Recurrent Visual Electronic Hand Hygiene Reminders in the Anesthesia Work Area

Rodriguez-Aldrete, David; Sivanesan, Eellan; Banks, Shawn; Mavarez, Ana C.; Arheart, Kristopher L.; Eber, Scott; Munoz-Price, L. Silvia

doi:10.1017/ice.2016.29

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…6 An intermittent reminder to perform HH displayed on a video screen in the anesthesia work area increased the hourly frequency of HH by approximately 10-fold. 91 What is the impact of providing measurement and feedback data on environmental disinfection?…”

Section: Which Techniques Should Be Used To Improve Infection Preventmentioning

confidence: 99%

“…Systematic reviews of studies conducted outside of the OR concluded that insufficient information exists to recommend the use of automated monitoring and feedback, 89 , 90 although a study of personal, wearable ABHR dispensers that emitted an audible alarm 6 minutes after the previous activation of the dispensers reported a 27-fold increase in HH compared to standard fixed ABHR dispensers 6 . An intermittent reminder to perform HH displayed on a video screen in the anesthesia work area increased the hourly frequency of HH by approximately 10-fold 91 …”

Section: What Is the Impact Of Providing Measurement And Feedback Datmentioning

confidence: 99%

See 1 more Smart Citation

Infection prevention in the operating room anesthesia work area

Munoz-Price

Bowdle

Johnston

et al. 2018

Infect. Control Hosp. Epidemiol.

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Section: Which Techniques Should Be Used To Improve Infection Preventmentioning

confidence: 99%

Section: What Is the Impact Of Providing Measurement And Feedback Datmentioning

confidence: 99%

Infection prevention in the operating room anesthesia work area

Munoz-Price

Bowdle

Johnston

et al. 2018

Infect. Control Hosp. Epidemiol.

Self Cite

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“…Eine Studie untersuchte das Durchführen einer Händedesinfektion in Abhängigkeit einer 60-sekündigen elektronischen Erinnerung alle 15 min, welche die Probanden dazu aufforderte, eine Händehygiene durchzuführen. Die Händehygiene wurde mit elektronischer Erinnerung im Median 2,1-mal, ohne Erinnerung im Median 0,2-mal durchgeführt ( p = 0,006) [ 10 ]. Diese Ergebnisse werfen die Frage auf, ob beispielsweise eine Implementierung eines „Hygiene-Timers“ in bestimmte Software-Oberflächen (z.…”

Section: Was Ist Bei Der Durchführung Der Hygienischen Händedesinfekt...unclassified

Infektionsprävention im OP: praxisorientierte Empfehlungen für AnästhesistInnen

et al. 2022

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ZusammenfassungDer vorliegende Artikel soll klinisch tätigen AnästhesistInnen einen praxisorientierten Überblick zu ausgewählten, wichtigen Empfehlungen der Hygiene im OP-Bereich vermitteln. Die Inhalte des Artikels basieren auf den Leitlinien oder Empfehlungen der World Health Organisation (WHO), der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF) sowie der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) am Robert Koch-Institut (RKI). Die Zielsetzung der Autoren ist es, den Hygienestandard in der täglichen Praxis zu optimieren, um die Zahl perioperativer Infektionen zu reduzieren.

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The effects of on-screen, point of care computer reminders on processes and outcomes of care

Shojania

Jennings²,

Mayhew

et al. 2009

Cochrane Database of Systematic Reviews

362

339

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Background The opportunity to improve care by delivering decision support to clinicians at the point of care represents one of the main incentives for implementing sophisticated clinical information systems. Previous reviews of computer reminder and decision support systems have reported mixed effects, possibly because they did not distinguish point of care computer reminders from e-mail alerts, computer-generated paper reminders, and other modes of delivering ‘computer reminders’. Objectives To evaluate the effects on processes and outcomes of care attributable to on-screen computer reminders delivered to clinicians at the point of care. Search methods We searched the Cochrane EPOC Group Trials register, MEDLINE, EMBASE and CINAHL and CENTRAL to July 2008, and scanned bibliographies from key articles. Selection criteria Studies of a reminder delivered via a computer system routinely used by clinicians, with a randomised or quasi-randomised design and reporting at least one outcome involving a clinical endpoint or adherence to a recommended process of care. Data collection and analysis Two authors independently screened studies for eligibility and abstracted data. For each study, we calculated the median improvement in adherence to target processes of care and also identified the outcome with the largest such improvement. We then calculated the median absolute improvement in process adherence across all studies using both the median outcome from each study and the best outcome. Main results Twenty-eight studies (reporting a total of thirty-two comparisons) were included. Computer reminders achieved a median improvement in process adherence of 4.2% (interquartile range (IQR): 0.8% to 18.8%) across all reported process outcomes, 3.3% (IQR: 0.5% to 10.6%) for medication ordering, 3.8% (IQR: 0.5% to 6.6%) for vaccinations, and 3.8% (IQR: 0.4% to 16.3%) for test ordering. In a sensitivity analysis using the best outcome from each study, the median improvement was 5.6% (IQR: 2.0% to 19.2%) across all process measures and 6.2% (IQR: 3.0% to 28.0%) across measures of medication ordering. In the eight comparisons that reported dichotomous clinical endpoints, intervention patients experienced a median absolute improvement of 2.5% (IQR: 1.3% to 4.2%). Blood pressure was the most commonly reported clinical endpoint, with intervention patients experiencing a median reduction in their systolic blood pressure of 1.0 mmHg (IQR: 2.3 mmHg reduction to 2.0 mmHg increase). Authors’ conclusions Point of care computer reminders generally achieve small to modest improvements in provider behaviour. A minority of interventions showed larger effects, but no specific reminder or contextual features were significantly associated with effect magnitude. Further research must identify design features and contextual factors consistently associated with larger improvements in provider behaviour if computer reminders are to succeed on more than a trial and error basis.

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Recurrent Visual Electronic Hand Hygiene Reminders in the Anesthesia Work Area

Cited by 6 publications

References 10 publications

Infection prevention in the operating room anesthesia work area

Infection prevention in the operating room anesthesia work area

Infektionsprävention im OP: praxisorientierte Empfehlungen für AnästhesistInnen

The effects of on-screen, point of care computer reminders on processes and outcomes of care

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