Validation and implementation of group electronic hand hygiene monitoring across twenty-four critical care units

• DOI: 10.1017/ice.2021.250
• Publication Date: 2021-06-25T06:43:21Z
• Authors: Jerome A. Leis; Maryam Obaidallah; Victoria Williams; Matthew P Muller; Jeff E. Powis; Jennie Johnstone; Susy Hota; Kevin Katz; Michael Payne; Lucas Castellani; Mark Downing; Dominik Mertz; Daniel R. Ricciuto; Alex Kiss; Brian H. Cuthbertson
• Keywords: Ontario; 0301 basic medicine; Cross Infection; Infection Control; 03 medical and health sciences; Critical Care; Humans; Hand Hygiene; Guideline Adherence; Electronics; 3. Good health

Abstract Objectives: An accurate estimate of the average number hand hygiene opportunities per patient hour (HHO rate) is required to implement group electronic monitoring systems (GEHHMSs). We sought identify predictors HHOs validate and a GEHHMS across network critical care units. Design: Multicenter, observational study (10 hospitals) followed by quality improvement intervention involving 24 units 12 hospitals in Ontario, Canada. Methods: Critical beds were randomized receive 1 continuous direct observation determine HHO rate. A Poisson regression model determined unit-level HHOs. Estimates rates different types derived used evaluate use GEHHMS. Results: During 2,812 hours observation, we identified 25,417 There was significant variability rate Time day, day week, unit acuity, population transmission-based precautions significantly associated with Using unit-specific estimates rate, aggregate HH adherence 30.0% (1,084,329 3,614,908) at baseline improved 38.5% (740,660 1,921,656) within 2 months feedback ( P < .0001). Conclusions: Unit-specific based on known enabled broad implementation Further longitudinal efforts using this system are assess impact both clinical outcomes critically ill populations.