315. Implementation of Hand Hygiene Video Monitoring System
Session: Poster Abstract Session: Hand Hygiene in Healthcare Settings
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
Background: Hand hygiene compliance is critical to maintain a safe healthcare environment. An accurate and cost effective surveillance program is necessary for the success of auditing and providing feedback to improve compliance. We implemented a video monitoring system for hand hygiene surveillance in our acute and long term care units. The objectives of this analysis are to evaluate costs, identify advantages, barriers, and health care worker attitude associated with the adoption of a video monitoring hand hygiene surveillance system.

Methods: We implemented the video monitoring system in a 77 bed acute care facility and 61 bed long term care facility.  By using a formative evaluation model we gathered data and made modifications to the surveillance approach based on problem-solving and feedback from management and union representatives. Notification of the monitoring system was accomplished by signage in multiple public areas, “To ensure everyone’s safety, we monitor hand hygiene and PPE compliance.”

Results: From January through March 2013, acute care hand hygiene compliance rates were 100% by peer reviews and 47% by video surveillance. Barriers included not seeing all sinks or alcohol dispensers if not in the camera’s view and time constraints to view recorded events regularly. Reactions among employees ranged from hostile to very accepting of surveillance. This system was not fully optimized because only aggregate compliance rates were allowed to be reported and individual non-compliance could not be addressed. The total project cost was $67,958 for thirty-four cameras and supporting equipment. The only additional cost was the observer’s time in reviewing recordings.

Conclusion: Culture, politics, and union concerns influenced the introduction, implementation and ultimate adoption of video monitoring to assure compliance with hand hygiene protocols. The costs per bed were low and compare favorably with currently available automated surveillance technologies. Adoption of video monitoring at other institutions may be an economic alternative with potential to increase hand hygiene compliance and reduce hospital acquired infections and thus infection related costs.

Ruth Keizer, BSN, RN, M.A.1, Larry Williams Jr., M.Ed1, Helen Rice, BSN, RN, CIC1, Martin Evans, MD2,3 and Takako Schaninger, MD1,2, (1)Infection Prevention and Control, VA Medical Center, Lexington, KY, (2)Internal Medicine, University of Kentucky, Lexington, KY, (3)National Infectious Diseases Service, Department of Veterans Affairs Central Office, Washington, DC


R. Keizer, None

L. Williams Jr., None

H. Rice, None

M. Evans, None

T. Schaninger, None

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