Emma C Huang, Qian Xu, Yang Liu, Peng Liu, Maiying Kong, Jiapeng Huang
{"title":"SanibitTM电子手卫生系统提醒及激励措施对手卫生依从性的影响——一项前瞻性、四阶段观察性研究","authors":"Emma C Huang, Qian Xu, Yang Liu, Peng Liu, Maiying Kong, Jiapeng Huang","doi":"10.1016/j.jhin.2025.05.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>We aim to comprehensively evaluate the implementation of the Sanibit<sup>TM</sup>system in the ICU using individualized reminders and incentives and study the impact of these interventions on hand hygiene compliance in a 4 phased, prospective trial at a tertiary care hospital in the USA.</p><p><strong>Methods: </strong>An automated hand hygiene monitoring systems was installed in a 10-bed neurological intensive care unit. Phase 1: No reminder, Cash incentive. Phase 2a: Lights ONLY, Cash Incentive. Phase 2b: Lights + Vibrations, Cash Incentive. Phase 3: No reminder, Point System Incentive. Phase 4: Lights + Vibrations, Point System Incentive.</p><p><strong>Results: </strong>The accuracy rate detected by the Sanibit<sup>TM</sup>, compared with direct observations, was 85.1%. Phase 2a with lights only and cash incentives achieved the most hand hygiene opportunities in the middle of the week. Phase 4 with lights and vibrations reminders and point system incentives achieved the best in terms of total, full and partial hand hygiene compliance while phase 2a with lights only and cash incentives had the highest hand hygiene opportunities. Hand hygiene compliance rates of going-out of room events were significantly lower than those of going-in room events for quick in-and-out room while the opposite held true for long in-and-out room events.</p><p><strong>Conclusions: </strong>Hand hygiene opportunities, compliance, and patient contact times varied significantly among different reminders/incentives, individual healthcare workers, date of the week and time of the day. Lights and vibration reminders and point system incentives achieved the best hand hygiene compliance.</p><p><strong>Clinical trial registration: </strong>NCT03948672.</p>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":" ","pages":""},"PeriodicalIF":3.9000,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of Reminders from Sanibit<sup>TM</sup> Electronic Hand Hygiene System and Incentives on Hand Hygiene Compliance - A Prospective, Four Phased, Observational Study.\",\"authors\":\"Emma C Huang, Qian Xu, Yang Liu, Peng Liu, Maiying Kong, Jiapeng Huang\",\"doi\":\"10.1016/j.jhin.2025.05.014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>We aim to comprehensively evaluate the implementation of the Sanibit<sup>TM</sup>system in the ICU using individualized reminders and incentives and study the impact of these interventions on hand hygiene compliance in a 4 phased, prospective trial at a tertiary care hospital in the USA.</p><p><strong>Methods: </strong>An automated hand hygiene monitoring systems was installed in a 10-bed neurological intensive care unit. Phase 1: No reminder, Cash incentive. Phase 2a: Lights ONLY, Cash Incentive. Phase 2b: Lights + Vibrations, Cash Incentive. Phase 3: No reminder, Point System Incentive. Phase 4: Lights + Vibrations, Point System Incentive.</p><p><strong>Results: </strong>The accuracy rate detected by the Sanibit<sup>TM</sup>, compared with direct observations, was 85.1%. Phase 2a with lights only and cash incentives achieved the most hand hygiene opportunities in the middle of the week. Phase 4 with lights and vibrations reminders and point system incentives achieved the best in terms of total, full and partial hand hygiene compliance while phase 2a with lights only and cash incentives had the highest hand hygiene opportunities. Hand hygiene compliance rates of going-out of room events were significantly lower than those of going-in room events for quick in-and-out room while the opposite held true for long in-and-out room events.</p><p><strong>Conclusions: </strong>Hand hygiene opportunities, compliance, and patient contact times varied significantly among different reminders/incentives, individual healthcare workers, date of the week and time of the day. Lights and vibration reminders and point system incentives achieved the best hand hygiene compliance.</p><p><strong>Clinical trial registration: </strong>NCT03948672.</p>\",\"PeriodicalId\":54806,\"journal\":{\"name\":\"Journal of Hospital Infection\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-05-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hospital Infection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jhin.2025.05.014\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2025.05.014","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Effects of Reminders from SanibitTM Electronic Hand Hygiene System and Incentives on Hand Hygiene Compliance - A Prospective, Four Phased, Observational Study.
Background: We aim to comprehensively evaluate the implementation of the SanibitTMsystem in the ICU using individualized reminders and incentives and study the impact of these interventions on hand hygiene compliance in a 4 phased, prospective trial at a tertiary care hospital in the USA.
Methods: An automated hand hygiene monitoring systems was installed in a 10-bed neurological intensive care unit. Phase 1: No reminder, Cash incentive. Phase 2a: Lights ONLY, Cash Incentive. Phase 2b: Lights + Vibrations, Cash Incentive. Phase 3: No reminder, Point System Incentive. Phase 4: Lights + Vibrations, Point System Incentive.
Results: The accuracy rate detected by the SanibitTM, compared with direct observations, was 85.1%. Phase 2a with lights only and cash incentives achieved the most hand hygiene opportunities in the middle of the week. Phase 4 with lights and vibrations reminders and point system incentives achieved the best in terms of total, full and partial hand hygiene compliance while phase 2a with lights only and cash incentives had the highest hand hygiene opportunities. Hand hygiene compliance rates of going-out of room events were significantly lower than those of going-in room events for quick in-and-out room while the opposite held true for long in-and-out room events.
Conclusions: Hand hygiene opportunities, compliance, and patient contact times varied significantly among different reminders/incentives, individual healthcare workers, date of the week and time of the day. Lights and vibration reminders and point system incentives achieved the best hand hygiene compliance.
期刊介绍：
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.
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