Tracking Daily Preventive Activities of Infection-Prone Patients
An electronic token economy module that tracks and encourages infection-prone patients to adhere to daily preventive activities.
Patients receiving radiation and chemotherapy or undergoing bone marrow transplantation (BMT) are at increased risk of blood stream infections (BSI). Basic health care activities of daily living (ADLs), including daily chlorhexidine gluconate bathing and oral care, are recommended to decrease risk of infection. However, it is challenging to ensure adherence to these basic ADLs in a complex health care environment.
Therefore, a team has developed an electronic token economy module to track ADLs and encourage patients to adhere to daily preventive activities using a radio frequency identification (RFID) sticker system. Stickers can be placed on an easily accessible site, such as a wall near the patient’s bed. When the patient completes a task associated with a sticker, it is scanned and the information is saved and documented. The system engages the patients to adhere to necessary preventive protocols with a tracking mechanism.
Patient ADL compliance
- Decreases blood stream infections.
- Increases adherence to ADLs. In a preliminary study, patient ADL compliance increased from 15% to 85%.
- Reward system provides patients with a sense of accomplishment.
Studies have found that among pediatric hematology/oncology patients, central line associated blood stream infections resulted in an additional LOS of 21 days and nearly $70K.
John Perentesis, MD, Division of Oncology; Christopher Dandoy, MD, MSc, Division of Bone Marrow Transplantation and Immune Deficiency; et al.