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The Capital Region of Denmark - a part of Copenhagen University Hospital

Clinical experiences with a new system for automated hand hygiene monitoring: A prospective observational study

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  • Anne-Mette Iversen
  • Christiane Pahl Kavalaris
  • Rosa Hansen
  • Marco Bo Hansen
  • Rebekah Alexander
  • Krassimir Kostadinov
  • Jette Holt
  • Brian Kristensen
  • Jenny Dahl Knudsen
  • Jens Kjølseth Møller
  • Svend Ellermann-Eriksen
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BACKGROUND: Hand hygiene compliance (HHC) among health care workers remains suboptimal, and good monitoring systems are lacking. We aimed to evaluate HHC using an automated monitoring system.

METHODS: A prospective, observational study was conducted at 2 Danish university hospitals employing a new monitoring system (Sani nudge). Sensors were located on alcohol-based sanitizers, health care worker name tags, and patient beds measuring hand hygiene opportunities and sanitations.

RESULTS: In total, 42 nurses were included with an average HHC of 52% and 36% in hospitals A and B, respectively. HHC was lowest in patient rooms (hospital A: 45%; hospital B: 29%) and highest in staff toilets (hospital A: 72%; hospital B: 91%). Nurses sanitized after patient contact more often than before, and sanitizers located closest to room exits and in hallways were used most frequently. There was no association found between HHC level and the number of beds in patient rooms. The HHC level of each nurse was consistent over time, and showed a positive correlation between the number of sanitations and HHC levels (hospital A: r = 0.69; hospital B: r = 0.58).

CONCLUSIONS: The Sani nudge system can be used to monitor HHC at individual and group levels, which increases the understanding of compliance behavior.

Original languageEnglish
JournalAmerican Journal Of Infection Control
Issue number5
Pages (from-to)527-533
Number of pages7
Publication statusPublished - May 2020

    Research areas

  • Compliance, Electronic monitoring, Hand hygiene, Health care-acquired, Infection control, Infection prevention

ID: 58188722