Impact of an electronic hand hygiene monitoring system on hand hygiene compliance.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-04-14 DOI:10.1016/j.ajic.2025.04.005

Kelly Acree, Juliet Ferrelli, Jenna Li

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引用次数: 0

Abstract

Background: Health care worker hand hygiene (HH) is suboptimal. Electronic hand hygiene monitoring systems (EHHMS) record real-time HH events and may improve HH compliance. We evaluated if an EHHMS affected HH compliance.

Methods: HH compliance of 6,711 inpatient health care workers was recorded in 9 hospitals for 30months using an EHHMS. Badge-wearing ratios (BWRs: number of staff wearing their monitoring badge/number of staff given a badge) and HH compliance rates were compared. Linear regression analysis and multivariate models compared BWRs across health care worker types and analyzed the interaction between BWRs and location.

Results: There was a 1.9% increase in HH compliance for every 10-unit increase in BWR (t=6.65, P value <.001). Hospital location, health care worker type, and shift type significantly influenced HH compliance (F=115.7, df=[19,986], P value <.001, R²=0.69). BWRs and HH compliance were higher in hospitals that provided additional incentives to their health care workers.

Conclusions: Improved EHHMS badge-wearing correlated with increased HH compliance. Hospitals that provided incentives and placed a greater focus on HH had the most-improved HH compliance.

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电子手卫生监测系统对手卫生依从性的影响。

背景：卫生保健工作者的手卫生（HH）是次优的。电子手卫生监测系统（EHHMS）记录实时卫生事件，并可能提高卫生合规。我们评估EHHMS是否会影响HH的合规性。方法：采用EHHMS对9家医院6711名住院医护人员30个月的健康依从性进行记录。佩戴徽章比率（BWRs：佩戴监控徽章的员工人数/获得徽章的员工人数）和HH合规率进行了比较。线性回归分析和多变量模型比较了不同医护人员类型的身体负荷，并分析了身体负荷与地点的相互作用。结果：BWR每增加10个单位，HH依从性增加1.9% （t=6.65， P值2=0.69）。在为医护人员提供额外激励的医院中，BWRs和HH依从性更高。结论：EHHMS徽章佩戴的改善与HH依从性的提高相关。提供激励措施并更加关注HH的医院的HH合规性得到了最大的改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)