An automated hand hygiene training system improves hand hygiene technique but not compliance

作者：Kwok Yen Lee Angela; Callard Michelle; McLaws Mary Louise^*

来源：American Journal of Infection Control, 2015, 43(8): 821-825.

DOI：10.1016/j.ajic.2015.04.201

• Compliance
• Cleansing technique
• Seven poses

Introduction: The hand hygiene technique that the World Health Organization recommends for cleansing hands with soap and water or alcohol-based handrub consists of 7 poses. We used an automated training system to improve clinicians' hand hygiene technique and test whether this affected hospitalwide hand hygiene compliance.
Methods: Seven hundred eighty-nine medical and nursing staff volunteered to participate in a self-directed training session using the automated training system. The proportion of successful first attempts was reported for each of the 7 poses. Hand hygiene compliance was collected according to the national requirement and rates for 2011-2014 were used to determine the effect of the training system on compliance.
Results: The highest pass rate was for pose 1 (palm to palm) at 77% (606 out of 789), whereas pose 6 (clean thumbs) had the lowest pass rate at 27% (216 out of 789). One hundred volunteers provided feedback to 8 items related to satisfaction with the automated training system and most (86%) expressed a high degree of satisfaction and all reported that this method was time-efficient. There was no significant change in compliance rates after the introduction of the automated training system. Observed compliance during the posttraining period declined but increased to 82% in response to other strategies.
Conclusions: Technology for training clinicians in the 7 poses played an important education role but did not affect compliance rates.

• 出版日期2015-8-1