Evidence map›Paper›PMID 33186676›Full record

Observational studyAmerican journal of infection control2021

Light-guided nudging and data-driven performance feedback improve hand hygiene compliance among nurses and doctors.

Anne-Mette Iversen, Marie Stangerup, Michelle From-Hansen, Rosa Hansen, Louise Palasin Sode, Krassimir Kostadinov, Marco Bo Hansen, Henrik Calum, Svend Ellermann-Eriksen, Jenny Dahl Knudsen

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in American journal of infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Optimizing military mental health and stress resilience training through the lens of trainee preferences: A conjoint analysis approach.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Anne-Mette IversenDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark. Electronic address: annivers@rm.dk.
Marie StangerupDepartment of Quality and Education, Infection Control Unit, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark.
Michelle From-HansenDepartment of Quality and Education, Infection Control Unit, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark.
Rosa HansenDepartment of Orthopedic, Bispebjerg University Hospital, Copenhagen, Denmark.
Louise Palasin SodeDepartment of Orthopedic, Bispebjerg University Hospital, Copenhagen, Denmark.
Krassimir KostadinovDepartment of Orthopedic, Bispebjerg University Hospital, Copenhagen, Denmark.
Marco Bo HansenKonduto ApS, Sani nudge, Copenhagen, Denmark.
Henrik CalumDepartment of Quality and Education, Infection Control Unit, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark; Department of Clinical Microbiology, Amager and Hvidovre Hospital, Copenhagen University Hospital, Copenhagen, Denmark.
Svend Ellermann-EriksenDepartment of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark.
Jenny Dahl KnudsenDepartment of Clinical Microbiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Bispebjerg Hospital · DKFrederiksberg Hospital · DKAarhus University Hospital · DKCopenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-based practices to increase hand hygiene compliance (HHC) among health care workers are warranted. We aimed to investigate the effect of a multimodal strategy on HHC.

methodsDuring this 14-month prospective, observational study, an automated monitoring system was implemented in a 29-bed surgical ward. Hand hygiene opportunities and alcohol-based hand rubbing events were measured in patient and working rooms (medication, utility, storerooms, toilets). We compared baseline HHC of health care workers across periods with light-guided nudging from sensors on dispensers and data-driven performance feedback (multimodal strategy) using the Student's t test.

resultsThe doctors (n = 10) significantly increased their HHC in patient rooms (16% vs 42%, P< .0001) and working rooms (24% vs 78%, P= .0006) when using the multimodal strategy. The nurses (n = 26) also increased their HHC significantly from baseline in both patient rooms (27% vs 43%, P = .0005) and working rooms (39% vs 64%, P< .0001). The nurses (n = 9), who subsequently received individual performance feedback, further increased HHC, compared with the period when they received group performance feedback (patient rooms: 43% vs 55%, P< .0001 and working rooms: 64% vs 80%, P< .0001).

conclusionsHHC of doctors and nurses can be significantly improved with light-guided nudging and data-driven performance feedback using an automated hand hygiene system.

Indexed as

Cross InfectionHand HygieneNursesFeedbackGuideline AdherenceHand DisinfectionHumansProspective StudiesAdherenceElectronic monitoringHealth care-acquiredInfection preventionSurveillance

Identifiers

PMID33186676
PMCPMC7654366
OpenAlexW3106022892

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.