title: Challenges in implementing electronic hand hygiene monitoring systems.
abstract: Electronic hand hygiene (HH) monitoring systems offer the exciting prospect of a more precise, less biased measure of HH performance than direct observation. However, electronic systems are challenging to implement. Selecting a system that minimizes disruption to the physical infrastructure and to clinician workflow, and that fits with the organization's culture and budget, is challenging. Getting front-line workers' buy-in and addressing concerns about the accuracy of the system and how the data will be used are also difficult challenges. Finally, ensuring information from the system reaches front-line workers and is used by them to improve HH practice is a complex challenge. We describe these challenges in detail and suggests ways to overcome them.
authors.affiliation: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Electronic address: laurie.conway@utoronto.ca.
authors.forename: Laurie J
authors.initials: LJ
authors.lastname: Conway
mesh_terms: D001331:Automation / Q000379:methods; D000067289:Behavior Observation Techniques / Q000379:methods*; D004582:Electronics, Medical / Q000379:methods*; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D063373:Hand Hygiene / Q000379:methods*; D006801:Humans; D017053:Infection Control / Q000379:methods*
keywords: Adherence; Automated; Compliance; Hand Washing; Implementation science; Infection control; Measurement; Review; Technology