Replicating changes in hand hygiene in a surgical intensive care unit with remote video auditing and feedback

摘要

Using remote video auditing (RVA) and real-time feedback, we replicated health care workers hand hygiene in a second intensive care unit. During the first 4 weeks using RVA without feedback, the compliance rate was 30.42%. The rate during the 64-week postfeedback period (initial 16 and 48 weeks maintenance) with RVA and feedback exceeded 80% on average. These data demonstrate that improved hand hygiene was achieved and sustained with the use of RVA and feedback. Prior to this study, remote video auditing (RVA) on health care workers (HCW) hand hygiene was initiated in 1 medical intensive care unit (MICU) at a tertiery hospital. Hand hygiene compliance within that unit went from less than 10% without feedback to a sustained rate that exceeded 85% after feedback. The aim of this study was to assess HCW hand hygiene upon entry and exit on a second, adjacent surgical intensive care unit (SICU) with the use of RVA without and with feedback.