Effect of video camera monitoring feedback on hand hygiene compliance in neonatal intensive care unit, an interventional study
Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved..
BACKGROUND: The purpose of this study was to determine whether use of a video camera surveillance system for hand hygiene (HH) monitoring, video-based education, and feedback could improve the HH compliance in a neonatal intensive care unit (NICU).
METHODS AND MATERIALS: This was an interventional before-after trial conducted in a level-III NICU between July 2019 and June 2020. HH compliance was measured using randomly selected video-camera footage in the baseline, intervention, and maintenance periods. After the baseline, an intervention consisting of feedback and education with video scenarios was implemented. The primary outcome was change in HH compliance. The compliance rates were analyzed as an interrupted time series (ITS) with a segmented regression model adjusted for autocorrelation for each study period.
RESULTS: We identified a total of 8335 HH indications. There were non significant increases in the total compliance rate (9.0%, 95% CI -2% to 20%) at the time of intervention and in the compliance rate after intervention (0.26%, 95% CI -0.31% to 0.84%) per day. The hand hygiene compliance before patient contact significantly increased (19.8%, 95% CI, 4.8%-34.8%). Incorrect glove use improved non-significantly with the intervention (-3.4%, 95% CI -13.4% to 6.7%).
CONCLUSION: In this study of HH monitoring using video-camera footage combined with an intervention including feedback and education, there were inconsistent improvements in HH compliance. However, these improvements were not sustained in the long term. Frequent feedback and education may be required to sustain high compliance.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:51 |
|---|---|
| Enthalten in: |
American journal of infection control - 51(2023), 9 vom: 15. Sept., Seite 1028-1033 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Bilgin, Huseyin [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Clinical Trial |
|---|
| Anmerkungen: |
Date Completed 28.08.2023 Date Revised 28.08.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.ajic.2022.12.011 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM35114966X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM35114966X | ||
| 003 | DE-627 | ||
| 005 | 20231226050644.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ajic.2022.12.011 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1170.xml |
| 035 | |a (DE-627)NLM35114966X | ||
| 035 | |a (NLM)36603809 | ||
| 035 | |a (PII)S0196-6553(22)00889-6 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Bilgin, Huseyin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Effect of video camera monitoring feedback on hand hygiene compliance in neonatal intensive care unit, an interventional study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 28.08.2023 | ||
| 500 | |a Date Revised 28.08.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: The purpose of this study was to determine whether use of a video camera surveillance system for hand hygiene (HH) monitoring, video-based education, and feedback could improve the HH compliance in a neonatal intensive care unit (NICU) | ||
| 520 | |a METHODS AND MATERIALS: This was an interventional before-after trial conducted in a level-III NICU between July 2019 and June 2020. HH compliance was measured using randomly selected video-camera footage in the baseline, intervention, and maintenance periods. After the baseline, an intervention consisting of feedback and education with video scenarios was implemented. The primary outcome was change in HH compliance. The compliance rates were analyzed as an interrupted time series (ITS) with a segmented regression model adjusted for autocorrelation for each study period | ||
| 520 | |a RESULTS: We identified a total of 8335 HH indications. There were non significant increases in the total compliance rate (9.0%, 95% CI -2% to 20%) at the time of intervention and in the compliance rate after intervention (0.26%, 95% CI -0.31% to 0.84%) per day. The hand hygiene compliance before patient contact significantly increased (19.8%, 95% CI, 4.8%-34.8%). Incorrect glove use improved non-significantly with the intervention (-3.4%, 95% CI -13.4% to 6.7%) | ||
| 520 | |a CONCLUSION: In this study of HH monitoring using video-camera footage combined with an intervention including feedback and education, there were inconsistent improvements in HH compliance. However, these improvements were not sustained in the long term. Frequent feedback and education may be required to sustain high compliance | ||
| 650 | 4 | |a Clinical Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Glove use | |
| 650 | 4 | |a Hawthorne effect | |
| 650 | 4 | |a Hospital acquired infections | |
| 650 | 4 | |a Video camera footage | |
| 700 | 1 | |a Sili, Uluhan |e verfasserin |4 aut | |
| 700 | 1 | |a Pazar, Nazli |e verfasserin |4 aut | |
| 700 | 1 | |a Kucuker, Isil |e verfasserin |4 aut | |
| 700 | 1 | |a Kepenekli, Eda |e verfasserin |4 aut | |
| 700 | 1 | |a Yanar, Meral Agirman |e verfasserin |4 aut | |
| 700 | 1 | |a Memisoglu, Asli |e verfasserin |4 aut | |
| 700 | 1 | |a Ozek, Eren |e verfasserin |4 aut | |
| 700 | 1 | |a Adhikari, Neill Kj |e verfasserin |4 aut | |
| 700 | 1 | |a Pinto, Ruxandra |e verfasserin |4 aut | |
| 700 | 1 | |a Korten, Volkan |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t American journal of infection control |d 1980 |g 51(2023), 9 vom: 15. Sept., Seite 1028-1033 |w (DE-627)NLM012639850 |x 1527-3296 |7 nnns |
| 773 | 1 | 8 | |g volume:51 |g year:2023 |g number:9 |g day:15 |g month:09 |g pages:1028-1033 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.ajic.2022.12.011 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 51 |j 2023 |e 9 |b 15 |c 09 |h 1028-1033 | ||