Guo Huiling, Huang Zhilian, Yeo Jeanette Y P, Wang Yinchu, Chow Angela
Department of Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
JAMIA Open. 2021 Feb 5;4(3):ooaa072. doi: 10.1093/jamiaopen/ooaa072. eCollection 2021 Jul.
Real-time locating systems (RTLS) enable contact tracing and hand hygiene reminders, to improve hospital safety. Successful implementation requires healthcare personnel (HCP) to carry RTLS tags continuously. We assessed for determinants of HCP's willingness to use RTLS tags during routine inpatient care, and evaluated concerns using mixed-methods analysis.
We conducted a cross-sectional study in the 330-bed purpose-built National Centre for Infectious Diseases in Singapore, from January 15 through February 4, 2020. The anonymous survey comprised 24 questions based on constructs from behavioral models and an open-ended question. Principal component analysis was performed to derive the latent factor structure applied in the multivariable logistic regression analysis. Concerns were analyzed using thematic analysis.
Of 260 HCP (nurses [40.8%], ancillary and administrative staff [23.1%], allied health professionals [18.5%], and physicians [17.7%]), 75% were willing to use the RTLS tag. After adjusting for age, gender, healthcare professional group, and duration of practice, the acceptance of the use of the RTLS tag (adjusted OR 11.28 [95% CI 4.39-29.00], < .001) was highly associated with the willingness to use the RTLS tag. HCP who perceived the tag to be easy to use (adjusted OR 2.80 [95% CI 1.37-5.72], = .005), were also more willing to use the tag. HCP were willing to carry the RTLS tag for the purpose of contact tracing despite privacy concerns.
More communications on the intentions and data protection standards of the RTLS, and accessory enhancements for HCP's convenient and sustained use of the RTLS tag are crucial, to optimize RTLS's usefulness during the COVID-19 pandemic.
实时定位系统（RTLS）可实现接触者追踪和手部卫生提醒，以提高医院安全性。成功实施需要医护人员（HCP）持续佩戴RTLS标签。我们评估了HCP在常规住院护理期间使用RTLS标签意愿的决定因素，并使用混合方法分析评估了相关顾虑。
2020年1月15日至2月4日，我们在新加坡拥有330张床位的专门建造的国家传染病中心进行了一项横断面研究。匿名调查包括基于行为模型构建的24个问题和一个开放式问题。进行主成分分析以得出多变量逻辑回归分析中应用的潜在因素结构。使用主题分析对顾虑进行分析。
在260名HCP中（护士[40.8%]、辅助和行政人员[23.1%]、专职医疗人员[18.5%]和医生[17.7%]），75%愿意使用RTLS标签。在调整年龄、性别、医疗专业组和执业时长后，对RTLS标签使用的接受度（调整后的OR为11.28[95%CI 4.39 - 29.00]，P <.001）与使用RTLS标签的意愿高度相关。认为标签易于使用的HCP（调整后的OR为2.80[95%CI 1.37 - 5.72]，P =.005）也更愿意使用该标签。尽管存在隐私顾虑，但HCP愿意为接触者追踪目的佩戴RTLS标签。
关于RTLS的意图和数据保护标准进行更多沟通，以及对HCP方便且持续使用RTLS标签的配件进行改进至关重要，以在COVID - 19大流行期间优化RTLS的效用。
