Japan Association for Medical Informatics

[2-H-1-02] Feedback of hand hygiene monitoring system using IoT and effect on infection prevention.

*Yoshinori Idneo1,3, Yoshinori Yamashita2, Yoko Muroi5, Chinatsu Matsuyama2, Yukio Hida2, Keiko Yamashita3, Shintaro Oyama3, Hiroko Shigemi4, Yuji Sakamoto1, Hiromichi Iwasaki2 (1. CARECOM CO., LTD., 2. University of FUKUI Hospital, 3. Nagoya University Hospital, 4. Kyoto Prefectural University of Medicine, 5. Sakai Municipal Mikuni Hospital)

IoT, Infection control, hand hygiene, electronic monitoring system, 5 moments

Abstract:
It is no doubt that it is important to comply with hand hygiene and proper use of personal protective equipment accordance to the WHO’s hand hygiene guidelines for infection prevention measures in hospitals. The previous study found that the adherence status of hand hygiene was extremely low at entering and leaving the patient zones indicating the infection transmission was not sufficiently blocked at University of Fukui Hospital and Nagoya University Hospital.
In this study, the validity of the IoT hand hygiene monitoring system with the additional functions, the real-time feedback and the assist feedback, verified for improvement in the adherence status of hand hygiene at observation points defined by WHO. The findings were the visualized adherence status in public provided by the real-time feedback and individual warning alerts to smartphones from the assist feedback were sufficiently useful to increase the adherence status.
It was not easy to assess the WHO’s 5-moments hand hygiene adherence status. However, this study showed the high possibility of evaluation by this system, before touching a patient, before clean/aseptic procedures, after body fluid exposure/risk, after touching a patient, and after touching patient surroundings. It might be concluded that this IoT hand hygiene monitoring system was sufficiently effective to improve the adherence status.