Abstract
Background: Hand hygiene observation and giving the feedback to healthcare workers is one of the most effective ways to improve hand hygiene compliance following WHO guideline. Direct observation is considered "golden standard" but also affected by "Hawthorne effect". Remote Video Auditing (RVA) is a method using cameras installed in preferable places to record hand hygiene practice and then feedback the result to whom being watched and other people related.
From March 2015, monitoring system through camera was used in The National Hospital of Pediatrics. Objectives: To determine hand hygiene compliance rate of healthcare workers in ICU by monitoring system through camera; Evaluate the improvement in hand hygiene compliance to the redution of HAIS rate in this ICU.
Subject and Method: A observational study was conducted at ICU of The National Hospital of Pediatrics for 12-week, time from 01/3/2015 to 31/5/2015. The study was devided to 2 periods: 4 first weeks without and 8 following weeks with feedback the hand hygiene compliance rate to ICU.
Results: 2049 and 562 opportunities were observed by monitoring system through camera and direct method, respectively. Hand hygiene compliance rate increased from 33.5% to 66.4% after giving feedback in the second period. There was no improvement in handhygiene rate in the two periods by using the direct method (p=0.63). The indication "before a clean/aseptic procedure" was 67.3%. The highest hand hygiene rate belonged to doctors. The correct technique rate just occupied 17.7%. HAIs rate decreased by 0.22 times when hand hygiene rate increased by 9.8 times.
Conclusion: There was no indicable improvement in handhygiene rate in the two periods by using the direct method. Hand hygiene compliance rate was increased from 33.5% to 66.4% after giving feedback in the second period. HAIs rate decreased by 0.22 times when hand hygiene rate increased by 9.8 times.
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| Published | 01-01-2015 | |
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| Issue | No. 27 (2015) | |
| Section | Original article | |
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| Keywords | hệ thống giám sát qua camera, vệ sinh tay monitoring system through camera, hand hygiene |
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