INFECTION PREVENTION
based on the level of care, to report HH compliance rate.”
in different ways, at different locations, and for different reasons,” said Nibarger. “The BIOVIGIL system captures, reminds, and differentiates between all the various WHO 5 Moment events and behaviors. The BIO- VIGIL system also automatically reminds a user if certain protocols are not followed; for example, failure to wash hands with soap and water, versus use of sanitizer, will trigger a user alert upon exiting from a C. diff room.” Nibarger told Healthcare Purchasing
DebMed GMS dashboard with actionable results An easy-to-read dashboard report, avail-
able online or by email, provides data that tracks progress, offering a basis for perfor- mance improvement. “Reports are available for each unit, for any period of time desired, and always include the baseline starting point to show the improvement trends,” said Chappuis. “The dashboard also compares performance among units, allowing teams to benchmark against the rest of the facility. Room reports provide soap versus sanitizer use, which is useful for tracking compliance with C. diff protocols.”
Some users might appreciate the anonym- ity of the DebMed Monitoring System. It doesn’t use badges reporting on individual staff members; rather, it reports performance by the unit. “It’s been clearly shown that a blame-free environment and collaboration are essential features of a successful safety culture,” observed Chappuis. “Recently, a peer-reviewed study5
demon strated that use of the DebMed Monitoring System yielded a significant correlation between unit-specifi c improve- ments in compliance and reduction in MRSA infection rates. Greenville (South Carolina) Memorial Hospital, a 746-bed teaching hos- pital, achieved a 25.5 percent increase in HH compliance and a 42 percent reduction in hospital-onset MRSA infections during the 33-month study period. The study estimated $434,000 in hospital cost savings.” Brent D. Nibarger, Chief Client Offi cer, BIOVIGIL, explained that their system uti- lizes active reminders, tones and vibrations, and a visual illuminated hand symbol to alert users and patients if HH is needed or has been performed. “These two features dramatically modify caregiver behavior and accountability to protocols. BIOVIGIL clients report sustained compliance and 30 percent to 83 percent reduction in overall infection rates. The system also automates all data col- lection and reporting activities across dozens of metrics.
“Hand sanitizer use or hand washing with soap and water takes place at different times,
News that a data survey performed on more than 60 million collected HH events from clients across the U.S. supports achieved and sustained a 97 percent HH compliance level on a 24/7/365 basis. The experience of the Cleveland (Ohio) Clinic parallels this claim. An ef- fi cacy study6
was recently published using
BIOVIGIL system for 12 weeks in an organ- transplant unit. A second eight-week study was performed in a cardiothoracic surgery ICU. The BIOVIGIL system collected 267,566 total HH events. Data showed a sustained 98 percent and 97 percent HH compliance level, respectively. White Plains (New York) Hospital enjoyed a similar experience.7
BIOVIGIL was used in
an eight-bed ICU and 25-bed step-down ICU for 11 months. “The system collected 632,404 HH events, as compared to 480 manual observations,” said Nibarger. A compliance goal of 95 percent was sustained and exceeded. “They also observed an 83 percent reduction in multidrug-resistant organisms, central-line associated bloodstream infection, and catheter-associated urinary tract infection rates; however, a study period of longer duration is necessary to achieve statistical significance. Results are expected in the fourth quarter of 2017.” Ecolab has another product that can help
facilities step up compliance.” Burzycki said, “We monitor in the patient zone, promot- ing safe interactions when a HCW both approaches and leaves the patient. These zones can be used anywhere from a private or semi-private room to the post-anesthetic care unit, neonatal intensive care unit, or emergency department.
“We also have Immediate Action Monitor- ing, so that HCWs can identify when they are compliant or noncompliant, simply by looking at lights on their badges or listen- ing for an audio cue,” explained Burzycki. “Additionally, we provide robust reporting that will help to identify trends and change behavior. Having individual compliance data, such as when opportunities are being missed, can help to identify issues in work- fl ow. Knowing department compliance can help to motivate groups to better themselves and not let their peers down. All of this is part of the Ecolab Hand Hygiene Program, where we are able to have an impact on out- comes by providing the products specifi cally formulated for the healthcare environment, robust information, service provided onsite by our 100-plus healthcare specialists in the fi eld, and training, whether that be signage around dispensers or in-services.”
Ecolab Hand Hygiene Compliance system
Burzycki said they are already seeing results with their program. “Compliance averages above 85 percent. The entire attitude around HH changes. Having a non-intrusive system that lets HCWs know when they are and are not being compliant, and also lets patients and others know that information, changes the way that it is viewed. Burzycki added, “Having products focused on the healthcare environment ensures that when compliance does increase, hands will still stay healthy.” HPN
References
1. Lastinger A, Gomez K, Manegold E, et al. Use of patient empow- erment tool for hand hygiene. Am J Infect Control. 2017;45(8):824- 829.
http://www.ajicjournal.org/article/S0196-6553(17)30131-1/ fulltext
2. Barnes S. The state of the state of hand hygiene 2017: do we need a bundle? Infection Control Today. April 2017. http://www.
infectioncontroltoday.com/whitepapers/2017/04/hand-hygiene. aspx. Last accessed September 3, 2017.
3. Birnbach DJ, King D, Vlaev I, et al. Impact of environmental olfactory cues on hand hygiene behaviour in a simulated hospital environment: a randomized study. J Hosp Infect. 2013 Sep;85(1):79- 81.
4. Revell T. Smart cameras spot when hospital staff don’t wash their hands: the handwash might be there, but not everyone uses it. New Scientist. 14 August 2017.
https://www.newscientist.com/ article/2143786-smart-cameras-spot-when-hospital-staff-dont-wash- their-hands/. Last accessed September 3, 2017.
5. Kelly JW, Blackhurst D, McAtee W, et al. Electronic hand hygiene monitoring as a tool for reducing health care-associated methicillin- resistant Staphylococcus aureus infection. Am J Infect Control. 2016 Aug 1;44(8):956-957.
The BIOVIGIL system
30 October 2017 • HEALTHCARE PURCHASING NEWS •
hpnonline.com
6. Michael H, Einloth C, Fatica C, et al. Durable improve- ment in hand hygiene compliance following implementation of an automated observation system with visual feedback. Am J Infect Control. 2017 Mar 1;45(3):311-313.
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