WO2008133495A1 - A hand-hygiene behaviour monitoring system - Google Patents

A hand-hygiene behaviour monitoring system Download PDF

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Publication number
WO2008133495A1
WO2008133495A1 PCT/NL2007/050189 NL2007050189W WO2008133495A1 WO 2008133495 A1 WO2008133495 A1 WO 2008133495A1 NL 2007050189 W NL2007050189 W NL 2007050189W WO 2008133495 A1 WO2008133495 A1 WO 2008133495A1
Authority
WO
WIPO (PCT)
Prior art keywords
hand
sensor
hygiene
rule
person
Prior art date
Application number
PCT/NL2007/050189
Other languages
French (fr)
Inventor
Michael Van Schie
Robin Frederik Frans Wiesman
Original Assignee
Technische Universiteit Delft
Newcompliance V. O. F.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Technische Universiteit Delft, Newcompliance V. O. F. filed Critical Technische Universiteit Delft
Priority to PCT/NL2007/050189 priority Critical patent/WO2008133495A1/en
Publication of WO2008133495A1 publication Critical patent/WO2008133495A1/en

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Classifications

    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • G08B21/24Reminder alarms, e.g. anti-loss alarms
    • G08B21/245Reminder of hygiene compliance policies, e.g. of washing hands
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the invention concerns a hand-hygiene behaviour- monitoring system comprising means for detecting the occurrence of an event specified in a hand-hygiene rule, wherein the event involves a person; and means for updating behaviour data that is related to acts according to the hand-hygiene rule.
  • Such a hand-hygiene behaviour monitoring system is known from US 2004/0001009 Al. According to this publication a method and system for monitoring hand-washing compliance is disclosed which involves determining whether a person washes his or her hands within a period of time subsequent to a reminder alarm that is triggered upon a person entering or leaving a room in an institution such as a hospital.
  • the known method and system is well devised to help the persons to comply with the hand-washing rule.
  • it does not suit for the purpose of monitoring hand-hygiene behaviour over a certain period of time in order to provide management of the institution with a tool to suppress infections, save on costs, improve hospital image and eventually save lives.
  • the invention has as an object to provide a management information system for monitoring hand-hygiene behaviour which is applicable in a hospital environment primarily, but can also be used elsewhere (such as for instance the food- industries), and which system provides a tool for monitoring the hand-hygiene behaviour over time without the system itself influencing each person' s behaviour in abiding the hand- hygiene rule.
  • Maintaining hand-hygiene as meant herein comprises the follow-up of a hand-washing rule but also disin- fection by use of alcohol or any other use of detergent.
  • the hand-hygiene behaviour monitoring system has at least one first hidden sensor for determining whether the person performs an act that is relevant for the hand-hygiene rule. With such a hidden sensor or sensors true measurements can be obtained of the actual uninfluenced hand-hygiene behaviour of the concerning persons.
  • the sensor has a wireless communication channel with said means for updating behaviour data. This not only allows an easy expandability of the hand-hygiene behaviour monitoring system of the invention, but also allows swift and easy relocation of the sensor or sensors allowing to investigate whether there is any position-dependency in following the hand-hygiene rule when the observations are in one place or in another place of - for instance - the mentioned hospital environment.
  • the means for updating behaviour data is a data processing machine such as a computing device.
  • the hand- hygiene behaviour monitoring system comprises in the wireless communication channel one or more distributed hubs for collecting, amplifying and further transferring signals from the sensor or sensors.
  • the distributed hubs By means of the distributed hubs an effec- tive shielding of telecommunication signals that are abundantly present in a hospital environment can be secured and spurious responses effectively suppressed.
  • the hubs can be placed in corridors where there is less sensitivity for signals reflected from the walls.
  • the hand- hygiene behaviour monitoring system is arranged such that the at least one first sensor regularly sends an alive signal. In this way the reliability of the system can quite easily be secured and monitored such that also in case the time- intervals between hand-washing activities become very large, one still knows that the system is alive and well.
  • a second sensor for monitor- ing the occurrence of an event involving a person and requiring thereafter compliance with a hand-hygiene rule, wherein said second sensor is placed at a position so as to become unavoidably activated upon entering a confined area.
  • the first hidden sensor is located in or nearby said confined area and is arranged for measuring an event that is indicative for compliance with the hand-hygiene rule. Therefore, this latter sensor should be hidden in a soap or alcohol dispenser or a similar device.
  • the confined area is preferably selected from a group comprising a lavatory, an incubator, an operational room.
  • the at least one first sensor comprises a detector for an rf-id transmitter carried by a person. In this way it is possible to measure behaviour or compliance data on a personal level.
  • the hand-hygiene behav- iour monitoring system of the invention comprising means 1 for detecting the occurrence of an invent specified in a hand-hygiene rule.
  • These means are intended to involve a person active in the act of washing or disinfecting hands or not washing or disinfecting hands.
  • Said means for detecting the hand-hygiene behaviour is made part preferably of a soap- or alcoholdispenser located in a patient room 2. Also in other rooms 3, 4 or 5 and in other patient departments 6, 7, 8 such hidden sensors are located.
  • the lavatory-door is provided with a sensor, so as to be able to measure after the door-sensor has become activated, whether also the first-mentioned sensor becomes activated and the hand-hygiene rule is complied with.
  • Measurement of hand-hygiene rule compliance is also possible in an operating theatre or in connection with the use of an incubator, depending on whether the entrance of the operating room or the opening of the incubator is measured through application of a second sensor which monitors same. In such a situation the sensor which is hidden in the soap dispenser nearby the operating room or the incubator indicates whether or not the hand-hygiene rule is complied with.
  • the signals from the sensors 1 are picked up by hubs 9, 10 and 11 which are located at different places throughout the hospital environment at which the hand-hygiene behaviour monitoring system of the invention is placed.
  • the data from the data processing machine 13 may be made available to management or to a dedicated department for infection control and prevention 14 which department may or— ganise feedback to the persons working in the hospital environment, and for the purpose of developing and organising training of said personal as well as, when matters get out of hand, intervene in the actual behaviour of the persons who should abide the hand-hygiene rule. Measurement of the hand-hygiene rule behaviour or compliance on a personal level is possible if each concerning person carries a rf-id transmitter and the hidden sensor or sensors comprise a detector for such a rf-id transmitter.

