Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-25T17:28:37.364Z Has data issue: false hasContentIssue false
  • English
  • Français

Healthcare Personnel Perceptions of Hand Hygiene Monitoring Technology

Published online by Cambridge University Press:  02 January 2015

Katherine Ellingson ,
Philip M. Polgreen ,
Amy Schneider ,
Laura Shinkunas ,
Lauris C. Kaldjian ,
Donald Wright ,
Geb W. Thomas ,
Alberto M. Segre ,
Ted Herman  and
L. Clifford McDonald
...Show all authors
Katherine Ellingson*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Philip M. Polgreen
Affiliation:
Computational Epidemiology Group, University of Iowa, Iowa City, Iowa Carver College of Medicine, University of Iowa, Iowa City, Iowa
Amy Schneider
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Laura Shinkunas
Affiliation:
Carver College of Medicine, University of Iowa, Iowa City, Iowa
Lauris C. Kaldjian
Affiliation:
Carver College of Medicine, University of Iowa, Iowa City, Iowa
Donald Wright
Affiliation:
Department of Health and Human Services, Washington, DC
Geb W. Thomas
Affiliation:
Computational Epidemiology Group, University of Iowa, Iowa City, Iowa Department of Mechanical and Industrial Engineering, University of Iowa, Iowa City, Iowa
Alberto M. Segre
Affiliation:
Computational Epidemiology Group, University of Iowa, Iowa City, Iowa Department of Computer Science, University of Iowa, Iowa City, Iowa
Ted Herman
Affiliation:
Computational Epidemiology Group, University of Iowa, Iowa City, Iowa Department of Computer Science, University of Iowa, Iowa City, Iowa
L. Clifford McDonald
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Ronda Sinkowitz-Cochran
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, MS A-31, Atlanta, GA30333 (kellingson@cdc.gov)
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective.

To assess healthcare personnel (HCP) perceptions regarding implementation of sensor-based electronic systems for automated hand hygiene adherence monitoring.

Design.

Using a mixed-methods approach, structured focus groups were designed to elicit quantitative and qualitative responses on familiarity, comfort level, and perceived impact of sensor-based hand hygiene adherence monitoring

Setting.

A university hospital, a Veterans Affairs hospital, and a community hospital in the Midwest.

Participants.

Focus groups were homogenous by HCP type, with separate groups held for leadership, midlevel management, and frontline personnel at each hospital.

Results.

Overall, 89 HCP participated in 10 focus groups. Levels of familiarity and comfort with electronic oversight technology varied by HCP type; when compared with frontline HCP, those in leadership positions were significantly more familiar with (P<.01) and more comfortable with (P<.01) the technology. The most common concerns cited by participants across groups included lack of accuracy in the data produced, such as the inability of the technology to assess the situational context of hand hygiene opportunities, and the potential punitive use of data produced. Across groups, HCP had decreased tolerance for electronic collection of spatial-temporal data, describing such oversight as Big Brother.

Conclusions.

While substantial concerns were expressed by all types of HCP, participants' recommendations for effective implementation of electronic oversight technologies for hand hygiene monitoring included addressing accuracy issues before implementation and transparent communication with frontline HCP about the intended use of the data.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 11 , November 2011 , pp. 1091 - 1096
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Boyce, JM, Pittet, D. Guideline for hand hygiene in healthcare settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol 2002;23(suppl):S3–S40.Google Scholar
2.World Health Organization. WHO guidelines on hand hygiene in healthcare. 2009. http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf.Google Scholar
3.Allegranzi, B, Pittet, D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect 2009;73:305–315.Google Scholar
4.Gould, DJ, Moralejo, D, Drey, N, Chudleigh, JH. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev 2010;9:CD005186.Google Scholar
5.Pittet, D, Hugonnet, S, Harbarth, S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000;356:1307–1312.Google Scholar
6.Erasmus, V, Daha, TJ, Brug, H, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol 2010;31:283–294.CrossRefGoogle ScholarPubMed
7.Larson, EL, Quiros, D, Lin, SX. Dissemination of the CDC's hand hygiene guideline and impact on infection rates. Am J Infect Control 2007;35:666–675.CrossRefGoogle ScholarPubMed
8.Pittet, D, Simon, A, Hugonnet, S, Pessoa-Silva, CL, Sauvan, V, Perneger, TV. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med 2004;141:1–8.Google Scholar
9.Jang, J, Wu, S, Kirzner, D, et al. Focus group study of hand hygiene practice among healthcare workers in teaching hospital in Toronto, Canada. Infect Control Hosp Epidemiol 2010;31:144–150.CrossRefGoogle ScholarPubMed
10.De Wandel, D, Maes, L, Labeau, S, Vereecken, C, Blot, S. Behavioral determinants of hand hygiene compliance in intensive care units. Am J Crit Care 2010;19:230–240.CrossRefGoogle ScholarPubMed
11.Bouadma, L, Mourvillier, B, Deiler, V, et al. Changes in knowledge, beliefs, and perceptions throughout a multifaceted behavioral program aimed at preventing ventilator-associated pneumonia. Intensive Care Med 2010;36:1341–1347.Google Scholar
12.Gould, DJ, Chudleigh, J, Drey, NS, Moralejo, D. Measuring handwashing performances in health service audits and research studies. J Hosp Infect 2007;66:109–115.CrossRefGoogle ScholarPubMed
13.Joint Commission Division of Quality Measurement and Research. Measuring Hand Hygiene Adherence: Overcoming the Challenges. Oakbrook Terrace, IL: Joint Commission, 2009.Google Scholar
14.Marra, AR, Moura, DF, Paes, AT, Pavao dos Santos, OF, Edmond, MB. Measuring rates of hand hygiene adherence in the intensive care setting: a comparative study of direct observation, product usage, and electronic counting devices. Infect Control Hosp Epidemiol 2010;31:796–801.CrossRefGoogle ScholarPubMed
15.Dhar, S, Tansek, R, Toftey, EA, et al. Observer bias in hand hygiene compliance reporting. Infect Control Hosp Epidemiol 2010;31:869–870.CrossRefGoogle Scholar
16. HyGreen. Hand hygiene recording and reminding system. 2010. http://www.hygreeninc.com.Google Scholar
17. Arrowsight. 2010. http://www.arrowsight.com/public/as/.Google Scholar
18. Proventix. nGage system. 2010. http://www.proventix.com.Google Scholar
19.Polgreen, PM, Hlady, CS, Severson, MA, Segre, AM, Herman, T. Method for automated monitoring of hand hygiene adherence without radio-frequency identification. Infect Control Hosp Epidemiol 2010;31:1294–1297.Google Scholar
20.Boscart, VM, McGilton, KS, Levchenko, A, Hufton, G, Holliday, P, Fernie, GR. Acceptability of a wearable hand hygiene device with monitoring capabilities. J Hosp Infect 2008;70:216–222.Google Scholar
21.Sinkowitz-Cochran, RL, Garcia-Williams, A, Hackbarth, A, et al. Factors associated with successful implementation of quality improvement efforts: the IHI 100,000 Lives campaign. 5th Decennial International Conference on Healthcare-Associated Infections. Atlanta, GA: 2010.Google Scholar
22.Saint, S, Kowalski, CP, Banaszak-Holl, J, Forman, J, Damschroder, L, Krein, SL. The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study. Infect Control Hosp Epidemiol 2010;31:901–907.Google Scholar