With Money at Risk, Hospitals Push Staff to Wash Hands

By ANEMONA HARTOCOLLIS
May 28, 2013

At North Shore University Hospital on Long Island, motion sensors, 
like those used for burglar alarms, go off every time someone enters 
an intensive care room. The sensor triggers a video camera, which 
transmits its images halfway around the world to India, where workers 
are checking to see if doctors and nurses are performing a critical 
procedure: washing their hands.

This Big Brother-ish approach is one of a panoply of efforts to 
promote a basic tenet of infection prevention, hand-washing, or as it 
is more clinically known in the hospital industry, hand-hygiene. With 
drug-resistant superbugs on the rise, according to a recent report by 
the federal Centers for Disease Control and Prevention, and with 
hospital-acquired infections costing $30 billion and leading to 
nearly 100,000 patient deaths a year, hospitals are willing to try 
almost anything to reduce the risk of transmission.

Studies have shown that without encouragement, hospital workers wash 
their hands as little as 30 percent of the time that they interact 
with patients. So in addition to the video snooping, hospitals across 
the country are training hand-washing coaches, handing out rewards 
like free pizza and coffee coupons, and admonishing with "red cards." 
They are using radio-frequency ID chips that note when a doctor has 
passed by a sink, and undercover monitors, who blend in with the 
other white coats, to watch whether their colleagues are washing 
their hands for the requisite 15 seconds, as long as it takes to sing 
the "Happy Birthday" song.

All this effort is to coax workers into using more soap and water, or 
alcohol-based sanitizers like Purell.

...

http://www.nytimes.com/2013/05/29/nyregion/hospitals-struggle-to-get-workers-to-wash-their-hands.html


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