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The Precision of Human-Generated Hand-Hygiene Observations: A Comparison of Human Observation with an Automated Monitoring System

Published online by Cambridge University Press:  02 January 2015

Deepti Sharma
Affiliation:
Department of Biomedical Engineering, College of Engineering, University of Iowa, Iowa City, Iowa
Geb W. Thomas
Affiliation:
Department of Mechanical and Industrial Engineering, College of Engineering, University of Iowa, Iowa City, Iowa
Eric D. Foster
Affiliation:
Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa
Jaclyn Iacovelli
Affiliation:
Department of Mechanical and Industrial Engineering, College of Engineering, University of Iowa, Iowa City, Iowa
Krista M. Lea
Affiliation:
Department of Mechanical and Industrial Engineering, College of Engineering, University of Iowa, Iowa City, Iowa
Judy A. Streit
Affiliation:
Department of Internal Medicine, College of Medicine, University of Iowa, Iowa City, Iowa
Philip M. Polgreen*
Affiliation:
Department of Internal Medicine, College of Medicine, University of Iowa, Iowa City, Iowa
*
Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242 ([email protected])

Abstract

We compared the observations of nearly 1,400 hand-hygiene-related events recorded by an automated system and by human observers. Observation details differed for 38% of these events. Two likely explanations for these inconsistencies were the distance between the observer and the event and the busyness of the clinic.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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References

1.Boyce, JM, Pittet, D. Guidelines for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol 2002;23(suppl):S3S41.Google Scholar
2.Haas, JP, Larson, EL. Measurement of compliance with hand hygiene. J Hosp Infect 2007;66:614.Google Scholar
3.Eckmanns, T, Bessert, J, Behnke, M, Gastmeier, P, Ruden, H. Compliance with antiseptic hand rub use in intensive care units: the Hawthorne effect. Infect Control Hosp Epidemiol 2006;27:931934.Google Scholar
4.Boscart, VM, McGilton, KS, Levchenko, A, Hufton, G, Holliday, P, Fernie, GR. Acceptability of a wearable hand hygiene device with monitoring capabilities. J Hosp Infect 2008;70:216222.Google Scholar
5.Boyce, JM, Cooper, T, Dolan, MJ. Evaluation of an electronic device for real-time measurement of alcohol-based hand rub use. Infect Control Hosp Epidemiol 2009;30:10901095.Google Scholar
6.Broughall, JM, Marshman, C, Jackson, B, Bird, P. An automatic monitoring system for measuring handwashing frequency in hospital wards. J Hosp Infect 1984;5:447453.Google Scholar
7.Boyce, JM. Measuring healthcare worker hand hygiene activity: current practices and emerging technologies. Infect Control Hosp Epidemiol 2011;32:10161028.Google Scholar
8.Venkatesh, AK, Lankford, MG, Rooney, DM, Blachford, T, Watts, CM, Noskin, GA. Use of electronic alerts to enhance hand hygiene compliance and decrease transmission of vancomycin-resistant Enterococcus in a hematology unit. Am J Infect Control 2008;35:199205.Google Scholar
9.Polgreen, PM, Hlady, CS, Severson, MA, Segre, AM, Herman, T. Method for automated monitoring of hand hygiene compliance without radio-frequency identification. Infect Control Hosp Epidemiol 2010;31:12941297.Google Scholar
10.Sax, H, Allegranzi, B, Chraïti, MN, Boyce, J, Larson, E, Pittet, D. The World Health Organization hand hygiene observation method. Am J Infect Control 2009;37(10):827834.Google Scholar