The impact of automated hand hygiene monitoring with and without complementary improvement strategies on performance rates

dc.contributor.authorArbogast, James W.
dc.contributor.authorMoore, Lori D.
dc.contributor.authorDiGiorgio, Megan
dc.contributor.authorRobbins, Greg
dc.contributor.authorClark, Tracy L.
dc.contributor.authorThompson, Maria F.
dc.contributor.authorWagner, Pamela T.
dc.contributor.authorBoyce, John M.
dc.contributor.authorParker, Albert E.
dc.date.accessioned2022-12-06T23:56:03Z
dc.date.available2022-12-06T23:56:03Z
dc.date.issued2022-08
dc.description.abstractObjective: To determine how engagement of the hospital and/or vendor with performance improvement strategies combined with an automated hand hygiene monitoring system (AHHMS) influence hand hygiene (HH) performance rates. Design: Prospective, before-and-after, controlled observational study. Setting: The study was conducted in 58 adult and pediatric inpatient units located in 10 hospitals. Methods: HH performance rates were estimated using an AHHMS. Rates were expressed as the number of soap and alcohol based hand rub portions dispensed divided by the number of room entries and exits. Each hospital self-assigned to one of the following intervention groups: AHHMS alone (control group), AHHMS plus clinician-based vendor support (vendor-only group), AHHMS plus hospital led unit-based initiatives (hospital-only group), or AHHMS plus clinician-based vendor support and hospital-led unit-based initiatives (vendor-plus-hospital group). Each hospital unit produced 1–2 months of baseline HH performance data immediately after AHHMS installation before implementing initiatives. Results: Hospital units in the vendor-plus-hospital group had a statistically significant increase of at least 46% in HH performance compared with units in the other 3 groups (P ≤ .006). Units in the hospital only group achieved a 1.3% increase in HH performance compared with units that had AHHMS alone (P = .950). Units with AHHMS plus other initiatives each had a larger change in HH performance rates over their baseline than those in the AHHMS-alone group (P < 0.001). Conclusions: AHHMS combined with clinician-based vendor support and hospital-led unit-based initiatives resulted in the greatest improvements in HH performance. These results illustrate the value of a collaborative partnership between the hospital and the AHHMS vendor.en_US
dc.identifier.citationArbogast JW, et al. (2022). The impact of automated hand hygiene monitoring with and without complementary improvement strategies on performance rates. Infection Control & Hospital Epidemiology, https://doi.org/10.1017/ice.2022.141en_US
dc.identifier.issn0899-823X
dc.identifier.urihttps://scholarworks.montana.edu/handle/1/17457
dc.language.isoen_USen_US
dc.publisherCambridge University Pressen_US
dc.rightscc-byen_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjecthand hygieneen_US
dc.subjectmonitoring systemen_US
dc.subjectautomated hand hygiene monitoring systemen_US
dc.titleThe impact of automated hand hygiene monitoring with and without complementary improvement strategies on performance ratesen_US
dc.typeArticleen_US
mus.citation.extentfirstpage1en_US
mus.citation.extentlastpage5en_US
mus.citation.journaltitleInfection Control & Hospital Epidemiologyen_US
mus.data.thumbpage3en_US
mus.identifier.doi10.1017/ice.2022.141en_US
mus.relation.collegeCollege of Engineeringen_US
mus.relation.departmentCenter for Biofilm Engineering.en_US
mus.relation.universityMontana State University - Bozemanen_US

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