Abstract

The invention relates to a hand-hygiene behaviour monitoring system, comprising: means for detecting the occurrence of an event specified in a hand-hygiene rule, wherein the event involves a person; means for updating behaviour data that is related to acts according to the hand-hygiene rule, wherein said means for determining whether the person performs an act that is relevant for the hand-hygiene rule is at least one first hidden sensor.

Description

A hand-hygiene behaviour monitoring system
The invention concerns a hand-hygiene behaviour- monitoring system comprising means for detecting the occurrence of an event specified in a hand-hygiene rule, wherein the event involves a person; and means for updating behaviour data that is related to acts according to the hand-hygiene rule.
Such a hand-hygiene behaviour monitoring system is known from US 2004/0001009 Al. According to this publication a method and system for monitoring hand-washing compliance is disclosed which involves determining whether a person washes his or her hands within a period of time subsequent to a reminder alarm that is triggered upon a person entering or leaving a room in an institution such as a hospital.
The known method and system is well devised to help the persons to comply with the hand-washing rule. However, it does not suit for the purpose of monitoring hand-hygiene behaviour over a certain period of time in order to provide management of the institution with a tool to suppress infections, save on costs, improve hospital image and eventually save lives.
Research shows that one out of ten patients in a hospital gets infected and on a yearly basis in the US hundred thousand people die as a result, of an infection in a hospital environment. In terms of money this means an annual loss of $ 4.500.000.000.
The invention has as an object to provide a management information system for monitoring hand-hygiene behaviour which is applicable in a hospital environment primarily, but can also be used elsewhere (such as for instance the food- industries), and which system provides a tool for monitoring the hand-hygiene behaviour over time without the system itself influencing each person' s behaviour in abiding the hand- hygiene rule. Maintaining hand-hygiene as meant herein comprises the follow-up of a hand-washing rule but also disin- fection by use of alcohol or any other use of detergent.
The hand-hygiene behaviour monitoring system of the invention is therefore embodied in accordance with anyone of the appended claims .
In a first aspect of the invention the hand-hygiene behaviour monitoring system has at least one first hidden sensor for determining whether the person performs an act that is relevant for the hand-hygiene rule. With such a hidden sensor or sensors true measurements can be obtained of the actual uninfluenced hand-hygiene behaviour of the concerning persons. In a further aspect of the invention the sensor has a wireless communication channel with said means for updating behaviour data. This not only allows an easy expandability of the hand-hygiene behaviour monitoring system of the invention, but also allows swift and easy relocation of the sensor or sensors allowing to investigate whether there is any position-dependency in following the hand-hygiene rule when the observations are in one place or in another place of - for instance - the mentioned hospital environment.
Advantageously the means for updating behaviour data is a data processing machine such as a computing device.
The objectives and advantages of the system according to the invention are further promoted when the wireless communication channel involves an antenna connected to the first sensor, which antenna is also hidden. In still another aspect of the invention the hand- hygiene behaviour monitoring system comprises in the wireless communication channel one or more distributed hubs for collecting, amplifying and further transferring signals from the sensor or sensors. By means of the distributed hubs an effec- tive shielding of telecommunication signals that are abundantly present in a hospital environment can be secured and spurious responses effectively suppressed. Furthermore, the hubs can be placed in corridors where there is less sensitivity for signals reflected from the walls. In still another aspect of the invention the hand- hygiene behaviour monitoring system is arranged such that the at least one first sensor regularly sends an alive signal. In this way the reliability of the system can quite easily be secured and monitored such that also in case the time- intervals between hand-washing activities become very large, one still knows that the system is alive and well.
Advantageously there is a second sensor for monitor- ing the occurrence of an event involving a person and requiring thereafter compliance with a hand-hygiene rule, wherein said second sensor is placed at a position so as to become unavoidably activated upon entering a confined area.
In such a system it is possible to measure compli- ance with the hand-hygiene rule provided the first hidden sensor is located in or nearby said confined area and is arranged for measuring an event that is indicative for compliance with the hand-hygiene rule. Therefore, this latter sensor should be hidden in a soap or alcohol dispenser or a similar device.
