Video based monitoring systems for hand hygiene compliance auditing: What do patients think?

<h4>Background</h4>Compliance with hand hygiene by healthcare workers is a vital aspect of the quality and safety in healthcare. The current method of monitoring compliance, known as direct observation, has been questioned as have the various electronic measures proposed as alternatives....

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Main Authors: Katherine J McKay, Ramon Z Shaban
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0281895
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author Katherine J McKay
Ramon Z Shaban
author_facet Katherine J McKay
Ramon Z Shaban
author_sort Katherine J McKay
collection DOAJ
description <h4>Background</h4>Compliance with hand hygiene by healthcare workers is a vital aspect of the quality and safety in healthcare. The current method of monitoring compliance, known as direct observation, has been questioned as have the various electronic measures proposed as alternatives. In our earlier work we established the capacity of video-based monitoring systems (VMS) to collect data with increased efficacy, efficiency and accuracy. However, the spectre of the approach being seen as an unacceptable invasion of patient privacy, was raised as a barrier to implementation by healthcare workers.<h4>Methods</h4>In depth, semi structured interviews were conducted with 8 patients in order to explore their beliefs and options regarding the proposed approach. Interviews were transcribed and then thematic and content analysis was conducted in order to uncover themes from the data.<h4>Results</h4>Despite healthcare worker predictions, patients were generally accepting of the use of video-based monitoring systems for the auditing of hand hygiene compliance. However, this acceptance was conditional. Four interconnected themes emerged from the interview data; quality and safety of care versus privacy, consumer Involvement-knowledge, understanding and consent, technical features of the system, and rules of operation.<h4>Conclusion</h4>The use of within zone VMS approaches to hand hygiene auditing has the potential to improve the efficacy, efficiency and accuracy of hand hygiene auditing and hence the safety and quality of healthcare. By combining a suite of technical and operational specifications with high level consumer engagement and information the acceptability of the approach for patients may be significantly enhanced.
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spelling doaj.art-5eca29f4ea2149a0868ad2c4c294ae352023-04-21T05:35:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183e028189510.1371/journal.pone.0281895Video based monitoring systems for hand hygiene compliance auditing: What do patients think?Katherine J McKayRamon Z Shaban<h4>Background</h4>Compliance with hand hygiene by healthcare workers is a vital aspect of the quality and safety in healthcare. The current method of monitoring compliance, known as direct observation, has been questioned as have the various electronic measures proposed as alternatives. In our earlier work we established the capacity of video-based monitoring systems (VMS) to collect data with increased efficacy, efficiency and accuracy. However, the spectre of the approach being seen as an unacceptable invasion of patient privacy, was raised as a barrier to implementation by healthcare workers.<h4>Methods</h4>In depth, semi structured interviews were conducted with 8 patients in order to explore their beliefs and options regarding the proposed approach. Interviews were transcribed and then thematic and content analysis was conducted in order to uncover themes from the data.<h4>Results</h4>Despite healthcare worker predictions, patients were generally accepting of the use of video-based monitoring systems for the auditing of hand hygiene compliance. However, this acceptance was conditional. Four interconnected themes emerged from the interview data; quality and safety of care versus privacy, consumer Involvement-knowledge, understanding and consent, technical features of the system, and rules of operation.<h4>Conclusion</h4>The use of within zone VMS approaches to hand hygiene auditing has the potential to improve the efficacy, efficiency and accuracy of hand hygiene auditing and hence the safety and quality of healthcare. By combining a suite of technical and operational specifications with high level consumer engagement and information the acceptability of the approach for patients may be significantly enhanced.https://doi.org/10.1371/journal.pone.0281895
spellingShingle Katherine J McKay
Ramon Z Shaban
Video based monitoring systems for hand hygiene compliance auditing: What do patients think?
PLoS ONE
title Video based monitoring systems for hand hygiene compliance auditing: What do patients think?
title_full Video based monitoring systems for hand hygiene compliance auditing: What do patients think?
title_fullStr Video based monitoring systems for hand hygiene compliance auditing: What do patients think?
title_full_unstemmed Video based monitoring systems for hand hygiene compliance auditing: What do patients think?
title_short Video based monitoring systems for hand hygiene compliance auditing: What do patients think?
title_sort video based monitoring systems for hand hygiene compliance auditing what do patients think
url https://doi.org/10.1371/journal.pone.0281895
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