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Using video-based surveillance for monitoring hand hygiene compliance according to the World Health Organization (WHO) Five Moments framework: A pragmatic trial

Published online by Cambridge University Press:  25 April 2022

Katherine J. McKay Open the ORCID record for Katherine J. McKay [Opens in a new window] ,
Cecilia Li Open the ORCID record for Cecilia Li [Opens in a new window]  and
Ramon Z. Shaban
Katherine J. McKay*
Affiliation:
Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, University of Sydney, Camperdown. New South Wales, Australia Sydney Institute for Infectious Diseases, University of Sydney, Westmead, New South Wales, Australia
Cecilia Li
Affiliation:
Sydney Institute for Infectious Diseases, University of Sydney, Westmead, New South Wales, Australia Division of Infectious Diseases and Sexual Health, Department of Infection Prevention and Control, Westmead Hospital and Western Sydney Local Health District, Westmead, New South Wales, Australia
Ramon Z. Shaban
Affiliation:
Sydney Institute for Infectious Diseases, University of Sydney, Westmead, New South Wales, Australia Division of Infectious Diseases and Sexual Health, Department of Infection Prevention and Control, Westmead Hospital and Western Sydney Local Health District, Westmead, New South Wales, Australia New South Wales Biocontainment Centre, Western Sydney Local Health District and New South Wales Health, Westmead, New South Wales, Australia
*
Author for correspondence: Katherine McKay, E-mail: [email protected]
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Abstract

Objective:

To examine the utility of video-based monitoring systems (VMSs) for auditing hand hygiene compliance according to the World Health Organization (WHO) Five Moments.

Design:

Pragmatic quasi-experimental observation trial.

Setting:

The New South Wales Biocontainment Centre, Westmead, New South Wales, Australia.

Participants:

Volunteer healthcare workers (HCWs).

Method:

Six high-fidelity simulations were recorded and subsequently assessed for their ability to audit hand hygiene compliance according to the WHO Five Moments for hand hygiene criteria using tools provided by the National Hand Hygiene Initiative (NHHI).

Results:

In total, 206 minutes of recorded footage were reviewed in 120 minutes, yielding 111 moments. Overall HCW hand hygiene compliance was 88% according to the WHO Five Moments framework. The cost per moment was $0.91 AUD ($0.66 USD) and the time required per moment was 64 seconds.

Conclusions:

Auditing of hand hygiene compliance according to all 5 of the WHO Five Moments from recorded footage is not only possible but provides cost and time savings. In addition, the process may produce output that is less subject to the biases inherent in direct human observational auditing.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 5 , May 2023 , pp. 721 - 727
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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