Huang E C, Xu Q, Liu Y, Liu P, Kong M, Huang J
Department of Anesthesiology, Duke University, Durham, NC, USA; Department of Anesthesiology & Perioperative Medicine, School of Medicine, University of Louisville, Louisville, KY, USA.
Department of Bioinformatics and Biostatistics, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA.
J Hosp Infect. 2025 Aug;162:241-252. doi: 10.1016/j.jhin.2025.05.014. Epub 2025 May 31.
Individualized reminders and incentives from automated hand hygiene monitoring systems (AHHMSs) might contribute to significant hand hygiene improvement.
To comprehensively evaluate the implementation of the Sanibit™ AHHMS system in the intensive care unit and the impact of these interventions on hand hygiene compliance in a four-phased, prospective trial at a tertiary care hospital.
The Sanibit monitoring system was installed in a 10-bed neurological intensive care unit. Phase 1: no reminder, cash incentive. Phase 2a: lights only, cash incentive. Phase 2b: lights + vibrations, cash incentive. Phase 3: no reminder, point system incentive. Phase 4: lights + vibrations, point system incentive.
The accuracy rate detected by the Sanibit, compared with direct observations, was 85.1%. Phase 2a with lights only and cash incentives achieved the most hand hygiene opportunities in the middle of the week. Phase 4 with lights and vibrations reminders and point system incentives achieved the best in terms of total, full, and partial hand hygiene compliance, while phase 2a with lights only and cash incentives had the highest hand hygiene opportunities. Hand hygiene compliance rates of going-out room events were significantly lower than those of going-in room events for quick in-and-out room, while the opposite held true for long in-and-out room events.
Hand hygiene opportunities, compliance, and patient contact times varied significantly among different reminders/incentives, individual healthcare workers, day of the week and time of the day. Lights and vibration reminders and point system incentives achieved the best hand hygiene compliance.
自动手卫生监测系统（AHHMSs）提供的个性化提醒和激励措施可能有助于显著改善手卫生状况。
在一家三级医院进行的一项四阶段前瞻性试验中，全面评估Sanibit™ AHHMS系统在重症监护病房的实施情况以及这些干预措施对手卫生依从性的影响。
Sanibit监测系统安装在一个拥有10张床位的神经重症监护病房。第一阶段：无提醒，现金激励。第二阶段a：仅灯光提醒，现金激励。第二阶段b：灯光 + 震动提醒，现金激励。第三阶段：无提醒，积分系统激励。第四阶段：灯光 + 震动提醒，积分系统激励。
与直接观察相比，Sanibit检测的准确率为85.1%。仅灯光提醒和现金激励的第二阶段a在一周中间时段实现了最多的手卫生机会。灯光和震动提醒以及积分系统激励的第四阶段在总体、完全和部分手卫生依从性方面表现最佳，而仅灯光提醒和现金激励的第二阶段a手卫生机会最多。对于进出房间迅速的情况，出房间事件的手卫生依从率显著低于进房间事件，而对于进出房间时间长的情况则相反。
不同的提醒/激励措施、个体医护人员、一周中的日期和一天中的时间，在手卫生机会、依从性和患者接触时间方面存在显著差异。灯光和震动提醒以及积分系统激励实现了最佳的手卫生依从性。
