• Miguel Almeida O Filho, Alexandre R Marra, Thyago Pereira Magnus, Rodrigo Dias Rodrigues, Marcelo Prado, Tales Roberto de Souza Santini, Elivane da Silva Victor, Eder Issao Ishibe, Oscar Fernando Pavão Dos Santos, and Michael B Edmond.
• Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil.
• Am J Infect Control. 2014 Nov 1;42(11):1188-92.

BackgroundMonitoring of hand hygiene is an important part of the improvement of hospital quality indicators.MethodsThis study was prospectively performed over a 14-week (electronic observer) period from December 3, 2013-March 9, 2014, to evaluate hand hygiene compliance in an adult step-down unit. We compared electronic handwash counters with the application of radiofrequency identification (RFID - ZigBee; i-Healthsys, São Carlos, Brazil) (electronic observer), which counts each activation of the alcohol gel dispenser to direct observation (human observer) using the iScrub application.ResultsFor the overall time period of simultaneous electronic and human observation, we found that the electronic observer identified 414 hand hygiene episodes, whereas the human observers identified 448 episodes. Therefore, we found 92% (95% confidence interval [CI], 90%-95%) overall concordance (414/448), with an intraclass correlation coefficient of .87 (95% CI, 0.77-0.92).ConclusionOur RFID (ZigBee) system showed good accuracy (92%) and is a useful method to monitor hand hygiene compliance.Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

12 keywords...

hide…