts each activation of the alcohol gel dispenser to direct observation (human observer) using the iScrub application. Results For the overall time period of simultaneous electronic and human observation, we found that the electronic observer identified 414 hand hygiene episodes, whereas the human observers identified 448 episodes. Therefore, we found 92% (95% confidence interval [CI], 90%-95%) overall concordance (414/448), with an intraclass correlation coefficient of .87 (95% CI, 0.77-0.92). Conclusion Our RFID (ZigBee) system showed good accuracy (92%) and is a useful method to monitor hand hygiene compliance. |
| Databáze: | OpenAIRE |
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