skip to main content
10.1145/3384419.3430733acmconferencesArticle/Chapter ViewAbstractPublication PagessensysConference Proceedingsconference-collections
research-article

RFWash: a weakly supervised tracking of hand hygiene technique

Published:16 November 2020Publication History

ABSTRACT

Each year, hundreds of thousands of people contract Healthcare Associated Infections (HAIs). Poor hand hygiene compliance among healthcare workers is thought to be the leading cause of HAIs and methods were developed to measure compliance. Surprisingly, human observation is still considered the gold standard for measuring compliance by World Health Organization (WHO). Moreover, no automated solutions exist for monitoring hand hygiene techniques, such as "how to hand rub" technique by WHO. In this paper, we introduce RFWash; the first radio-based device-free system for monitoring Hand Hygiene (HH) technique. On the technical level, HH gestures are performed back-to-back in a continuous sequence and pose a significant challenge to conventional two-stage gesture detection and recognition approaches. We propose a deep model that can be trained on unsegmented naturally-performed HH gesture sequences. RFWash evaluation demonstrates promising results for tracking HH gestures, achieving gesture error rate of < 8% when trained on 10-second segments, which reduces manual labelling overhead by ≈ 67% compared to fully supervised approach. The work is a step towards practical RF sensing that can reliably operate inside future healthcare facilities.

