{"title":"电子手卫生监测系统对手卫生依从性的影响。","authors":"Kelly Acree, Juliet Ferrelli, Jenna Li","doi":"10.1016/j.ajic.2025.04.005","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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, R<sup>2</sup>=0.69). BWRs and HH compliance were higher in hospitals that provided additional incentives to their health care workers.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of an electronic hand hygiene monitoring system on hand hygiene compliance.\",\"authors\":\"Kelly Acree, Juliet Ferrelli, Jenna Li\",\"doi\":\"10.1016/j.ajic.2025.04.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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, R<sup>2</sup>=0.69). BWRs and HH compliance were higher in hospitals that provided additional incentives to their health care workers.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":7621,\"journal\":{\"name\":\"American journal of infection control\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2025-04-14\",\"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.2025.04.005\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of infection control","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajic.2025.04.005","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Impact of an electronic hand hygiene monitoring system on hand hygiene compliance.
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.
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)
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