Karin Granqvist, Linda Ahlstrom, Jon Karlsson, Birgitta Lytsy, Annette Erichsen
{"title":"Digital feedback to improve adherence to hand hygiene: A longitudinal study on the effects of an electronic monitoring system.","authors":"Karin Granqvist, Linda Ahlstrom, Jon Karlsson, Birgitta Lytsy, Annette Erichsen","doi":"10.1016/j.ajic.2025.06.017","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study investigated the impact of digital feedback from an electronic monitoring system (EMS) to health care workers (HCWs) at both the group and individual levels on the adherence to hand hygiene (HH).</p><p><strong>Methods: </strong>An EMS was installed in a surgical ward at a tertiary hospital and adherence rates among HCWs (n = 15) were measured from October 2018 to December 2019. After an initial baseline period, digital feedback was given to the HCWs first at the group level (2 months), and then at both the group and individual levels (2 months). Adherence rates were then measured over an additional follow-up period of 9 months.</p><p><strong>Results: </strong>Digital feedback for 9 months at both the individual and group levels significantly increased adherence to HH compared with the baseline (37.9% vs 52.5%). The mean increase in adherence rates was 14.5%. Feedback over a shorter period (2 months) had the same effect at neither the group level nor the individual level.</p><p><strong>Conclusions: </strong>Follow-up long-term studies are crucial to evaluate the effect of digital feedback. As research on innovations monitoring HH adherence is still in its infancy, this study contributes with valuable findings into the impact of digital feedback.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of infection control","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajic.2025.06.017","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: This study investigated the impact of digital feedback from an electronic monitoring system (EMS) to health care workers (HCWs) at both the group and individual levels on the adherence to hand hygiene (HH).
Methods: An EMS was installed in a surgical ward at a tertiary hospital and adherence rates among HCWs (n = 15) were measured from October 2018 to December 2019. After an initial baseline period, digital feedback was given to the HCWs first at the group level (2 months), and then at both the group and individual levels (2 months). Adherence rates were then measured over an additional follow-up period of 9 months.
Results: Digital feedback for 9 months at both the individual and group levels significantly increased adherence to HH compared with the baseline (37.9% vs 52.5%). The mean increase in adherence rates was 14.5%. Feedback over a shorter period (2 months) had the same effect at neither the group level nor the individual level.
Conclusions: Follow-up long-term studies are crucial to evaluate the effect of digital feedback. As research on innovations monitoring HH adherence is still in its infancy, this study contributes with valuable findings into the impact of digital feedback.
背景:本研究调查了来自电子监测系统的数字反馈对医疗工作者在群体和个人层面上遵守手卫生的影响。方法:于2018年10月至2019年12月,在某三级医院的外科病房安装电子监控系统,测量医护人员(n = 15)的依从率。在初始基线期(2个月)之后,首先在小组层面(2个月)向卫生保健工作者提供数字反馈,然后在小组和个人层面(2个月)进行反馈。然后在9个月的额外随访期间测量依从率。结果:与基线相比,9个月的数字反馈显著提高了个人和群体对手部卫生的依从性(37.9% vs 52.5%)。依从率平均增加14.5%。较短时间(2个月)的反馈在小组和个人层面上都没有同样的效果。结论:随访的长期研究对评估数字反馈的效果至关重要。由于监测手卫生依从性的创新研究仍处于起步阶段,本研究对电子监测系统的使用做出了有价值的发现,这是一项创新,其最终目标是改善医护人员的手卫生,提高患者安全。
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)