References

  1. 2009. WHO Guidelines on Hand Hygiene in Health Care. Published by World Health Organisation. Retrieved from: whqlibdoc.who.int/publications/009.pdf. (2009).Google ScholarGoogle Scholar
  2. 2016. Healthcare-associated infections: data and statistics. Published by Center for Disease Control and Prevention. (2016).Google ScholarGoogle Scholar
  3. 2020 (accessed July 1, 2020). Ti IWR1443BOOST. "https://www.ti.com/tool/IWR1443BOOST". (2020 (accessed July 1, 2020)).Google ScholarGoogle Scholar
  4. Heba Abdelnasser, Moustafa Youssef, and Khaled A Harras. 2015. Wigest: A ubiquitous wifi-based gesture recognition system. In 2015 IEEE Conference on Computer Communications (INFOCOM). IEEE, 1472--1480.Google ScholarGoogle ScholarCross RefCross Ref
  5. Sari Awwad, Sanjay Tarvade, Massimo Piccardi, and David J Gattas. 2019. The use of privacy-protected computer vision to measure the quality of healthcare worker hand hygiene. International Journal for Quality in Health Care 31, 1 (2019), 36--42.Google ScholarGoogle ScholarCross RefCross Ref
  6. John M Boyce. 2011. Measuring healthcare worker hand hygiene activity: current practices and emerging technologies. Infection control and hospital epidemiology 32, 10 (2011), 1016--1028.Google ScholarGoogle Scholar
  7. Edward Chou, Matthew Tan, Cherry Zou, Michelle Guo, Albert Haque, Arnold Milstein, and Li Fei-Fei. 2018. Privacy-Preserving Action Recognition for Smart Hospitals using Low-Resolution Depth Images. Machine Learning for Health (ML4H) Workshop at NeurIPS 2018 (2018).Google ScholarGoogle Scholar
  8. I. R. Daniels and B. I. Rees. 1999. Handwashing: simple, but effective. Annals of the Royal College of Surgeons of England 81, 2 (Mar 1999), 117--118. https://www.ncbi.nlm.nih.gov/pubmed/10364970 10364970[pmid].Google ScholarGoogle Scholar
  9. Lijie Fan, Tianhong Li, Yuan Yuan, and Dina Katabi. 2020. In-Home Daily-Life Captioning Using Radio Signals. In European Conference on Computer Vision (ECCV) 2020.Google ScholarGoogle Scholar
  10. Piyali Goswami, Sandeep Rao, Sachin Bharadwaj, and Amanda Nguyen. 2019. Real-time multi-gesture recognition using 77 GHz FMCW MIMO single chip radar. In 2019 IEEE International Conference on Consumer Electronics (ICCE). IEEE, 1--4.Google ScholarGoogle ScholarCross RefCross Ref
  11. Alex Graves, Santiago Fernández, Faustino Gomez, and Jürgen Schmidhuber. 2006. Connectionist temporal classification: labelling unsegmented sequence data with recurrent neural networks. In Proceedings of the 23rd international conference on Machine learning. ACM, 369--376.Google ScholarGoogle ScholarDigital LibraryDigital Library
  12. Albert Haque, Michelle Guo, Alexandre Alahi, Serena Yeung, Zelun Luo, Alisha Rege, Jeffrey Jopling, Lance Downing, William Beninati, Amit Singh, et al. 2017. Towards vision-based smart hospitals: A system for tracking and monitoring hand hygiene compliance. Proceedings of Machine Learning Research (18--19 Aug 2017).Google ScholarGoogle Scholar
  13. Chengkun Jiang, Junchen Guo, Yuan He, Meng Jin, Shuai Li, and Yunhao Liu. 2020. mmVib: micrometer-level vibration measurement with mmwave radar. In Proceedings of the 26th Annual International Conference on Mobile Computing and Networking. 1--13.Google ScholarGoogle ScholarDigital LibraryDigital Library
  14. Yen Lee Angela Kwok, Michelle Callard, and Mary-Louise McLaws. 2015. An automated hand hygiene training system improves hand hygiene technique but not compliance. American journal of infection control 43, 8 (2015), 821--825.Google ScholarGoogle Scholar
  15. Yen Lee Angela Kwok, Craig P Juergens, and Mary-Louise McLaws. 2016. Automated hand hygiene auditing with and without an intervention. American journal of infection control 44, 12 (2016), 1475--1480.Google ScholarGoogle Scholar
  16. Hong Li, Shishir Chawla, Richard Li, Sumeet Jain, Gregory D Abowd, Thad Starner, Cheng Zhang, and Thomas Plotz. 2018. Wristwash: towards automatic handwashing assessment using a wrist-worn device. In Proceedings of the 2018 ACM International Symposium on Wearable Computers. 132--139.Google ScholarGoogle ScholarDigital LibraryDigital Library
  17. Yunan Li, Qiguang Miao, Kuan Tian, Yingying Fan, Xin Xu, Rui Li, and Jianfeng Song. 2016. Large-scale gesture recognition with a fusion of rgb-d data based on the c3d model. In 2016 23rd International Conference on Pattern Recognition (ICPR). IEEE, 25--30.Google ScholarGoogle Scholar
