Using Ozires, a Humanoid Robot, to Continuing Education of Healthcare Workers: A Pilot Study

Bráulio Roberto Gonçalves Marinho Couto, André Luiz Silva Alvim, Isabela Lorena Alfenas da Silva, Mário Marcos Brito Horta, Joaquim José da Cunha Júnior, Carlos Ernesto Ferreira Starling


Continuing education of health professionals in relation to hand hygiene practices or other issues is a challenge for health services. How to take a healthcare worker from his work sector, for example, Intensive Care Units (ICUs) or Operating Room, to give him classes and lectures? Here we investigated whether or not it is possible to adapt a toy robot as a tool to continuous education of healthcare workers in the context of hand hygiene compliance, a big problem for hospital infection. We got to adapt the MeccaNoid G15KS, a toy programmable robot named Ozires, as an instrument of health training to improve the compliance with hand hygiene. The robot was adapted with mini projector, spy camera, an automatic alcohol hand sanitizer dispenser, a cell phone and a cell phone support and an audio amplifier. Ozires, accompanied by infection control practitioners, performs short video-lecture presentations and own reports of the institution's data regarding infections and the hand hygiene rate, working from 10 to 15 minutes in each target sector. After the insertion of Ozires in three ICUs, the hand hygiene rate increased from about 36%, between January and July, to 65% in August-November/2016.


  1. Arise, K., Nishizaki, S., Morita, T., Yagi, Y., Takeuchi,S., 2016. Continued direct observation and feedback of hand hygiene adherence can result in long-term improvement. Am J Infect Control., 1;44(11):e211- e214.
  2. Arntz, P.R., Hopman, J., Nillesen, M., Yalcin, E., BleekerRovers, C.P., Voss, A., Edwards, M., Wei, A., 2016. Effectiveness of a multimodal hand hygiene improvement strategy in the emergency department. Am J Infect Control., 1;44(11):1203-1207.
  3. Bathe, J., Cunico, P.A., Maziero, E.C.S., Cauduro, F.L.F., Sarquis, L.M.M., Cruz, E.D.A., 2013. Infraestrutura e adesão à higienização das mãos: desafios à segurança do paciente. Rev. Gaúcha Enferm., 34(2):78-85.
  4. Blanson, H.O.A., Bierman, B.P., Janssen, J., Neerincx, M.A., Looije, R., van der Bosch, H., van der Giessen, J.A., 2013. Using a robot to personalise health education for children with diabetes type 1: a pilot study. Patient Educ Couns., 92(2):174-81.
  5. Chatfield, S.L., Nolan, R., Crawford, H., Hallam, J.S., 2016. Experiences of hand hygiene among acute care nurses: An interpretative phenomenological analysis. SAGE Open Med., 19;4:2050312116675098.
  6. Cherry, M.G., Brown, J.M., Bethell, G.S., Neal, T., Shaw, N.J., 2012. Features of educational interventions that lead to compliance with hand hygiene in healthcare professionals within a hospital care setting. A BEME systematic review: BEME Guide No. 22. Med Teach., 34(6):e406-20.
  7. Council of Deans of Health, 2014. Innovation in teaching and learning in health higher education. Retrieved 2016/12/06 from wp-content/ uploads/2015 /01/Final-Report-20150210. pdf.
  8. Erasmus, V., Daha, T.J., Brug, H., Richardus, J.H., Behrendt, M.D., Vos, M.C., van Beeck, E.F., 2010. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol., 31(3):283-94.
  9. Fonguh, S., Uwineza, A., Catry, B., Simon, A., 2016. Belgian hand hygiene campaigns in ICU, 2005-2015. Arch Public Health., 7;74:47.
  10. Günther, F., Rudolph, K., Frank, U., Mutters, N.T., 2016. Improvement of Hand Hygiene Quality and Compliance Using Bioburden Measurement and Online Feedback in Germany. Infect Control Hosp Epidemiol., 7:1-4.
  11. Lytsy, B., Melbarde-Kelmere, A., Hambraeus, A., Liubimova, A., Aspevall, O., 2016. A joint, multilateral approach to improve compliance with hand hygiene in 4 countries within the Baltic region using the World Health Organization's SAVE LIVES: Clean Your Hands model. Am J Infect Control., 1;44(11):1208-1213.
  12. Michael, H., Einloth, C., Fatica, C., Janszen, T., Fraser, T.G., 2016. Durable improvement in hand hygiene compliance following implementation of an automated observation system with visual feedback. Am J Infect Control., 2. pii:S0196-6553(16)30920-8.
  13. Moghnieh, R., Soboh, R., Abdallah, D., El-Helou, M., Al Hassan, S., Ajjour, L., Tamim, H., Al Tabbah, S., Nasreddine, W., Mugharbil, A., 2016. Health care workers' compliance to the My 5 Moments for Hand Hygiene: Comparison of 2 interventional methods. Am J Infect Control., 6. pii: S0196-6553(16)30822-7.
  14. Pittet, D., 2001. Improving adherence to hand hygiene practice: a multidisciplinary approach. Emerging Infectious Diseases, 7(2), 234-240.
  15. Saffari, M., Ghanizadeh, G., Fattahipour, R., Khalaji, K., Pakpour, A.H., Koenig, H.G., 2016. Effect of the Intelligent Health Messenger Box on health care professionals' knowledge, attitudes, and practice related to hand hygiene and hand bacteria counts. Am J Infect Control., 1;44(12):e283-e285.
  16. Sharif, A., Arbabisarjou, A., Balouchi, A., Ahmadidarrehsima, S., Kashani, H.H., 2016. Knowledge, Attitude, and Performance of Nurses toward Hand Hygiene in Hospitals. Glob J Health Sci,. 1;8(8):53081.
  17. Sheridan, T.B., 2016. Human-Robot Interaction: Status and Challenges. Hum Factors., 58(4):525-32.
  18. Smashing Robotics, 2016. Thirteen Advanced Humanoid Robots for Sale Today. Retrieved 2016/12/06 from
  19. Taylor, R.E., 2016. Perceived effectiveness of messages promoting hand hygiene. Am J Infect Control., 24. pii: S0196-6553(16)30966-X.
  20. TNS Opinion & Social, 2012. Public attitudes towards robots. Retrieved 2016/12/06 from public_opinion/archives/ebs/ebs_382_en.pdf.
  21. World Health Organization (WHO), 2006. World Alliance for Patient Safety: Manual for Observers. Geneva, Switzerland: WHO.
  22. World Health Organization (WHO), 2009. Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge.
  23. Wu, K.S., Chen, Y.S., Lin, H.S., Hsieh, E.L., Chen, J.K., Tsai, H.C., Chen, Y.H., Lin, C.Y., Hung, C.T., Sy, C.L., Tseng, Y.T., Lee, S.S., 2016. A nationwide covert observation study using a novel method for hand hygiene compliance in health care. Am J Infect Control., 9. pii: S0196-6553(16)30963-4.

