Khan Ambreen, Nausheen Sidrah
Aga Khan University, Karachi, Pakistan.
J Pak Med Assoc. 2017 Jan;67(1):92-96.
To evaluate and increase the compliance of surgical hand scrubbing with periodic feedback.
This study was conducted at the Aga Khan Hospital for Women and Children, Karachi, Pakistan, from April to July 2014. A remote video auditing system consisting of human auditors was used for visualising surgical hand wash compliance of the surgical team. The equipment, which used motion sensor, was installed in the scrub area wall, visualising the scrub sink only. A clock was displayed for the healthcare professionals to aid in ensuring two-minute hand washing. All surgeons, technicians and surgical assistants were included in the study. Surgical scrubbing was measured during a 4-week period by remote video auditing without feedback and a 12-week period with feedback. SPSS 19 was used for data analysis.
Of the 534 observations, 150(28%) were made during the pre-feedback period and 384(71.9%) during the post-feedback period. During the first 4 weeks, the overall compliance was 22(14.6%). The rate of compliance increased to 310(80.7%) during the 12-week post-feedback period.
Video surveillance with feedback for hand washing was found to be an effective tool for measuring hand hygiene and improving compliance.
通过定期反馈来评估并提高外科洗手的依从性。
本研究于2014年4月至7月在巴基斯坦卡拉奇的阿迦汗妇女儿童医院开展。一个由人工审核员组成的远程视频审核系统用于观察手术团队的外科洗手依从性。该设备使用运动传感器，安装在刷手区域的墙壁上，仅能看到刷手池。为医护人员显示一个时钟，以帮助确保两分钟的洗手时间。所有外科医生、技术人员和手术助手均纳入研究。通过远程视频审核在无反馈的4周期间和有反馈的12周期间测量外科刷手情况。使用SPSS 19进行数据分析。
在534次观察中，150次（28%）在反馈前阶段进行，384次（71.9%）在反馈后阶段进行。在最初的4周内，总体依从率为22次（14.6%）。在反馈后的12周期间，依从率提高到310次（80.7%）。
发现带有洗手反馈的视频监控是一种用于测量手部卫生和提高依从性的有效工具。