  18. Bingbin Liu, Michelle Guo, Edward Chou, Rishab Mehra, Serena Yeung, N Lance Downing, Francesca Salipur, Jeffrey Jopling, Brandi Campbell, Kayla Deru, et al. 2018. 3D Point Cloud-Based Visual Prediction of ICU Mobility Care Activities. In Machine Learning for Healthcare Conference. 17--29.Google ScholarGoogle Scholar
  19. Hu Liu, Sheng Jin, and Changshui Zhang. 2018. Connectionist temporal classification with maximum entropy regularization. In Advances in Neural Information Processing Systems. 831--841.Google ScholarGoogle Scholar
  20. David Fernández Llorca, Ignacio Parra, Miguel Ángel Sotelo, and Gerard Lacey. 2011. A vision-based system for automatic hand washing quality assessment. Machine Vision and Applications 22, 2 (2011), 219--234.Google ScholarGoogle ScholarDigital LibraryDigital Library
  21. Chris Xiaoxuan Lu, Stefano Rosa, Peijun Zhao, Bing Wang, Changhao Chen, John A. Stankovic, Niki Trigoni, and Andrew Markham. 2020. See through Smoke: Robust Indoor Mapping with Low-Cost MmWave Radar. In Proceedings of the 18th International Conference on Mobile Systems, Applications, and Services (MobiSys '20). 14--27.Google ScholarGoogle ScholarDigital LibraryDigital Library
  22. Yongsen Ma, Gang Zhou, Shuangquan Wang, Hongyang Zhao, and Woosub Jung. 2018. SignFi: Sign language recognition using WiFi. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 2, 1 (2018), 23.Google ScholarGoogle ScholarDigital LibraryDigital Library
  23. AR Marra and MB Edmond. 2014. New technologies to monitor healthcare worker hand hygiene. Clinical Microbiology and Infection 20, 1 (2014), 29--33.Google ScholarGoogle ScholarCross RefCross Ref
  24. Maryanne McGuckin and John Govednik. 2015. A review of electronic hand hygiene monitoring: considerations for hospital management in data collection, healthcare worker supervision, and patient perception. Journal of Healthcare Management 60, 5 (2015), 348--361.Google ScholarGoogle ScholarCross RefCross Ref
  25. Pedro Melgarejo, Xinyu Zhang, Parameswaran Ramanathan, and David Chu. 2014. Leveraging directional antenna capabilities for fine-grained gesture recognition. In Proceedings of the 2014 ACM International Joint Conference on Pervasive and Ubiquitous Computing. 541--551.Google ScholarGoogle ScholarDigital LibraryDigital Library
  26. Marco Mercuri, Ilde Rosa Lorato, Yao-Hong Liu, Fokko Wieringa, Chris Van Hoof, and Tom Torfs. 2019. Vital-sign monitoring and spatial tracking of multiple people using a contactless radar-based sensor. Nature Electronics 2, 6 (2019), 252--262.Google ScholarGoogle ScholarCross RefCross Ref
  27. Pavlo Molchanov, Xiaodong Yang, Shalini Gupta, Kihwan Kim, Stephen Tyree, and Jan Kautz. 2016. Online detection and classification of dynamic hand gestures with recurrent 3d convolutional neural network. In Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition. 4207--4215.Google ScholarGoogle ScholarCross RefCross Ref
  28. Avishek Patra, Philipp Geuer, Andrea Munari, and Petri Mähönen. 2018. mm-Wave Radar Based Gesture Recognition: Development and Evaluation of a Low-Power, Low-Complexity System. In Proceedings of the 2nd ACM Workshop on Millimeter Wave Networks and Sensing Systems. 51--56.Google ScholarGoogle ScholarDigital LibraryDigital Library
  29. Lisa L Pineles, Daniel J Morgan, Heather M Limper, Stephen G Weber, Kerri A Thom, Eli N Perencevich, Anthony D Harris, and Emily Landon. 2014. Accuracy of a radiofrequency identification (RFID) badge system to monitor hand hygiene behavior during routine clinical activities. American journal of infection control 42, 2 (2014), 144--147.Google ScholarGoogle Scholar
  30. Xingshuai Qiao, Tao Shan, Ran Tao, Xia Bai, and Juan Zhao. 2019. Separation of human micro-Doppler signals based on short-time fractional Fourier transform. IEEE Sensors Journal 19, 24 (2019), 12205--12216.Google ScholarGoogle ScholarCross RefCross Ref
  31. Mike Schuster and Kuldip K Paliwal. 1997. Bidirectional recurrent neural networks. IEEE Transactions on Signal Processing 45, 11 (1997), 2673--2681.Google ScholarGoogle ScholarDigital LibraryDigital Library
  32. Muhammad Shahzad and Shaohu Zhang. 2018. Augmenting User Identification with WiFi Based Gesture Recognition. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 2, 3 (2018), 134.Google ScholarGoogle ScholarDigital LibraryDigital Library
  33. Karly A Smith, Clément Csech, David Murdoch, and George Shaker. 2018. Gesture recognition using mm-wave sensor for human-car interface. IEEE Sensors Letters 2, 2 (2018), 1--4.Google ScholarGoogle ScholarCross RefCross Ref
  34. Jocelyn A Srigley, Colin D Furness, G Ross Baker, and Michael Gardam. 2014. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. BMJ Qual Saf 23, 12 (2014), 974--980.Google ScholarGoogle ScholarCross RefCross Ref