Paper Citation

in Harvard Style

Roberto Gonçalves Marinho Couto B., Silva Alvim A., Alfenas da Silva I., Brito Horta M., da Cunha Júnior J. and Ferreira Starling C. (2017). Using Ozires, a Humanoid Robot, to Continuing Education of Healthcare Workers: A Pilot Study . In Proceedings of the 9th International Conference on Computer Supported Education - Volume 2: CSEDU, ISBN 978-989-758-240-0, pages 293-299. DOI: 10.5220/0006312302930299

in Bibtex Style

author={Bráulio Roberto Gonçalves Marinho Couto and André Luiz Silva Alvim and Isabela Lorena Alfenas da Silva and Mário Marcos Brito Horta and Joaquim José da Cunha Júnior and Carlos Ernesto Ferreira Starling},
title={Using Ozires, a Humanoid Robot, to Continuing Education of Healthcare Workers: A Pilot Study},
booktitle={Proceedings of the 9th International Conference on Computer Supported Education - Volume 2: CSEDU,},

in EndNote Style

JO - Proceedings of the 9th International Conference on Computer Supported Education - Volume 2: CSEDU,
TI - Using Ozires, a Humanoid Robot, to Continuing Education of Healthcare Workers: A Pilot Study
SN - 978-989-758-240-0
AU - Roberto Gonçalves Marinho Couto B.
AU - Silva Alvim A.
AU - Alfenas da Silva I.
AU - Brito Horta M.
AU - da Cunha Júnior J.
AU - Ferreira Starling C.
PY - 2017
SP - 293
EP - 299
DO - 10.5220/0006312302930299