With the system having the second sensor as just mentioned, the confined area is preferably selected from a group comprising a lavatory, an incubator, an operational room. In a further preferred embodiment the at least one first sensor comprises a detector for an rf-id transmitter carried by a person. In this way it is possible to measure behaviour or compliance data on a personal level.
The invention will hereinafter further be elucidated with reference to an exemplary embodiment, of the hand-hygiene behaviour monitoring system of the invention as applied in a hospital environment, and with reference to the appended drawing .
In the drawing schematically the hand-hygiene behav- iour monitoring system of the invention is shown comprising means 1 for detecting the occurrence of an invent specified in a hand-hygiene rule. These means are intended to involve a person active in the act of washing or disinfecting hands or not washing or disinfecting hands. Said means for detecting the hand-hygiene behaviour is made part preferably of a soap- or alcoholdispenser located in a patient room 2. Also in other rooms 3, 4 or 5 and in other patient departments 6, 7, 8 such hidden sensors are located. When the sensor is located in a soap-dispenser of a lavatory or similar, preferably also the lavatory-door is provided with a sensor, so as to be able to measure after the door-sensor has become activated, whether also the first-mentioned sensor becomes activated and the hand-hygiene rule is complied with.
Measurement of hand-hygiene rule compliance is also possible in an operating theatre or in connection with the use of an incubator, depending on whether the entrance of the operating room or the opening of the incubator is measured through application of a second sensor which monitors same. In such a situation the sensor which is hidden in the soap dispenser nearby the operating room or the incubator indicates whether or not the hand-hygiene rule is complied with. The signals from the sensors 1 are picked up by hubs 9, 10 and 11 which are located at different places throughout the hospital environment at which the hand-hygiene behaviour monitoring system of the invention is placed.
Communication between the sensors 1 and the respective hubs 9, 10 and 11 occurs wirelessly whereas the hubs 9, 10, 11 may be connected through a copper backbone 12 to means 13 for updating behaviour data which takes the form of a data processing machine or a computing unit.
In the data processing machine 13 collection and registering of the data occurs as well as statistical calcu- lations to monitor the development of the hand-hygiene rule behaviour in the course of time.
The data from the data processing machine 13 may be made available to management or to a dedicated department for infection control and prevention 14 which department may or— ganise feedback to the persons working in the hospital environment, and for the purpose of developing and organising training of said personal as well as, when matters get out of hand, intervene in the actual behaviour of the persons who should abide the hand-hygiene rule. Measurement of the hand-hygiene rule behaviour or compliance on a personal level is possible if each concerning person carries a rf-id transmitter and the hidden sensor or sensors comprise a detector for such a rf-id transmitter.

Claims

1. A hand-hygiene behaviour monitoring system, comprising: means for detecting the occurrence of an event spe- cified in a hand-hygiene rule, wherein the event involves a person; means for updating behaviour data that is related to acts according to the hand-hygiene rule, characterized in that said means for determining whether the person performs an act that is relevant for the hand-hygiene rule is at least one first hidden sensor.
2. A system according to claim 1, wherein the sensor has a wireless communication channel with said means for updating behaviour data.
3. A system according to claim 1 or 2, wherein said means for updating behaviour data is a data processing machine .
4. A system according to claim 2 or 3, wherein the wireless communication channel involves an antenna connected to the first sensor, which antenna is hidden.
5. A system according to any one of claims 2-4, wherein the wireless communication channel comprises one or more distributed hubs for collecting and further transferring signals from the sensor or sensors.
6. A system according to any of the preceding claims, wherein the at least one first sensor regularly sends an alive signal.
7. A system according to any one of the preceding claims, wherein there is a second sensor for monitoring the occurrence of an event involving a person and requiring thereafter compliance with a hand-hygiene rule, and that said second sensor is placed at a position so as to become unavoidably activated upon entering a confined area.
8. A system according to claim 7, wherein the con- fined area is selected from a group comprising a lavatory, an incubator, an operational room.
9. A system according to any one of the preceding claims, wherein the at least one first sensor comprises a detector for a rf-id transmitter carried by a person.
PCT/NL2007/050189 2007-04-27 2007-04-27 A hand-hygiene behaviour monitoring system WO2008133495A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/NL2007/050189 WO2008133495A1 (en) 2007-04-27 2007-04-27 A hand-hygiene behaviour monitoring system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/NL2007/050189 WO2008133495A1 (en) 2007-04-27 2007-04-27 A hand-hygiene behaviour monitoring system

