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. 2021 Nov 24;23(11):e27880. doi: 10.2196/27880

Table 5.

Description of studies monitoring compliance with the WHOa 6-step hand hygiene techniques.

Paper and system description

Device location System type System metrics (compliance with hand hygiene techniques)
Environmental sensor

Khan et al [106]


RGBb camera Sink Research Hand hygiene duration


Motion sensor Sink Research Hand hygiene duration

Lacey et al [103]


RGB camera Sink Commercial (SureWash) An unknown number of individual steps (WHO 6-step hand hygiene technique)

Camilus et al [102]


Depth camera Sink Research 6 individual steps (WHO 6-step hand hygiene technique) and 1 wild hand hygiene technique

Zhong et al [104]


Depth camera Sink Research 9 individual steps (WHO 6-step hand hygiene technique)

Khamis et al [105]


mmWave radar Sink Research 9 individual steps (WHO 6-step hand hygiene technique)
Wearable sensor

Galluzzi et al [52,68]


IMUc HCWsd (wristwatch) Research 12 individual steps (WHO 6-step hand hygiene technique), 1 wild hand hygiene technique

Li et al [69]


IMU HCWs (wristwatch) Research 13 individual steps (WHO 6-step hand hygiene technique)

Wijayasingha et al [70]


IMU HCWs (wristwatch) Research 9 individual steps (WHO 6-step hand hygiene technique)


Microphone HCWs (wristwatch) Research 9 individual steps (WHO 6-step hand hygiene technique)

Banerjee et al [107]


IMU HCWs (armband) Research 6 individual steps (self-defined hand hygiene technique)

Kutafina et al [108,109]


IMU HCWs (armband) Research 9 individual steps (WHO 6-step hand hygiene technique)


sEMGe HCWs (armband) Research 9 individual steps (WHO 6-step hand hygiene technique)

Wang et al [110]


IMU HCWs (armband) Research 14 individual steps (WHO 6-step hand hygiene technique)


sEMG HCWs (armband) Research 14 individual steps (WHO 6-step hand hygiene technique)

Zhong et al [41]


RGB camera HCWs (chest) Research 7 individual steps (self-defined hand hygiene technique)

aWHO: World Health Organization.

bRGB: red green blue.

cIMU: inertial measurement unit.

dHCW: health care worker.

esEMG: surface electromyography.