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Comparison of two electronic hand hygiene monitoring systems in promoting hand hygiene of healthcare workers in the intensive care unit

机译:两种电子手卫生监测系统在重症监护单位促进医疗保健工人卫生卫生中的比较

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Hand hygiene (HH) is the cornerstone of infection control, and the promotion of HH is the focus of the world. The study aims to compare the role of two different types of electronic hand hygiene monitoring systems (EHHMSs) in promoting HH of healthcare workers (HCWs) in the intensive care unit (ICU). In a 16-bed ICU of a general tertiary hospital in Shenzhen, the research was divided into three stages with interrupted time series (ITS) design. In the first stage, the direct observation method was used to monitor and feed back the HH compliance rate of HCWs monthly. In the second stage, the type1 EHHMS was applied to monitor and feed back the individual number of HH events monthly. In the third stage, the type2 EHHMS with a function of instant reminder and feedback was employed, and the personal HH compliance rates were fed back monthly. Meanwhile, direct observation continued in the last two stages. In the second stage, The HH compliance rate increased. However, there was no significant difference in the trajectory of the rate compared with the first stage. In the first month of the third stage, the HH compliance rate increased by 12.324% immediately and then ascended by 1.242% over time. The number of HH events per bed day and HH products’ consumption per bed day were consistent with the change of HH compliance rate observed. Monitoring and feedback can improve the HH of HCWs. The EHHMS, with the function of real-time reminders and feedback, has a more noticeable effect on promoting HH.
机译:手工卫生(HH)是感染控制的基石,促销HH是世界的重点。该研究旨在比较两种不同类型的电子手卫生监测系统(EHHMS)在重症监护股(ICU)中促进医疗工作者(HCWS)的HH。在深圳一般高等院医院的16床ICU中,该研究分为三个阶段,中断时间序列(其)设计。在第一阶段,直接观察方法用于监测和反馈HWWS每月HCWS的合规率。在第二阶段,应用了1型EHHM,用于每月监测和反馈各个HH事件的数量。在第三阶段,采用了具有即时提醒和反馈功能的Type2 EHHM,并且个人HH合规率被每月送回。同时,在最后两个阶段继续直接观察。在第二阶段,HH合规率增加。然而,与第一阶段相比,速率的轨迹没有显着差异。在第三阶段的第一个月,HH合规性率立即增加12.324%,随着时间的推移提升1.242%。每张床日的HH事件数量和HH产品的每张人的消费量与观察到的HH合规率的变化一致。监控和反馈可以改善HCW的HH。通过实时提醒和反馈的功能,EHHMS对促进HH的效果更加明显。

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