Measuring hand hygiene compliance rates at hospital entrances

• DOI: 10.1016/j.ajic.2015.03.008
• Publication Date: 2015-05-02T17:32:33Z
• Authors: Marina Vaidotas; Paula Kiyomi Onag...; Alexandre R. Marra; Thiago Zinsly Sam...; Elivane da Silva ...; Deisy Morselli Gysi; Flavio Leal; Oscar Fernando Pa...; Michael B. Edmond
• Keywords: Cross Infection; Infection Control; 03 medical and health sciences; Humans; Hand Hygiene; Guideline Adherence; Prospective Studies; 0305 other medical science; Hospitals; 3. Good health

Despite the importance of hand hygiene in the health care setting, there are no studies evaluating hand hygiene compliance at hospital entrances.The study was prospectively performed over a 33-week period from March 30, 2014-November 15, 2014, to evaluate hand hygiene compliance in 2 hospital reception areas. We compared electronic handwash counters with the application of radiofrequency identification (GOJO SMARTLINK) (electronic observer) that counts each activation of alcohol gel dispensers to direct observation (human observer) via remote review of video surveillance.We found low hand hygiene compliance rates of 2.2% (99/4,412) and 1.7% (140/8,277), respectively, at reception areas A and D, detected by direct observation. Using the electronic observer, we measured rates of 17% (15,624/91,724) and 7.1% (51,605/730,357) at reception areas A and D, respectively. For the overall time period of simultaneous electronic and human observation, the human observer captured 1% of the hand hygiene episodes detected by the electronic observer.Our study showed very low hand hygiene compliance in hospital reception areas, and we found an electronic hand hygiene system to be a useful method to monitor hand hygiene compliance.