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Promoting hand hygiene in a chemotherapy day center: the role of a robot
Hand hygiene is a critical component of infection prevention in healthcare settings. Innovative strategies are required to enhance hand hygiene practices among patients and healthcare workers (HCWs). This study was conducted at the Chemotherapy Day Center of Queen Mary Hospital, Hong Kong. It compri...
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Published in: | Antimicrobial resistance & infection control 2024-12, Vol.13 (1), p.154-7, Article 154 |
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creator | Wong, Shuk-Ching Ip, Stephen Chun-Yat Kwok, Monica Oi-Tung Siu, Crystal Yuen-Ki Chen, Jonathan Hon-Kwan So, Simon Yung-Chun Chiu, Kelvin Hei-Yeung Yuen, Kwok-Keung Cheng, Vincent Chi-Chung |
description | Hand hygiene is a critical component of infection prevention in healthcare settings. Innovative strategies are required to enhance hand hygiene practices among patients and healthcare workers (HCWs).
This study was conducted at the Chemotherapy Day Center of Queen Mary Hospital, Hong Kong. It comprised three phases: phase 1 involved observational audits of hand hygiene practices among patients and HCWs by infection control nurse (ICN); phase 2 included the installation of 53 pressure sensors on alcohol-based hand rub (AHR) bottles at designated sites to monitor usage; phase 3 introduced the robot named Temi Medic to promote hand hygiene through video broadcasts at strategic locations in the center. The mean counts of pressure sensor-equipped AHR per 100 attendances per day (hereafter referred to as the mean count) across phases 2 and 3 were analyzed.
A total of 2580 patient attended the center from April to September 2023. The ICN observed a significant increase in hand hygiene practices among patients at the entrance and reception area, rising from phase 1 (0.2%, 1/583) and phase 2 (0.5%, 3/656) to phase 3 (5.0%, 33/654) (p |
doi_str_mv | 10.1186/s13756-024-01510-5 |
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This study was conducted at the Chemotherapy Day Center of Queen Mary Hospital, Hong Kong. It comprised three phases: phase 1 involved observational audits of hand hygiene practices among patients and HCWs by infection control nurse (ICN); phase 2 included the installation of 53 pressure sensors on alcohol-based hand rub (AHR) bottles at designated sites to monitor usage; phase 3 introduced the robot named Temi Medic to promote hand hygiene through video broadcasts at strategic locations in the center. The mean counts of pressure sensor-equipped AHR per 100 attendances per day (hereafter referred to as the mean count) across phases 2 and 3 were analyzed.
A total of 2580 patient attended the center from April to September 2023. The ICN observed a significant increase in hand hygiene practices among patients at the entrance and reception area, rising from phase 1 (0.2%, 1/583) and phase 2 (0.5%, 3/656) to phase 3 (5.0%, 33/654) (p < 0.001). Meanwhile, the overall hand hygiene compliance among HCWs was 74.1% (1341/1810) throughout the study period. From phase 2 to phase 3, the mean counts of 7 AHR bottles designated for patient use (P1-P7) significantly increased (35 ± 17 vs. 64 ± 24, p < 0.001), as did the 33 AHR bottles shared by both patients and HCWs (207 ± 104 vs. 267 ± 113, p = 0.027). In contrast, there was no significant change in the mean count among the 13 AHR bottles designated for HCWs (H1-H13). The mean count of H1-H13 was significantly higher than that of P1-P7 throughout phases 2 and 3 (214 ± 93 vs. 49 ± 25, p < 0.001), indicating a 4.4-fold difference.
While HCWs maintained stable hand hygiene compliance, the introduction of the robot significantly improved hand hygiene practices among patients in the chemotherapy day center. This underscores the importance of integrating technology into routine practices to promote infection prevention and control in healthcare settings.</description><identifier>ISSN: 2047-2994</identifier><identifier>EISSN: 2047-2994</identifier><identifier>DOI: 10.1186/s13756-024-01510-5</identifier><identifier>PMID: 39709511</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Cancer ; Care and treatment ; Chemotherapy ; Chemotherapy day center ; Cross Infection - prevention & control ; Female ; Guideline Adherence ; Hand Disinfection - methods ; Hand hygiene ; Hand Hygiene - methods ; Health aspects ; Health Personnel ; Hong Kong ; Humans ; Hygiene ; Infection ; Infection Control - methods ; Male ; Medical personnel ; Promotion ; Robot ; Robotics ; Robots ; Sensors</subject><ispartof>Antimicrobial resistance & infection control, 2024-12, Vol.13 (1), p.154-7, Article 154</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c448t-83cd8a2a3c715229fedfc222e361b70f0ee2c6ac13f6c63fc218056b43b9bb373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663329/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663329/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,36990,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39709511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Shuk-Ching</creatorcontrib><creatorcontrib>Ip, Stephen Chun-Yat</creatorcontrib><creatorcontrib>Kwok, Monica Oi-Tung</creatorcontrib><creatorcontrib>Siu, Crystal Yuen-Ki</creatorcontrib><creatorcontrib>Chen, Jonathan Hon-Kwan</creatorcontrib><creatorcontrib>So, Simon Yung-Chun</creatorcontrib><creatorcontrib>Chiu, Kelvin Hei-Yeung</creatorcontrib><creatorcontrib>Yuen, Kwok-Keung</creatorcontrib><creatorcontrib>Cheng, Vincent Chi-Chung</creatorcontrib><title>Promoting hand hygiene in a chemotherapy day center: the role of a robot</title><title>Antimicrobial resistance & infection control</title><addtitle>Antimicrob Resist Infect Control</addtitle><description>Hand hygiene is a critical component of infection prevention in healthcare settings. Innovative strategies are required to enhance hand hygiene practices among patients and healthcare workers (HCWs).
