Rapid phase I evaluation of a novel automated hand hygiene monitoring system in response to COVID-19
IF 1.4
Q3 HEALTH CARE SCIENCES & SERVICES
Katie-Rose Cawthorne, D. Powell, R. Cooke
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Abstract
© Author(s) (or their employer(s)) 2022. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION Direct observation (DO) of hand hygiene (HH) behaviour remains the gold standard tool for measuring staff compliance during the COVID19 pandemic. However, gathering HH data in the current environment may be challenging for many healthcare facilities due to resources being diverted to COVID19 containment measures. Hence, audit on HH compliance may be severely compromised due to lack of labour force to perform DO. This is problematic as hospital transmission of COVID19 is high. Automated hand hygiene monitoring systems (AHHMS) have been developed in recent years to enable healthcare organisations to gather robust HH data with minimal investment of labour. Group monitoring systems and badgebased systems are the two most common types of AHHMS available in the marketplace. Group monitoring systems track usage of HH dispensers to give an idea of HH frequency by staff groups. Badgebased systems typically require healthcare workers (HCWs) to wear an additional tracking device that communicates with dispenserbased sensors. Hospitals with AHHMS already in place prior to the COVID19 pandemic are in an advantageous position. An AHHMS was used to capture 35 million HH opportunities between January and May 2020 at the height of the pandemic. Capturing a similar number of HH opportunities via DO would not be feasible. Makhni et al used the same AHHMS to demonstrate that in the early days of the pandemic, HH compliance reached 100%, although unfortunately it did decline to 51.8% within a few months. AHHMS which purport to measure HH compliance rates are typically USbased and are reliant on healthcare institutions having a high proportion of singlepatient rooms. These AHHMS focus on single room entries and exits as surrogates for WHO HH moments 1 and 4, that is, washing hands before and after patient contact. Such an approach contributes to a limited picture of true HH behaviour. After an extensive consultation exercise with NHS HCWs, the concept of a novel AHHMS, ‘Hygenie’, has evolved. The end result of any HH initiative is to prevent healthcareassociated infections (HCAIs) and improve patient safety. Simply encouraging HCWs to perform HH more often could be a simpler improvement initiative for HCWs to work Summary box
应对COVID-19的新型自动手卫生监测系统的快速I期评估
©作者(或其雇主)2022。禁止商业重用。请参阅权利和权限。英国医学杂志出版。在2019冠状病毒病大流行期间,直接观察手卫生行为仍然是衡量员工合规性的金标准工具。然而,对于许多医疗机构来说,在当前环境下收集卫生保健数据可能具有挑战性,因为资源被转移到covid - 19遏制措施上。因此,由于缺乏执行DO的劳动力,对HH合规性的审计可能会受到严重损害。这是一个问题,因为covid - 19的医院传播率很高。近年来,自动手卫生监测系统(AHHMS)得到了发展,使医疗机构能够以最少的人力投入收集可靠的卫生数据。群体监控系统和基于徽章的系统是市场上两种最常见的AHHMS类型。组监控系统跟踪HH点胶机的使用情况,以了解员工组的HH频率。基于徽章的系统通常要求医疗工作者(HCWs)佩戴一个额外的跟踪设备,该设备可与基于分配器的传感器通信。在covid - 19大流行之前已经建立AHHMS的医院处于有利地位。在2020年1月至5月大流行高峰期,AHHMS用于捕捉3500万次卫生保健机会。通过DO获得类似数量的HH机会是不可行的。Makhni等人使用相同的AHHMS来证明,在大流行的早期,HH依从性达到100%,尽管不幸的是,它在几个月内确实下降到51.8%。AHHMS旨在衡量HH合规率,通常以美国为基础,依赖于拥有高比例单病房的医疗机构。这些AHHMS侧重于单个房间的进出,作为世卫组织HH时刻1和4的替代,即在接触患者之前和之后洗手。这种方法有助于对真实HH行为的有限描述。经过与NHS卫生保健员的广泛磋商,一种新型卫生保健服务“Hygenie”的概念已经形成。任何卫生保健倡议的最终结果都是预防卫生保健相关感染(HCAIs)并改善患者安全。简单地鼓励HCWs更频繁地执行HH可能是一个更简单的改进HCWs工作摘要框
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来源期刊
期刊介绍:
Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.