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      Effectiveness of an electronic hand hygiene monitoring system on healthcare workers' compliance to guidelines.

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          Abstract

          Hand hygiene is a growing concern among populations and is a crucial element in ensuring patient safety in a healthcare environment. Numerous management efforts have been conducted in that regard, including education, awareness and observations. To better evaluate the possible impact of technology on a healthcare setting, we observed the impact of a particular niche technology developed as an answer to the growing hand hygiene concerns. A study was conducted at Salmaniya Medical Complex (SMC) in Bahrain on a total of 16 Coronary Care Unit (CCU) beds where the system was installed, and the hand hygiene activity of healthcare workers (HCWs) in this area was monitored for a total period of 28 days. Comments, remarks and suggestions were noted, and improvements were made to the technology during the course of the trial. While resistance to change was significant, overall results were satisfactory. Compliance with hand hygiene techniques went from 38-42% to 60% at the beginning of the trial and then increased to an average of 75% at the end of the 28-day trial. In some cases, compliance peaked at 85% or even at 100%. Our case study demonstrates that technology can be used effectively in promoting and improving hand hygiene compliance in hospitals, which is one way to prevent cross-infections, especially in critical care areas.

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          Author and article information

          Journal
          J Infect Public Health
          Journal of infection and public health
          1876-035X
          1876-0341
          : 8
          : 2
          Affiliations
          [1 ] Medical Department, Salmaniya Hospital, Kingdom of Bahrain. Electronic address: jalsalman@hotmail.com.
          [2 ] B. Neuroscience; Ecole Polytechnique de Montréal, Canada.
          [3 ] CIRANO (Center for interuniversity research and analysis of organization), President RISQ+H (Patient Safety and Quality in HealthCare Network), Canada; Ecole Polytechnique de Montréal, Canada.
          [4 ] Medical Department, Salmaniya Hospital, Kingdom of Bahrain.
          Article
          S1876-0341(14)00119-1
          10.1016/j.jiph.2014.07.019
          25444391
          84ede36c-71de-41ca-a32c-300e0c170d26
          Copyright © 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.
          History

          Hand hygiene compliance,Healthcare technology,Resistance to change

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