Publications (1)

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WO2008133495A1 true WO2008133495A1 (en) 2008-11-06

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8395515B2 (en) 2009-06-12 2013-03-12 Ecolab Usa Inc. Hand hygiene compliance monitoring
US8639527B2 (en) 2008-04-30 2014-01-28 Ecolab Usa Inc. Validated healthcare cleaning and sanitizing practices
WO2014037938A2 (en) * 2012-09-04 2014-03-13 Hyginex Israel Ltd. Infectious disease spread prevention
US8963721B2 (en) 2010-03-23 2015-02-24 Harkap Partners, LLC Hand hygiene compliance device
US8990098B2 (en) 2008-04-30 2015-03-24 Ecolab Inc. Validated healthcare cleaning and sanitizing practices
US9824569B2 (en) 2011-01-28 2017-11-21 Ecolab Usa Inc. Wireless communication for dispenser beacons
US10529219B2 (en) 2017-11-10 2020-01-07 Ecolab Usa Inc. Hand hygiene compliance monitoring
USRE48951E1 (en) 2015-08-05 2022-03-01 Ecolab Usa Inc. Hand hygiene compliance monitoring
US11272815B2 (en) 2017-03-07 2022-03-15 Ecolab Usa Inc. Monitoring modules for hand hygiene dispensers
US11284333B2 (en) 2018-12-20 2022-03-22 Ecolab Usa Inc. Adaptive route, bi-directional network communication

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040001009A1 (en) * 2002-03-22 2004-01-01 Winings Thomas R. Apparatus and methods for monitoring compliance with recommended hand-washing practices
WO2005117672A1 (en) * 2004-06-01 2005-12-15 Healthmark Llc Soap dispenser and method for assuring clean hands

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040001009A1 (en) * 2002-03-22 2004-01-01 Winings Thomas R. Apparatus and methods for monitoring compliance with recommended hand-washing practices
WO2005117672A1 (en) * 2004-06-01 2005-12-15 Healthmark Llc Soap dispenser and method for assuring clean hands

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8990098B2 (en) 2008-04-30 2015-03-24 Ecolab Inc. Validated healthcare cleaning and sanitizing practices
US8639527B2 (en) 2008-04-30 2014-01-28 Ecolab Usa Inc. Validated healthcare cleaning and sanitizing practices
US8502680B2 (en) 2009-06-12 2013-08-06 Ecolab Usa Inc. Hand hygiene compliance monitoring
US8395515B2 (en) 2009-06-12 2013-03-12 Ecolab Usa Inc. Hand hygiene compliance monitoring
US8963721B2 (en) 2010-03-23 2015-02-24 Harkap Partners, LLC Hand hygiene compliance device
US9824569B2 (en) 2011-01-28 2017-11-21 Ecolab Usa Inc. Wireless communication for dispenser beacons
WO2014037938A2 (en) * 2012-09-04 2014-03-13 Hyginex Israel Ltd. Infectious disease spread prevention
US9773402B2 (en) 2012-09-04 2017-09-26 Hyginex Israel Ltd. Infectious disease spread prevention
WO2014037938A3 (en) * 2012-09-04 2014-05-22 Hyginex Israel Ltd. Infectious disease spread prevention
USRE48951E1 (en) 2015-08-05 2022-03-01 Ecolab Usa Inc. Hand hygiene compliance monitoring
US11272815B2 (en) 2017-03-07 2022-03-15 Ecolab Usa Inc. Monitoring modules for hand hygiene dispensers
US11903537B2 (en) 2017-03-07 2024-02-20 Ecolab Usa Inc. Monitoring modules for hand hygiene dispensers
US10529219B2 (en) 2017-11-10 2020-01-07 Ecolab Usa Inc. Hand hygiene compliance monitoring
US11284333B2 (en) 2018-12-20 2022-03-22 Ecolab Usa Inc. Adaptive route, bi-directional network communication
US11711745B2 (en) 2018-12-20 2023-07-25 Ecolab Usa Inc. Adaptive route, bi-directional network communication

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