434. A Free iPhone Application for Recording Hand Hygiene Rates
Session: Poster Session: Hospital-acquired and Transplant Infections
Friday, October 30, 2009: 12:00 AM
Room: Poster Hall A
Background: The failure of healthcare workers to perform appropriate hand hygiene is an important preventable cause of healthcare associated infections. Yet, hand-hygiene rates among workers remain unacceptably low. Feeding hand-hygiene rates back to healthcare workers can lead to improvements in effective hand hygiene. Thus measuring hand hygiene is an important component of infection control programs. Most such measurements are performed by observers using clipboards or note cards. We have created an iPhone application to make the process of observing hand hygiene practices more accurate and efficient.
Methods: Our iPhone application is written in Objective-C. Using the touch screen interface, the observer records not only hand hygiene adherence, but also, for each opportunity, location in hospital and the type of worker being observed. Observers can also collect data for gowning and gloving. Each entry is automatically time and date stamped, and a built-in confirmation step minimizes data entry errors. Data are recorded and analyzed in real-time locally on the iPhone. At any time, the observer can export data (in comma separated value format) to an e-mail address of the user's choice; data can also be uploaded by wireless to a central web server for viewing, feedback and further analysis.

Results: In pilot deployment, observers who had never used an iPhone or iPod touch were comfortable with navigating and using the application within a few minutes of picking up the device.
Conclusion: We developed a mobile, pocket sized, intuitively easy, and inconspicuous method for recording and analyzing hand-hygiene adherence. Our platform eliminates the need for transcription (and, hence, transcription errors) and minimizes data entry errors. Our program will be available for free download for anyone with an iPhone or iPod touch via the Apple iPhone App Store following the release of iPhone OS 3.0 (summer 2009).
Donald Curtis, MCS1, Jason Fries, BS1, Ted Herman, PhD1, Christopher Hlady, BS1, Sriram Pemmaraju, PhD2, Philip M. Polgreen, MD1, Alberto Segre, PhD1, Monica Severson, BA1 and  C. S. Hlady, None..
M. A. Severson, None..
D. E. Curtis, None..
J. A. Fries, None..
S. V. Pemmaraju, None..
A. M. Segre, None..
T. Herman, None..
P. M. Polgreen, None., (1)University of Iowa, Iowa City, IA, (2)University of Iowa, I, IA