Comparing human to electronic observers to monitor hand hygiene compliance in an intensive care unit.
Eduardo CasarotoJosé R GenerosoAry Serpa NetoMarcelo PradoGuilherme M GagliardiFernando Gatti de MenezesPriscila GonçalvesFábio Barlem HohmannGuilherme Benfatti OlivatoGustavo Potratz GonçalvesNathalia XavierMarcelo Fernandes MiguelMichael B EdmondAlexandre Rodrigues MarraPublished in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2022)
The electronic HH monitoring system had good correlation with human HH observation, but compliance was remarkably lower when human observers were not present due to the Hawthorne effect (25%-30% absolute difference). Electronic monitoring systems can replace direct observation and can markedly reduce the Hawthorne effect.