This study was conducted at the Chemotherapy Day Center of Queen Mary Hospital, Hong Kong. It comprised three phases: phase 1 involved observational audits of hand hygiene practices among patients and HCWs by infection control nurse (ICN); phase 2 included the installation of 53 pressure sensors on alcohol-based hand rub (AHR) bottles at designated sites to monitor usage; phase 3 introduced the robot named Temi Medic to promote hand hygiene through video broadcasts at strategic locations in the center. The mean counts of pressure sensor-equipped AHR per 100 attendances per day (hereafter referred to as the mean count) across phases 2 and 3 were analyzed.
A total of 2580 patient attended the center from April to September 2023. The ICN observed a significant increase in hand hygiene practices among patients at the entrance and reception area, rising from phase 1 (0.2%, 1/583) and phase 2 (0.5%, 3/656) to phase 3 (5.0%, 33/654) (p < 0.001). Meanwhile, the overall hand hygiene compliance among HCWs was 74.1% (1341/1810) throughout the study period. From phase 2 to phase 3, the mean counts of 7 AHR bottles designated for patient use (P1-P7) significantly increased (35 ± 17 vs. 64 ± 24, p < 0.001), as did the 33 AHR bottles shared by both patients and HCWs (207 ± 104 vs. 267 ± 113, p = 0.027). In contrast, there was no significant change in the mean count among the 13 AHR bottles designated for HCWs (H1-H13). The mean count of H1-H13 was significantly higher than that of P1-P7 throughout phases 2 and 3 (214 ± 93 vs. 49 ± 25, p < 0.001), indicating a 4.4-fold difference.
While HCWs maintained stable hand hygiene compliance, the introduction of the robot significantly improved hand hygiene practices among patients in the chemotherapy day center. This underscores the importance of integrating technology into routine practices to promote infection prevention and control in healthcare settings.</description><subject>Cancer</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Chemotherapy day center</subject><subject>Cross Infection - prevention & control</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Hand Disinfection - methods</subject><subject>Hand hygiene</subject><subject>Hand Hygiene - methods</subject><subject>Health aspects</subject><subject>Health Personnel</subject><subject>Hong Kong</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infection</subject><subject>Infection Control - methods</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Promotion</subject><subject>Robot</subject><subject>Robotics</subject><subject>Robots</subject><subject>Sensors</subject><issn>2047-2994</issn><issn>2047-2994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkktr3DAUhU1paUKaP9BFMRRKN071lt1NCSFpAoF20a6FLF3ZCrY0lTyB-ffVxGmYgUoLiXu_c9DjVNV7jC4wbsWXjKnkokGENQhzjBr-qjoliMmGdB17fbA_qc5zfkBlCIlQS99WJ7STqOMYn1a3P1Oc4-LDUI862HrcDR4C1D7UujYjlN4ISW92tdW72kBYIH2tS61OcYI6uoKl2MflXfXG6SnD-fN6Vv2-uf51ddvc__h-d3V53xjG2qVpqbGtJpoaiTkhnQPrDCEEqMC9RA4BECO0wdQJI2jp4RZx0TPad31PJT2r7lZfG_WD2iQ_67RTUXv1VIhpUDot3kygLLLI9X3HkQRGONEYEaclsQZ1ljNXvL6tXpttP4Pd3y7p6cj0uBP8qIb4qDAWglLSFYfPzw4p_tlCXtTss4Fp0gHiNiuKmeykkBwV9OOKDrqczQcXi6XZ4-qyJeVfWiZFoS7-Q5VpYfYmBnC-1I8Enw4EI-hpGXOctouPIR-DZAVNijkncC_3xEjtI6XWSKkSKfUUKcWL6MPhC71I_gWI_gVP3cRe</recordid><startdate>20241221</startdate><enddate>20241221</enddate><creator>Wong, Shuk-Ching</creator><creator>Ip, Stephen Chun-Yat</creator><creator>Kwok, Monica Oi-Tung</creator><creator>Siu, Crystal Yuen-Ki</creator><creator>Chen, Jonathan Hon-Kwan</creator><creator>So, Simon Yung-Chun</creator><creator>Chiu, Kelvin Hei-Yeung</creator><creator>Yuen, Kwok-Keung</creator><creator>Cheng, Vincent Chi-Chung</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20241221</creationdate><title>Promoting hand hygiene in a chemotherapy day center: the role of a robot</title><author>Wong, Shuk-Ching ; Ip, Stephen Chun-Yat ; Kwok, Monica Oi-Tung ; Siu, Crystal Yuen-Ki ; Chen, Jonathan Hon-Kwan ; So, Simon Yung-Chun ; Chiu, Kelvin Hei-Yeung ; Yuen, Kwok-Keung ; Cheng, Vincent Chi-Chung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-83cd8a2a3c715229fedfc222e361b70f0ee2c6ac13f6c63fc218056b43b9bb373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cancer</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Chemotherapy day center</topic><topic>Cross Infection - prevention & control</topic><topic>Female</topic><topic>Guideline Adherence</topic><topic>Hand Disinfection - methods</topic><topic>Hand