  35. Yonglong Tian, Guang-He Lee, Hao He, Chen-Yu Hsu, and Dina Katabi. 2018. RF-based fall monitoring using convolutional neural networks. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 2, 3 (2018), 1--24.Google ScholarGoogle ScholarDigital LibraryDigital Library
  36. Du Tran, Lubomir Bourdev, Rob Fergus, Lorenzo Torresani, and Manohar Paluri. 2015. Learning spatiotemporal features with 3d convolutional networks. In Proceedings of the IEEE international conference on computer vision. 4489--4497.Google ScholarGoogle ScholarDigital LibraryDigital Library
  37. Raghav H Venkatnarayan, Griffin Page, and Muhammad Shahzad. 2018. Multiuser gesture recognition using WiFi. In Proceedings of the 16th Annual International Conference on Mobile Systems, Applications, and Services. ACM, 401--413.Google ScholarGoogle ScholarDigital LibraryDigital Library
  38. Aditya Virmani and Muhammad Shahzad. 2017. Position and orientation agnostic gesture recognition using wifi. In Proceedings of the 15th Annual International Conference on Mobile Systems, Applications, and Services. ACM, 252--264.Google ScholarGoogle ScholarDigital LibraryDigital Library
  39. Saiwen Wang, Jie Song, Jaime Lien, Ivan Poupyrev, and Otmar Hilliges. 2016. Interacting with soli: Exploring fine-grained dynamic gesture recognition in the radio-frequency spectrum. In Proceedings of the 29th Annual Symposium on User Interface Software and Technology. ACM, 851--860.Google ScholarGoogle ScholarDigital LibraryDigital Library
  40. Xin Yang, Jian Liu, Yingying Chen, Xiaonan Guo, and Yucheng Xie. 2020. MU-ID: Multi-user Identification Through Gaits Using Millimeter Wave Radios. In IEEE INFOCOM 2020-IEEE Conference on Computer Communications. IEEE, 2589--2598.Google ScholarGoogle Scholar
  41. Yinggang Yu, Dong Wang, Run Zhao, and Qian Zhang. 2019. RFID based real-time recognition of ongoing gesture with adversarial learning. In Proceedings of the 17th Conference on Embedded Networked Sensor Systems. 298--310.Google ScholarGoogle ScholarDigital LibraryDigital Library
  42. Shigeng Zhang, Chengwei Yang, Xiaoyan Kui, Jianxin Wang, Xuan Liu, and Song Guo. 2019. ReActor: Real-time and Accurate Contactless Gesture Recognition with RFID. In 2019 16th Annual IEEE International Conference on Sensing, Communication, and Networking (SECON). IEEE, 1--9.Google ScholarGoogle Scholar
  43. Zhenyuan Zhang, Zengshan Tian, and Mu Zhou. 2018. Latern: Dynamic continuous hand gesture recognition using FMCW radar sensor. IEEE Sensors Journal 18, 8 (2018), 3278--3289.Google ScholarGoogle ScholarCross RefCross Ref
  44. Henry Zhong, Salil S Kanhere, and Chun Tung Chou. 2016. WashInDepth: Lightweight Hand Wash Monitor Using Depth Sensor. In Proceedings of the 13th International Conference on Mobile and Ubiquitous Systems: Computing, Networking and Services. ACM, 28--37.Google ScholarGoogle ScholarDigital LibraryDigital Library
  45. Y. Zou, J. Xiao, J. Han, K. Wu, Y. Li, and L. M. Ni. 2017. GRfid: A Device-Free RFID-Based Gesture Recognition System. IEEE Transactions on Mobile Computing 16, 2 (Feb 2017), 381--393. Google ScholarGoogle ScholarDigital LibraryDigital Library

Index Terms

  1. RFWash: a weakly supervised tracking of hand hygiene technique

    Recommendations

    Comments

    Login options

    Check if you have access through your login credentials or your institution to get full access on this article.

    Sign in
    • Published in

      cover image ACM Conferences
      SenSys '20: Proceedings of the 18th Conference on Embedded Networked Sensor Systems
      November 2020
      852 pages
      ISBN:9781450375900
      DOI:10.1145/3384419

      Copyright © 2020 ACM

      © 2020 Association for Computing Machinery. ACM acknowledges that this contribution was authored or co-authored by an employee, contractor or affiliate of a national government. As such, the Government retains a nonexclusive, royalty-free right to publish or reproduce this article, or to allow others to do so, for Government purposes only.

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      • Published: 16 November 2020

      Permissions

      Request permissions about this article.

      Request Permissions

      Check for updates

      Qualifiers

      • research-article

      Acceptance Rates

      Overall Acceptance Rate174of867submissions,20%

    PDF Format

    View or Download as a PDF file.

    PDF

    eReader

    View online with eReader.

    eReader