GOJO Healthcare Connection
Automated hand hygiene monitoring systems (AHHMS) are an increasingly useful and objective measure to replace direct observation as a quantitative measure. However, implementation of AHHMS by itself or with limited complementary strategies does not drive improvement.
In this video, Co-authors Jim Arbogast, Lori Moore, and Megan DiGiorgio discuss how in their study of 10 US hospitals, those that employed clinician-based vendor support combined with hospital-led, unit-based complementary strategies saw the greatest improvements in hand hygiene performance.
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The Impact of Automated Hand Hygiene Monitoring With and Without Complementary Improvement Strategies on Performance Rates
Implementing an automated hand hygiene monitoring system (AHHMS) alone is not enough to increase hand hygiene performance in hospitals. A study conducted in 58 inpatient units across 10 US hospitals employing AHHMS examined how engagement with the hospital and/or clinician-based vendor support influenced hand hygiene improvement.
A Systematic Review and Meta-Analysis of Hand hygiene Compliance in Physicians and Nurses
This systematic review and meta-analysis provides up-to-date physician and nurse hand hygiene compliance using direct observation. Findings from this review agree with previous literature and were broadly similar previously studies which found baseline compliance of 54.9% for nurses and 43.7% for physicians. Wide variability in compliance estimates was found even among studies judged at low risk of bias, underscoring the known challenges with direct observation.
Sustainability of a Well-Established Hand Hygiene Program
This large medical center has previously published on their crowd sourced hand hygiene audit application. Their most recent study examines whether their program was sustainable throughout the COVID pandemic. Findings demonstrate that employee engagement and hand hygiene remained high despite significant COVID challenges, underscoring the important of a years-long commitment to hand hygiene improvement.
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