INFECTION CONTROL
Securing best practice with group monitoring
Group monitoring is a third and potentially more suitable solution for overview 24/7 monitoring. Due to the much smaller technology overhead, this can be a very cost-effective method, and the relative reliability of the technology - hard-wired into hygiene dispensers to capture every single time a member of medical staff engages in hand hygiene - makes it a much more stable solution.
Electronic monitoring is a simple and effective mechanism of achieving more accurate monitoring data, which can encompass both the number of hand hygiene opportunities, as well as some providing a compliance rate measured against the Five Moments. As Lord Carter lays out in the Carter Review, “the best performing hospital systems around the world have real-time monitoring and reporting at their fingertips enabling them to make decisions on a daily, weekly, monthly basis to improve quality and efficiency performance.” Electronic monitoring can provide an accurate real-time dashboard on hand hygiene, comparing rates across different wards. If implemented properly, the announcement of the new measures to reduce infection can help achieve Lord Carter’s vision for an NHS fit for the 21st century. By combining highly accurate data on adherence with robust and validated estimates for best practice at the group level, such systems can provide hospital leaders
with reliable, quantified data that tracks overall performance, providing regular feedback and clearly indicating where further effort is needed to improve compliance. Just as importantly, the hospitals can implement such a system without causing any disruption to daily working practices, as the data is generated automatically and in very familiar formats to hospitals used to direct observation.
Operators can access easy-to-digest web-based reports, giving them the insight to make informed decisions on how certain teams or departments can improve their compliance. Then, by clearly displaying hand-hygiene trends and statistics for each hospital unit, staff can collaborate on compliance improvement plans, set goals and work as a team to do everything in their power to improve hand hygiene – reducing the instances of HCAIs.
Hospitals should not rely on one single solution to control infections. They should be combining clear hand-hygiene procedures with effective training methods and a monitoring system that works with medical staff to improve compliance. Only then can they begin to reduce the numbers of patients who contract an infection while under care.
References:
1.
http://ecdc.europa.eu/en/publications/ Publications/healthcare-associated-infections- antimicrobial-use-PPS.pdf
2.
https://amr-review.org/sites/default/files/ 160518_Final%20paper_with%20cover.pdf
3. House of Commons Committee of Public Accounts – Twenty-fourth Report 2004-05: Improving patient care by reducing the risks of hospital acquired infection: A progress report.
4. NAO, ‘Reducing Healthcare Associated Infections in Hospitals in England’
https://www.nao.org.uk/wp- content/uploads/2009/06/0809560es.pdf
5. Plowman et al, 1999 6.
https://amr-review.org/sites/default/files/ 160518_Final%20paper_with%20cover.pdf
7.
http://www.nhs.uk/news/2012/05may/Pages/ mrsa-hospital-acquired-infection-rates.aspx
8. Source: US Centers for Disease Control and Prevention 9. A cluster randomised controlled trial of a behavioural change package to prevent hand dermatitis in nurses working in the National Health Service.
10. Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: validation of the HOW2 Benchmark Study. 11. Srigley, JA, et al. (2014)
CSJ
SEPTEMBER 2017
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