Effect of Wearing a Novel Electronic Wearable Device on Hand Hygiene Compliance Among Health Care Workers: A Stepped-Wedge Cluster Randomized Clinical Trial

Pires, Daniela; Gayet-Ageron, Angèle; Guitart, Chloé Françoise; Robert, Yves-Alain; Fankhauser-Rodriguez, Carolina Maria; Tartari, Ermira; Peters, Alexandra; Tymurkaynak, Funda; Fourquier, Simon; Soule, Herve; Beuchat, Rene; Bellissimo-Rodrigues, Fernando; Martin, Yves Pierre; Zingg, Walter; Pittet, Didier

doi:10.1001/jamanetworkopen.2020.35331

Scientific article

English

Effect of Wearing a Novel Electronic Wearable Device on Hand Hygiene Compliance Among Health Care Workers: A Stepped-Wedge Cluster Randomized Clinical Trial

ContributorsPires, Daniela; Gayet-Ageron, Angèle; Guitart, Chloé Françoise; Robert, Yves-Alain; Fankhauser-Rodriguez, Carolina Maria; Tartari, Ermira; Peters, Alexandra; Tymurkaynak, Funda; Fourquier, Simon; Soule, Herve; Beuchat, Rene; Bellissimo-Rodrigues, Fernando; Martin, Yves Pierre; Zingg, Walter; Pittet, Didier

Published inJAMA Network Open, vol. 4, no. 2, e2035331

Publication date2021

Abstract

Importance: Hand hygiene (HH) is essential to prevent hospital-acquired infections. Objective: To determine whether providing real-time feedback on a simplified HH action improves compliance with the World Health Organization's "5 Moments" and the quality of the HH action. Design, setting, and participants: This open-label, cluster randomized, stepped-wedge clinical trial was conducted between June 1, 2017, and January 6, 2018 (with a follow-up in March 2018), in a geriatric hospital of the University of Geneva Hospitals, Switzerland. All 12 wards and 97 of 306 eligible health care workers (HCWs) volunteered to wear a novel electronic wearable device that delivered real-time feedback on duration of hand rubbing and application of a hand-sized customized volume of alcohol-based handrub (ABHR).

Keywords

Adult
Age Factors
Cross Infection/prevention & control
Female
Formative Feedback
Guideline Adherence
Hand Disinfection/standards
Hand Hygiene
Hand Sanitizers
Health Personnel
Humans
Male
Middle Aged
Nurses
Nursing Assistants
Physical Therapists
Quality Improvement
Random Allocation
Wearable Electronic Devices
Workload

Affiliation entities

Funding

Swiss National Science Foundation - 2003B_163262
Autre - Infection Control Program (SPCI) and Faculty of Medicine,University of Geneva Hospitals, Geneva, Switzerland

Citation (ISO format)

PIRES, Daniela et al. Effect of Wearing a Novel Electronic Wearable Device on Hand Hygiene Compliance Among Health Care Workers: A Stepped-Wedge Cluster Randomized Clinical Trial. In: JAMA Network Open, 2021, vol. 4, n° 2, p. e2035331. doi: 10.1001/jamanetworkopen.2020.35331