title: Improved hand hygiene technique and compliance in healthcare workers using gaming technology.
abstract: BACKGROUND
  In 2009, the World Health Organization recommended the use of a 'multi-faceted, multi-modal hand hygiene strategy' (Five Moments for Hand Hygiene) to improve hand hygiene compliance among healthcare workers. As part of this initiative, a training programme was implemented using an automated gaming technology training and audit tool to educate staff on hand hygiene technique in an acute healthcare setting.
  
  
  OBJECTIVE
  To determine whether using this automated training programme and audit tool as part of a multi-modal strategy would improve hand hygiene compliance and technique in an acute healthcare setting.
  
  
  METHODS
  A time-series quasi-experimental design was chosen to measure compliance with the Five Moments for Hand Hygiene and handwashing technique. The study was performed from November 2009 to April 2012. An adenosine triphosphate monitoring system was used to measure handwashing technique, and SureWash (Glanta Ltd, Dublin, Ireland), an automated auditing and training unit, was used to provide assistance with staff training and education.
  
  
  RESULTS
  Hand hygiene technique and compliance improved significantly over the study period (P < 0.0001).
  
  
  CONCLUSIONS
  Incorporation of new automated teaching technology into a hand hygiene programme can encourage staff participation in learning, and ultimately improve hand hygiene compliance and technique in the acute healthcare setting.
authors.affiliation: Infection Prevention and Control Department, Mater Private Hospital, Dublin 7, Ireland. ahiggins@materprivate.ie
authors.forename: A
authors.initials: A
authors.lastname: Higgins
authors.forename: M M
authors.initials: MM
authors.lastname: Hannan
mesh_terms: D000255:Adenosine Triphosphate / Q000032:analysis; D003428:Cross Infection; D019983:Guideline Adherence; D006235:Hand Disinfection / Q000379:methods* / Q000592:standards*; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D006920:Hygiene / Q000592:standards; D017053:Infection Control / Q000379:methods / Q000592:standards; D007494:Ireland; D014944:World Health Organization
chemical_list: D000255:Adenosine Triphosphate