Applications with Health Providers:
- Sanit-Eyes is the only system to automatically generate reports on the quality of hand sanitation events as opposed to the instances of hand sanitation. Counts of 100% of events are separated into user-defined conforming and nonconforming categories.
- Sanit-Eyes is the only system that provides a video record of each hand sanitation event so that anomalies detected from the reports can be investigated.
- Sanit-Eyes improves on “secret shopper” monitoring without any of the drawbacks.
- Sanit-Eyes allows a greater protection from HAI in impaired immunity situations such as ICUs and isolation wards.
- Evaluation of hand sanitation events can focus on the hands only (e.g. within the wash station) where privacy concerns dictate against staff identification. A view of the patient room should never occur.
Wash Quality Reports Automatically Generated
Many organizations report a high compliance rate for hand sanitation. A seminal publication discussing hand sanitation in the field of health providers is Measuring Hand Hygiene Adherence: Overcoming The Challenges. The principal metric used for good hand sanitation practice is adhesion, defined as the ratio of the total number of times an HCW was observed to have appropriately washed his or her hands before and after a patient encounter. This is often equated with compliance ratio and the emphasis is placed on determining the denominator as defined by the opportunities as defined by the WHO five moments. The numerator is often considered to be any wash occasion, such as the dispensing of the soap or hand rub regardless of the adequacy of the wash duration or technique. The CDC and WHO recommend 40-60 seconds for a hand wash and 20-40 seconds for application of a disinfectant rub. Most institutions have a standard of 15-20 seconds of washing as a required minimum, but many studies show an average duration of less than 10 seconds. NIH reports that short washes do not eliminate contamination.
Consider the following situation as seen in Sanit-eyes monthly reports:
On the 20th there appears to have been a problem in that more than one-third of the washes did not meet the hospital’s minimum standards. There was little change in the total number of washes and the compliance ratio as reported by traditional measurements would be unchanged if the number of opportunities was unchanged. Should this be reported as 90% compliance? Anomalies in the reports can be verified by reference to the stored videos of hand sanitation events at the location and time of the anomaly.
Direct observation has been called the “gold standard” of hand hygiene monitoring because originally it was the only method of determining that a sanitation event satisfies the standards for duration and technique. Sanit-Eyes provides a better alternative to the secret shopper with these advantages:
- Rather than occasional subjective observations that may not be statistically meaningful, Sanit-Eyes automatically generates reports on 100% of a wash station activity. These reports are backed up with irrefutable video evidence to insure the statistics are objective.
- There are privacy concerns when a “secret shopper” can observe patients and morale concerns when the observer is considered as a spy or unfair. Automating this evaluation with a focus only on the wash sink eliminates both concerns.
- The Hawthorne effect, increased compliance while under observation, distorts “secret shopper” statistics. It is estimated that staff is three times more likely to perform hand sanitation when observed. Is it likely that those who are more likely to act properly when observed are likely to fully perform because their use of soap or sanitizer dispensing is monitored? Sanit-Eyes monitors compliance with hospital standards 100% of the time, and is therefore more likely to promote full compliance. This is the only method of avoiding bias in reporting full compliance.
- With reporting of events conforming and nonconforming to an institution’s protocol, it is possible to readily see locations or times where problems exist. The ability to review videos of the hand sanitation events at all problem locations and times after the fact is much more effective in creating solutions than “secret shopper” efforts to predict in advance problem areas and times and provide coverage there.