Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene
Background: Electronic hand hygiene surveillance systems are developing and considered to be more reliable than direct observation for hand hygiene monitoring. However, none have the capability to assess compliance in complex nursing care.Materials and Methods: We combined two different technologies...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Digital Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdgth.2021.684746/full |
| _version_ | 1819013443003351040 |
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| author | Olga Florea Jeremy Gonin Hervé Tissot Dupont Hervé Tissot Dupont Jean Charles Dufour Philippe Brouqui Philippe Brouqui Sophia Boudjema |
| author_facet | Olga Florea Jeremy Gonin Hervé Tissot Dupont Hervé Tissot Dupont Jean Charles Dufour Philippe Brouqui Philippe Brouqui Sophia Boudjema |
| author_sort | Olga Florea |
| collection | DOAJ |
| description | Background: Electronic hand hygiene surveillance systems are developing and considered to be more reliable than direct observation for hand hygiene monitoring. However, none have the capability to assess compliance in complex nursing care.Materials and Methods: We combined two different technologies, a hand hygiene monitoring system (radiofrequency identification, RFID) and a nursing care recorder at the bedside, and we merge their data to assess hand hygiene performance during nursing. Nursing tasks were classified as standard task procedures or aseptic task procedures corresponding to moment 2 among the five moments for hand hygiene recommended by the WHO. All statistical analyses were performed using R, version 3.6.2. For mixed models, the package “lme4” was used.Results: From the merged database over the 2-year study period, 30,164 nursing tasks were identified for analysis, 25,633 were classified as standard task procedures, and 4,531 were classified as aseptic task procedures for nursing care. Hand disinfection with an alcohol-based solution was not detected with our system in 42.5% of all the recorded tasks, 37% of all the aseptic task procedures, and 47.1% of all the standard task procedures for nursing (p = 0.0362), indicating that WHO moment 2 was not respected in 37% of mandatory situations.Conclusion: Using a combination of different technologies, we were able to assess hand hygiene performance in the riskiest circumstances. |
| first_indexed | 2024-12-21T02:00:01Z |
| format | Article |
| id | doaj.art-1586036e9229453e8228cb69c91718b0 |
| institution | Directory Open Access Journal |
| issn | 2673-253X |
| language | English |
| last_indexed | 2024-12-21T02:00:01Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Digital Health |
| spelling | doaj.art-1586036e9229453e8228cb69c91718b02022-12-21T19:19:40ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2021-10-01310.3389/fdgth.2021.684746684746Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand HygieneOlga Florea0Jeremy Gonin1Hervé Tissot Dupont2Hervé Tissot Dupont3Jean Charles Dufour4Philippe Brouqui5Philippe Brouqui6Sophia Boudjema7Aix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, FranceAP-HM, IHU-Méditerranée Infection, Marseille, FranceAix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, FranceAP-HM, IHU-Méditerranée Infection, Marseille, FranceAix Marseille Université, AP-HM, INSERM, IRD, SESSTIM, Hop Timone, BioSTIC, Marseille, FranceAix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, FranceAP-HM, IHU-Méditerranée Infection, Marseille, FranceAix Marseille Université, IRD, MEPHI, IHU-Méditerranée Infection, Marseille, FranceBackground: Electronic hand hygiene surveillance systems are developing and considered to be more reliable than direct observation for hand hygiene monitoring. However, none have the capability to assess compliance in complex nursing care.Materials and Methods: We combined two different technologies, a hand hygiene monitoring system (radiofrequency identification, RFID) and a nursing care recorder at the bedside, and we merge their data to assess hand hygiene performance during nursing. Nursing tasks were classified as standard task procedures or aseptic task procedures corresponding to moment 2 among the five moments for hand hygiene recommended by the WHO. All statistical analyses were performed using R, version 3.6.2. For mixed models, the package “lme4” was used.Results: From the merged database over the 2-year study period, 30,164 nursing tasks were identified for analysis, 25,633 were classified as standard task procedures, and 4,531 were classified as aseptic task procedures for nursing care. Hand disinfection with an alcohol-based solution was not detected with our system in 42.5% of all the recorded tasks, 37% of all the aseptic task procedures, and 47.1% of all the standard task procedures for nursing (p = 0.0362), indicating that WHO moment 2 was not respected in 37% of mandatory situations.Conclusion: Using a combination of different technologies, we were able to assess hand hygiene performance in the riskiest circumstances.https://www.frontiersin.org/articles/10.3389/fdgth.2021.684746/fullhand hygiene (disinfection)IoT - internet of thingsfive moments for hand hygienenosocomial infectionscatheter - complications |
| spellingShingle | Olga Florea Jeremy Gonin Hervé Tissot Dupont Hervé Tissot Dupont Jean Charles Dufour Philippe Brouqui Philippe Brouqui Sophia Boudjema Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene Frontiers in Digital Health hand hygiene (disinfection) IoT - internet of things five moments for hand hygiene nosocomial infections catheter - complications |
| title | Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene |
| title_full | Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene |
| title_fullStr | Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene |
| title_full_unstemmed | Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene |
| title_short | Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene |
| title_sort | internet of things to explore moment 2 of who my five moments for hand hygiene |
| topic | hand hygiene (disinfection) IoT - internet of things five moments for hand hygiene nosocomial infections catheter - complications |
| url | https://www.frontiersin.org/articles/10.3389/fdgth.2021.684746/full |
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