AUTHOR=Florea Olga , Gonin Jeremy , Tissot Dupont Hervé , Dufour Jean Charles , Brouqui Philippe , Boudjema Sophia 

TITLE=Internet of Things to Explore Moment 2 of “WHO My Five Moments” for Hand Hygiene

JOURNAL=Frontiers in Digital Health

VOLUME=Volume 3 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/digital-health/articles/10.3389/fdgth.2021.684746

DOI=10.3389/fdgth.2021.684746

ISSN=2673-253X

ABSTRACT=Background
Electronic hand hygiene surveillance systems are developing and are considered to be more reliable than direct observation for hand hygiene monitoring. However, none are in the capability to assess compliance in complex nursing care.
Materials & Methods
We combined two different technologies, a hand hygiene monitoring system (RFID) and a nursing care recorder at the bedside, and we merge their data to assess hand hygiene performance during nursing. Nursing tasks were classified as the standard task procedures or aseptic task procedures corresponding to moment 2 among the 5 moments for hand hygiene recommended by the WHO. All statistical analyses were performed using R, version 3.6.2. For the mixed models, the package “lme4” was used.
Results
From the merged database over the 2-year study period 30,164 nursing tasks were identified for analysis, 25,633 were classified as standard task procedures and 4,531 were classified as aseptic task procedures for nursing care. Hand disinfection with an alcohol-based solution was not detected with our system in 42.50% of all the recorded tasks, 37% of all the aseptic task procedures and 47.1% of all the standard task procedures for nursing (p= 0.0362), indicating that WHO moment 2 was not respected in 37% of the mandatory situations.
Conclusion
Using a combination of different technologies, we were able to assess hand hygiene performance in the riskiest circumstances.