Impact of Electronic Compliance Monitoring in an Ambulatory Pediatric Orthopedic Clinic
Methods: A compliance activity monitoring system was installed to monitor all exam room entries and exits in the clinic and all hand hygiene events from soap or sanitizer dispensers. Compliance was measured as number of events / number of entries and exits. Baseline measurements were taken without HCW knowledge from 2/9/13-2/24/13. The intervention, which included implementation of a comprehensive hand hygiene program, ran from 3/1/13-5/23/13. A post-study assessment from 5/24/13-8/15/13 determined whether changes in compliance rates were sustainable. Pre- and post- study questionnaires assessed HCW knowledge, attitudes, and practices regarding hand hygiene. Appropriate statistical comparisons were made.
Results: There was a significant increase in the mean compliance rate from baseline to the intervention period, from 10.6% to 19.1%, representing an 80% increase. Additionally, the mean compliance rate in the post-study period was 13.6% which was significantly higher than the pre-study period, but a significant decline from the intervention period. Questionnaire data showed that HCWs perceived a significant increase in the amount of feedback they were given on their hand hygiene compliance, and observed a significant increase in the number of reminders to do hand hygiene.
Conclusion: Implementation of a hand hygiene program that includes a compliance activity monitoring system resulted in a significant, sustained improvement in hand hygiene compliance rates. However, sustaining increased rates after the intervention period continues to be problematic. Further research will help better understand how to sustain increased hand hygiene compliance rates over extended time periods and to determine the impact of the compliance monitoring system on clinical outcomes, including infection rates.
GOJO Industries: Employee, Salary
J. Kirk, GOJO Industries: Employee, Salary
B. Stouch, None