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dc.contributor.authorBoyce, John M.
dc.contributor.authorLaughman, Jennifer A.
dc.contributor.authorAder, Michael H.
dc.contributor.authorWagner, Pamela T.
dc.contributor.authorParker, Albert E.
dc.contributor.authorArbogast, James W.
dc.date.accessioned2019-07-31T20:27:09Z
dc.date.available2019-07-31T20:27:09Z
dc.date.issued2019-07
dc.identifier.citationBoyce, John M., Jennifer A. Laughman, Michael H. Ader, Pamela T. Wagner, Albert E. Parker, and James W. Arbogast. “Impact of an Automated Hand Hygiene Monitoring System and Additional Promotional Activities on Hand Hygiene Performance Rates and Healthcare-Associated Infections.” Infection Control & Hospital Epidemiology 40, no. 7 (May 20, 2019): 741–747. doi:10.1017/ice.2019.77.en_US
dc.identifier.issn0899-823X
dc.identifier.urihttps://scholarworks.montana.edu/xmlui/handle/1/15630
dc.description.abstractObjective: Determine the impact of an automated hand hygiene monitoring system (AHHMS) plus complementary strategies on hand hygiene performance rates and healthcare-associated infections (HAIs). Design: Retrospective, nonrandomized, observational, quasi-experimental study. Setting: Single, 93-bed nonprofit hospital. Methods: Hand hygiene compliance rates were estimated using direct observations. An AHHMS, installed on 4 nursing units in a sequential manner, determined hand hygiene performance rates, expressed as the number of hand hygiene events performed upon entering and exiting patient rooms divided by the number of room entries and exits. Additional strategies implemented to improve hand hygiene included goal setting, hospital leadership support, feeding AHHMS data back to healthcare personnel, and use of Toyota Kata performance improvement methods. HAIs were defined using National Healthcare Safety Network criteria. Results: Hand hygiene compliance rates generated by direct observation were substantially higher than performance rates generated by the AHHMS. Installation of the AHHMS without supplementary activities did not yield sustained improvement in hand hygiene performance rates. Implementing several supplementary strategies resulted in a statistically significant 85% increase in hand hygiene performance rates (P < .0001). The incidence density of non–Clostridioies difficile HAIs decreased by 56% (P = .0841), while C. difficile infections increased by 60% (P = .0533) driven by 2 of the 4 study units. Conclusion: Implementation of an AHHMS, when combined with several supplementary strategies as part of a multimodal program, resulted in significantly improved hand hygiene performance rates. Reductions in non–C. difficile HAIs occurred but were not statistically significant.en_US
dc.rightsCC BY: This license lets you distribute, remix, tweak, and build upon this work, even commercially, as long as you credit the original creator for this work. This is the most accommodating of licenses offered. Recommended for maximum dissemination and use of licensed materials.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/legalcodeen_US
dc.titleImpact of an automated hand hygiene monitoring system and additional promotional activities on hand hygiene performance rates and healthcare-associated infectionsen_US
dc.typeArticleen_US
mus.citation.extentfirstpage741en_US
mus.citation.extentlastpage747en_US
mus.citation.issue7en_US
mus.citation.journaltitleInfection Control & Hospital Epidemiologyen_US
mus.citation.volume40en_US
mus.identifier.doi10.1017/ice.2019.77en_US
mus.relation.collegeCollege of Engineeringen_US
mus.relation.collegeCollege of Letters & Scienceen_US
mus.relation.departmentCenter for Biofilm Engineering.en_US
mus.relation.departmentMathematical Sciences.en_US
mus.relation.universityMontana State University - Bozemanen_US
mus.data.thumbpage4en_US


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CC BY: This license lets you distribute, remix, tweak, and build upon this work, even commercially, as long as you credit the original creator for this work. This is the most accommodating of licenses offered. Recommended for maximum dissemination and use of licensed materials.
Except where otherwise noted, this item's license is described as CC BY: This license lets you distribute, remix, tweak, and build upon this work, even commercially, as long as you credit the original creator for this work. This is the most accommodating of licenses offered. Recommended for maximum dissemination and use of licensed materials.