Produção Nacional
Revisado por pares
The use of real-time feedback via wireless technology to improve hand hygiene compliance
2014; Elsevier BV; Volume: 42; Issue: 6 Linguagem: Inglês
10.1016/j.ajic.2014.02.006
ISSN1527-3296
AutoresAlexandre R. Marra, Thiago Zinsly Sampaio Camargo, Thyago Pereira Magnus, Rosangela Pereira Blaya, Gilson Batista Dos Santos, Luciana Reis Guastelli, Rodrigo Dias Rodrigues, Marcelo Prado, Elivane da Silva Victor, Humberto Bassit Bogossian, Júlio César Martins Monte, Oscar Fernando Pavão dos Santos, Carlos Kazume Oyama, Michael B. Edmond,
Tópico(s)Dental Research and COVID-19
ResumoHand hygiene (HH) is widely regarded as the most effective preventive measure for health care-associated infection. However, there is little robust evidence on the best interventions to improve HH compliance or whether a sustained increase in compliance can reduce rates of health care-associated infection.To evaluate the effectiveness of a real-time feedback to improve HH compliance in the inpatient setting, we used a quasiexperimental study comparing the effect of real-time feedback using wireless technology on compliance with HH. The study was conducted in two 20-bed step-down units at a private tertiary care hospital. Phase 1 was a 3-month baseline period in which HH counts were performed by electronic handwash counters. After a 1-month washout period, a 7-month intervention was performed in one step-down unit while the other unit served as a control.HH, as measured by dispensing episodes, was significantly higher in the intervention unit (90.1 vs 73.1 dispensing episodes/patient-day, respectively, P = .001). When the intervention unit was compared with itself before and after implementation of the wireless technology, there was also a significant increase in HH after implementation (74.5 vs 90.1 episodes/patient-day, respectively, P = .01). There was also an increase in mean alcohol-based handrub consumption between the 2 phases (68.9 vs 103.1 mL/patient-day, respectively, P = .04) in the intervention unit.We demonstrated an improvement in alcohol gel usage via implementation of real-time feedback via wireless technology.
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