hygiene</topic><topic>Hand Hygiene - methods</topic><topic>Health aspects</topic><topic>Health Personnel</topic><topic>Hong Kong</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Infection</topic><topic>Infection Control - methods</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Promotion</topic><topic>Robot</topic><topic>Robotics</topic><topic>Robots</topic><topic>Sensors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Shuk-Ching</creatorcontrib><creatorcontrib>Ip, Stephen Chun-Yat</creatorcontrib><creatorcontrib>Kwok, Monica Oi-Tung</creatorcontrib><creatorcontrib>Siu, Crystal Yuen-Ki</creatorcontrib><creatorcontrib>Chen, Jonathan Hon-Kwan</creatorcontrib><creatorcontrib>So, Simon Yung-Chun</creatorcontrib><creatorcontrib>Chiu, Kelvin Hei-Yeung</creatorcontrib><creatorcontrib>Yuen, Kwok-Keung</creatorcontrib><creatorcontrib>Cheng, Vincent Chi-Chung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Antimicrobial resistance & infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Shuk-Ching</au><au>Ip, Stephen Chun-Yat</au><au>Kwok, Monica Oi-Tung</au><au>Siu, Crystal Yuen-Ki</au><au>Chen, Jonathan Hon-Kwan</au><au>So, Simon Yung-Chun</au><au>Chiu, Kelvin Hei-Yeung</au><au>Yuen, Kwok-Keung</au><au>Cheng, Vincent Chi-Chung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Promoting hand hygiene in a chemotherapy day center: the role of a robot</atitle><jtitle>Antimicrobial resistance & infection control</jtitle><addtitle>Antimicrob Resist Infect Control</addtitle><date>2024-12-21</date><risdate>2024</risdate><volume>13</volume><issue>1</issue><spage>154</spage><epage>7</epage><pages>154-7</pages><artnum>154</artnum><issn>2047-2994</issn><eissn>2047-2994</eissn><abstract>Hand hygiene is a critical component of infection prevention in healthcare settings. Innovative strategies are required to enhance hand hygiene practices among patients and healthcare workers (HCWs).
This study was conducted at the Chemotherapy Day Center of Queen Mary Hospital, Hong Kong. It comprised three phases: phase 1 involved observational audits of hand hygiene practices among patients and HCWs by infection control nurse (ICN); phase 2 included the installation of 53 pressure sensors on alcohol-based hand rub (AHR) bottles at designated sites to monitor usage; phase 3 introduced the robot named Temi Medic to promote hand hygiene through video broadcasts at strategic locations in the center. The mean counts of pressure sensor-equipped AHR per 100 attendances per day (hereafter referred to as the mean count) across phases 2 and 3 were analyzed.
A total of 2580 patient attended the center from April to September 2023. The ICN observed a significant increase in hand hygiene practices among patients at the entrance and reception area, rising from phase 1 (0.2%, 1/583) and phase 2 (0.5%, 3/656) to phase 3 (5.0%, 33/654) (p < 0.001). Meanwhile, the overall hand hygiene compliance among HCWs was 74.1% (1341/1810) throughout the study period. From phase 2 to phase 3, the mean counts of 7 AHR bottles designated for patient use (P1-P7) significantly increased (35 ± 17 vs. 64 ± 24, p < 0.001), as did the 33 AHR bottles shared by both patients and HCWs (207 ± 104 vs. 267 ± 113, p = 0.027). In contrast, there was no significant change in the mean count among the 13 AHR bottles designated for HCWs (H1-H13). The mean count of H1-H13 was significantly higher than that of P1-P7 throughout phases 2 and 3 (214 ± 93 vs. 49 ± 25, p < 0.001), indicating a 4.4-fold difference.
While HCWs maintained stable hand hygiene compliance, the introduction of the robot significantly improved hand hygiene practices among patients in the chemotherapy day center. This underscores the importance of integrating technology into routine practices to promote infection prevention and control in healthcare settings.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>39709511</pmid><doi>10.1186/s13756-024-01510-5</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Cancer Care and treatment Chemotherapy Chemotherapy day center Cross Infection - prevention & control Female Guideline Adherence Hand Disinfection - methods Hand hygiene Hand Hygiene - methods Health aspects Health Personnel Hong Kong Humans Hygiene Infection Infection Control - methods Male Medical personnel Promotion Robot Robotics Robots Sensors |
title | Promoting hand hygiene in a chemotherapy day center: the role of a robot |
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