VIPRATECH LABS

Hand-Hygiene and PPE Compliance Monitoring

Measure hand-hygiene opportunities and PPE use at ICU, ward and OT entry points from cameras, with faces blurred on the device and results shown as unit-level trends for infection control.

Capability:
Computer Vision

Who it is for

  • Infection Control Officer or Nurse
  • Hospital Infection Control Committee Chair
  • Nursing Superintendent
  • Quality Manager

The problem

Infection control teams audit hand hygiene and PPE by direct observation, a few sessions a month per unit. Staff behave differently when an auditor is watching, and the samples are too small to show patterns by shift or location. The infection control committee still needs evidence to target training, dispensers and supplies.

Small observation samples

Manual audits cover a small fraction of opportunities, mostly during day shifts.

Observer effect

Compliance rises while the auditor is present and falls once they leave.

PPE lapses at critical points

Missing masks, caps or gowns at OT and isolation room entry are noticed only when someone happens to see them.

Valid privacy concerns

Cameras in clinical areas worry staff and patients, so any system must be designed for privacy from the start.

What we build

We build a computer vision system that watches defined points such as ICU bed-zone entries, isolation room doors, sanitiser dispensers and OT entrances. It detects events that stand in for hand-hygiene opportunities, such as entering a patient zone, and whether a dispenser was used within a set window, and it checks visible PPE such as masks, caps, gowns and gloves where policy requires them. Processing runs on an edge device inside the hospital. Faces are blurred before anything is stored, and only event data and short blurred clips for audit leave the device. Infection control sees compliance trends by unit, shift and location, not a ranking of individuals.

  • Zone-entry and dispenser-use event detection at agreed points
  • PPE detection for masks, caps, gowns and gloves at OT and isolation entries
  • Edge processing with face blurring before any storage
  • Compliance trends by unit, shift and location for infection control
  • Optional real-time reminder at OT doors, such as a light or chime
  • Sampled blurred clips for auditors to verify detection quality

How it works

  1. 01Agree points and rulesInfection control and nursing leads choose camera points and define rules, such as dispenser use before entering a bed zone.
  2. 02Detect on the edgeEdge devices detect zone entries, dispenser use and visible PPE in real time.
  3. 03AnonymiseFaces are blurred and no identity data is stored; only events and blurred audit clips are kept.
  4. 04Check confidenceLow-confidence events are left out of metrics or sampled for auditor review.
  5. 05Aggregate and reportEvents roll up into compliance trends by unit, shift and location on the infection control dashboard.
  6. 06Act on findingsThe infection control committee reviews trends and decides on training, dispenser placement or supply changes.
Hand-Hygiene and PPE Compliance Monitoring: workflow diagram
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Architecture

  1. Cameras
    • Dedicated cameras at agreed points
    • Existing CCTV where the angle allows
  2. Edge processing
    • Edge GPU device per unit
    • Zone and dispenser event models
    • PPE detection model
    • Face blurring
  3. Event pipeline
    • Event store without identity data
    • Blurred clip sampler
  4. Analytics and review
    • Compliance dashboard by unit and shift
    • Auditor review queue
  5. Governance
    • Access controls and short retention
    • Periodic detection accuracy checks against auditor labels
Hand-Hygiene and PPE Compliance Monitoring: architecture diagram
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Inputs and outputs

Inputs

  • Camera feeds from agreed points
  • Floor plans with bed zones, doors and dispenser locations
  • Hand-hygiene and PPE rules from the infection control policy
  • Shift schedules for reporting
  • Auditor observations for calibration

Outputs

  • Hand-hygiene opportunity and dispenser-use events
  • PPE compliance events at entry points
  • Compliance trends by unit, shift and location
  • Blurred clips for auditor verification
  • Monthly report for the infection control committee

Where people stay in control

Infection control auditors verify sampled events and calibrate the system against their own observations, and the committee decides on any action. The system reports at unit level and is not designed to identify individual staff.

Integrations

  • Existing CCTV or video management system where angles allow
  • Edge devices on the hospital network
  • Infection control or quality dashboard
  • Hospital IT security and network policies
  • Optional door-side indicator lights or chimes

Guardrails

  • Faces blurred on the edge device before any storage
  • No cameras pointed at beds, toilets, changing areas or exposed patients
  • Reporting at unit and shift level, never individual staff rankings
  • Signage and staff briefings before go-live
  • Short retention for clips, with access limited to infection control

Compliance notes

  • Video of staff and patients is personal data under the DPDP Act 2023, so notices, minimisation and short retention are built into the design.
  • Supports, but does not replace, the hand-hygiene audits used in infection control programmes and accreditation reviews such as NABH.

A typical pilot

Duration: 4 weeks

One ICU or one OT complex with a small number of camera points, run alongside the infection control team's usual observation audits.

Deliverables

  1. 01Camera point plan and rules agreed with infection control
  2. 02Edge deployment with face blurring
  3. 03Compliance dashboard
  4. 04Comparison of system events with auditor observations
  5. 05Privacy review notes and roll-out plan

What we measure

Agreement with auditors
System events compared with simultaneous auditor observations at the same points.
PPE detection accuracy
Sampled clips reviewed by auditors for correct and missed PPE events.
Observation coverage
Hours and shifts observed by the system compared with manual audit in the same period.
Staff acceptance
Feedback from staff briefings and any concerns raised during the pilot.

FAQs

01Can a camera really judge the WHO five moments for hand hygiene?

Not fully. Cameras see proxies, such as entering a patient zone and using a dispenser, and we are clear about that. The system adds coverage and trends to your audits; it does not replace trained observers.

02Will it be used to discipline staff?

It is designed for unit-level trends, with faces blurred on the device. How results are used is your policy decision, and we recommend agreeing it with staff before go-live.

03Can we use our existing CCTV?

Sometimes. Many CCTV cameras sit too high or at the wrong angle to see hands and dispensers. We survey the points first and recommend dedicated cameras only where needed.

04Does video leave the hospital?

No raw video leaves the edge device. Only anonymous events and short blurred clips go to the dashboard, which can run on your servers or in your cloud account.

Related use cases

Akhilesh Mittal

Founded by Akhilesh Mittal. 8 years building a security platform for a New Zealand company. IIT ISM Dhanbad and IMT Ghaziabad. Builds production agentic AI.

Start with one department and one document type

Book a discovery call. We will pick one workflow, such as discharge summaries in one department or pre-auth files for one TPA, and scope a short pilot with your team.