Implementation of an electronic hand hygiene monitoring system: Learnings on how to maximize the investment

•Implementation of an electronic hand hygiene monitoring system (EMS) is labor intensive•An EMS is helpful for identifying clinical practices to review for correct hand hygiene performance•Improvement in hand hygiene performance is aided by an EMS Electronic monitoring systems (EMS) for measuring ha...

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Bibliographic Details
Published in:American journal of infection control 2023-08, Vol.51 (8), p.847-851
Main Authors: McMullen, Kathleen, Diesel, Gil, Gibbs, Elizabeth, Viox, Annette, Dietzler-Otte, Janette, McIntire, Jennifer, Nelson, Kathryn, Starke, Keith
Format: Article
Language:English
Subjects:
Cross Infection
Electronic monitoring
Electronics
Feedback
Guideline Adherence
Hand Disinfection - methods
Hand Hygiene - methods
Hand washing
Health Personnel
Hospitals
Humans
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Summary:•Implementation of an electronic hand hygiene monitoring system (EMS) is labor intensive•An EMS is helpful for identifying clinical practices to review for correct hand hygiene performance•Improvement in hand hygiene performance is aided by an EMS Electronic monitoring systems (EMS) for measuring hand hygiene performance have many advantages. Previous studies have shared results of EMS in individual units or single institutions, without many details of implementation. The implementation steps for house wide use of an EMS in 12 hospitals are described. Hospital resources used in this 3-year implementation included those for installation activities, initial education about the components and function of the EMS, evaluation of healthcare professionals’ processes related to hand hygiene, routine data feedback in a variety of methods, continuous coaching and training on the EMS, incentive programs and strong leadership support. Continual process improvement activities resulted in a 23% increase in hand hygiene performance, from 53% at baseline, to 76%. Implementation of an EMS required many resources beyond those for the technology, but resulted in measurable improvement in hand hygiene performance.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2022.12.008