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  • Hand hygiene compliance monitoring: Do video-based technologies offer opportunities for the future?

    Author(s)
    Mckay, KJ
    Shaban, RZ
    Ferguson, P
    Griffith University Author(s)
    Shaban, Ramon Z.
    Year published
    2020
    Metadata
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    Abstract
    Hand hygiene is universally recognised as the primary measure to reduce healthcare-associated infections. Studies have convincingly demonstrated a link between increased hand hygiene compliance and reductions in rates of healthcare-associated infections. Direct observation is considered the gold standard method for monitoring hand hygiene compliance. Despite the acknowledged benefits of this approach, recent literature has highlighted a range of issues impacting on the reliability and validity of this data collection technique. The rise of technology in healthcare provides opportunity for alternative methods that promise ...
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    Hand hygiene is universally recognised as the primary measure to reduce healthcare-associated infections. Studies have convincingly demonstrated a link between increased hand hygiene compliance and reductions in rates of healthcare-associated infections. Direct observation is considered the gold standard method for monitoring hand hygiene compliance. Despite the acknowledged benefits of this approach, recent literature has highlighted a range of issues impacting on the reliability and validity of this data collection technique. The rise of technology in healthcare provides opportunity for alternative methods that promise advantages over direct human observation. There have been no published examples of systems that are able to capture data consistent with all the WHO ‘5 Moments for Hand Hygiene’. In this paper we explore current human-based auditing practises for monitoring hand hygiene compliance and raise for discussion and debate video-based technologies to monitor hand hygiene compliance. We raise questions regarding hybrid approaches that incorporate both direct human observation and indirect video-based surveillance, and the possible advantages and disadvantages therein for monitoring hand hygiene compliance. We suggest that such methods have the potential to ameliorate, or minimise, the inherent biases associated with direct observation, notably the Hawthorne Effect. Future research into the utility of a hybrid approach to auditing, including the technical specifications, efficacy, cost effectiveness and acceptability of such a model is warranted.
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    Journal Title
    Infection, Disease & Health
    DOI
    https://doi.org/10.1016/j.idh.2019.12.002
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version
    Subject
    Nursing
    Audit
    Compliance
    Direct observation
    Hand hygiene
    Healthcare-associated infection
    Publication URI
    http://hdl.handle.net/10072/391353
    Collection
    • Journal articles

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