Implementation of an automated monitoring
system in two different wards of a hospital

Introduction: Proper hand hygiene remains the most important factor for the reduction of nosocomial infections and therefore, besides absolute consumption of disinfectants and direct compliance observations, several automated monitoring systems for more detailed consumption of disinfectants have been invented.
Objectives: In this study, we aimed to explore the personnel’s self-perception and to investigate the implementation of such a system in two different
wards of a hospital.
Methods: Two wards were equipped with an automated monitoring system detecting each disinfection process in detail with the possibility to distinguish between occupational groups. A transponder worn by every participant transmits any information to a database for analysis. Prior to the implementation, the personnel’s self-evaluation of disinfection performance was surveyed with a questionnaire.
Results: Before starting the project, consultations with the works council, the installation company, inhouse IT and hygiene department were indispensable. We aimed to address and apprise the majority off all affected employees before the installation. Therefore, we informed all leading positions in personal communication within small groups. Furthermore, all employees were invited to introductory events on each ward. Within this context, the survey dealing with the behaviour of
hand hygiene was introduced. After activating the monitoring system, the wards were reminded repeatedly and performance summaries were communicated regularly. The survey showed that employees feel well informed about hygiene in the respective hospital and that the amount of disinfectants dispensers is mostly sufficient. However, due to time and personnel shortage, hand hygiene compliance is negatively impacted. Conclusions: Although the systematic and organized
implementation of an automated disinfection monitoring system is mandatory and time consuming, such a system offers more detailed information about the actual disinfectant consumption concerning dispensers, during outbreaks and distribution among the days and occupational groups.
Conflict of interest: HTK is an independent company collaborating with both GWA Hygiene and Sozialstiftung Bamberg without any financial interest or support.