Document Detail

Automated and electronically assisted hand hygiene monitoring systems: A systematic review.
MedLine Citation:
PMID:  24773785     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Hand hygiene is one of the most effective ways to prevent transmission of health care-associated infections. Electronic systems and tools are being developed to enhance hand hygiene compliance monitoring. Our systematic review assesses the existing evidence surrounding the adoption and accuracy of automated systems or electronically enhanced direct observations and also reviews the effectiveness of such systems in health care settings.
METHODS: We systematically reviewed PubMed for articles published between January 1, 2000, and March 31, 2013, containing the terms hand AND hygiene or hand AND disinfection or handwashing. Resulting articles were reviewed to determine if an electronic system was used.
RESULTS: We identified 42 articles for inclusion. Four types of systems were identified: electronically assisted/enhanced direct observation, video-monitored direct observation systems, electronic dispenser counters, and automated hand hygiene monitoring networks. Fewer than 20% of articles identified included calculations for efficiency or accuracy.
CONCLUSIONS: Limited data are currently available to recommend adoption of specific automatic or electronically assisted hand hygiene surveillance systems. Future studies should be undertaken that assess the accuracy, effectiveness, and cost-effectiveness of such systems. Given the restricted clinical and infection prevention budgets of most facilities, cost-effectiveness analysis of specific systems will be required before these systems are widely adopted.
Melissa A Ward; Marin L Schweizer; Philip M Polgreen; Kalpana Gupta; Heather S Reisinger; Eli N Perencevich
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of infection control     Volume:  42     ISSN:  1527-3296     ISO Abbreviation:  Am J Infect Control     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-04-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  472-8     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
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