Promoting Hand Hygiene in Long-Term Care to Reduce the Transmission of COVID-19

改善手部卫生是减少新冠肺炎在中国传播的最有效的解决方案之一 长期护理(LTC)之家。不幸的是，LTC家庭的照顾者以前并没有始终如一地练习HH 以及在居民互动之后。杰夫·费尔尼博士领导的健康回声公司已经开发出一种设备， 被称为伙伴徽章，这是一个智能监控系统，检测HH机会，产生HH 在需要时发出提醒信号，并能够监控个人和团体的HH表现。测试 医院的巴迪徽章已经证明它是有效的，并保持了工作人员HH绩效的显著提高。 这项建议的目的是探索伙伴徽章系统在LTC中的使用，其中HH合规性是 很难监控。我们的目标是：1)定制系统以包含不同的LTC员工角色；2) 区分具有感染预防措施的不同区域(例如，住宅室、公共卫生间、 肮脏的杂物间等)；3)为员工量身定做HH提示，以支持大型工作中的HH合规， 共享占用区(即餐厅、娱乐室)；以及4)探索员工好友之间的关系 徽章的使用以及新冠肺炎在伦敦交通局的出现和/或传播。

Improving hand hygiene (HH) is one of the most effective solutions to reduce COVID-19 from spreading in long-term care (LTC) homes. Unfortunately, caregivers in LTC homes do not consistently practice HH before and after resident interaction. Hygienic Echo Inc., a company led by Dr. Geoff Fernie, has developed a device, called the Buddy Badge, which is a smart monitoring system that detects HH opportunities, generates HH reminder signals when needed and enables monitoring individual and group HH performance. Testing of the Buddy Badge in hospitals has shown it is effective and maintains significant increases in staff HH performance. The aim with this proposal is to explore the use of the Buddy Badge System in LTC, where HH compliance is very difficult to monitor. We aim to: 1) customize the system to include the different LTC staff roles; 2) differentiate between different zones with infection precautions (i.e., resident rooms, communal bathrooms, dirty utility rooms, etc.); 3) tailor HH prompts for staff to support HH compliance working in large, shared-occupancy zones (i.e., dining rooms, rec rooms); and 4) explore the relationship between staff's Buddy Badge use and occurrence and/or spread of COVID-19 in LTC.