Evaluating automatic hand hygiene monitoring systems: A scoping review.

To categorize the extant automatic hand hygiene monitoring systems (AHHMSs) and evaluate the capacity of each to provide information on compliance rates. Scoping review. Three international databases, PubMed, CINAHL, and EBSCO (between 1 January 2010 and 31 December 2020), were searched according to predetermined inclusion criteria for the scoping review. Two authors screened studies for eligibility independently. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Twenty-seven studies were included. Three types of AHHMSs were identified: Type I provides information about the aggregate hand hygiene events (HHEs) only, while Type II adds aggregate hand hygiene opportunities (HHOs), and Type III presents both HHEs and HHOs for individuals. Results suggested that improving the accuracy of recording HHEs and/or HHOs was critical for improving the accuracy of the compliance, which could increase the acceptability of the monitoring system. In addition, the studies found that the implementation of AHHMSs, especially with prompt reminders or additional interventions, could improve the compliance significantly. The extant AHHMSs could be decomposed into components of 3Ps (product usage monitoring, position monitoring, and performance monitoring). By identifying devices and technology as well as the type of information provided for each component, our approach can aid healthcare facilities to choose a suitable AHHMS that meets their criteria.

为了对现有的自动手动卫生监测系统（AHHMS）进行分类，并评估每个人的能力提供有关合规率的信息。 范围评论。 根据范围预定的纳入标准，搜索了三个国际数据库，即PubMed，Cinahl和EBSCO（2010年1月1日至2020年12月31日之间）。两位作者独立筛选了资格研究。该审查是根据对系统审查的首选报告项目进行的，用于范围审查（PRISMA-SCR）。 包括二十七个研究。确定了三种类型的AHHMS：I型仅提供有关骨料手动卫生事件（HHH）的信息，而II型则增加了骨料卫生机会（HHOS），而III型则为个体提供了HHES和HHOS。结果表明，提高记录hhhs和/或HHO的准确性对于提高合规性的准确性至关重要，这可能会提高监测系统的可接受性。此外，研究发现，AHHMS的实施，尤其是在提醒或其他干预措施的情况下，可以显着提高合规性。 现存的AHHMS可以分解为3PS的组件（产品使用情况监视，位置监控和性能监控）。通过识别设备和技术以及为每个组件提供的信息类型，我们的方法可以帮助医疗机构选择符合其标准的合适AHM。