PONE-D-22-18853Video based monitoring systems for hand hygiene compliance auditing: what do patients think?PLOS ONE

Dear Dr. McKay,

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Mona Nabulsi, MD, MS

Academic Editor

PLOS ONE

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Reviewer #1: Partly

Reviewer #2: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: N/A

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Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #1: Yes

Reviewer #2: No

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5. Review Comments to the Author

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Reviewer #1: > The article addresses a key important topic, yet the conducted research and the outcome are really shallow.

> Major concerns:

> - Only 8 patients participated in the study, and even the question guide was modified during the study period. This work is rather a pilot than real research. It can be a good first step to start a survey with 8 in-depth interviews to highlight critical points on acceptance of video monitoring. But the work should be continued; e.g. a short questionnaire should be designed that contains questions about the previously identified critical point. A conclusion cannot be drawn from the answers of 8 patients.

> - The recruitment was via email. The paper does not mention how many emails were sent out. If much more than 8 then the probability of selection bias is quite large.

> - The title claims that the survey was about using video monitoring to measure hand hygiene compliance. In the later part, patients start to talk about the advantages of video monitoring in general. They would accept the use of the system because it can monitoring of falls; facilitate family communication; can be useful when a patients present sign of abuse; or when the patient can be abusive because of drugs, the recording can be a piece of evidence, it can prevent theft or stop healthcare-workers to do something that they should not do. As patients conclude, the acceptance of the system depends on whether the benefits outweigh the risks. If the paper summarizes ALL benefits that a video-monitoring system can provide, then it cannot be concluded that "video monitoring system for auditing hand hygiene broadly accepted". In that case, the right conclusion would be that this theoretical super-video system is broadly accepted.

> Minor remarks:

> - At the abstract, before the 'Conclusion' part there is an empty row.

> - The abstract uses the abbreviation VMS without explaining it

> - The words like "yeah", "well", "um...", "a...", "you know" can be omitted from the quotes.

> - In Figure 1, the gray and orange are quite similar when it is black&white printed.

Reviewer #2: Dear authors,

Greetings!

Although the manuscript is well documented it needs some clarification and corrections. Please specify the design: what do you mean by "pragmatic naturalistic framework"?

Dear authors,

Greetings!

Although the manuscript is well documented it needs some clarification and corrections. Please specify the design: what do you mean by "pragmatic naturalistic framework"?

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Reviewer #1: No

Reviewer #2: Yes: Abdolghani Abdollahimohammad

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PONE-D-22-18853R1Video based monitoring systems for hand hygiene compliance auditing: what do patients think?PLOS ONE

Dear Dr. McKay,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Dec 05 2022 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

• A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
• A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
• An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Mona Nabulsi, MD, MS

Academic Editor

PLOS ONE

Journal Requirements:

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

Additional Editor Comments:- The sample size is very small (8 participants) which may suggest that saturation may not have been achieved. The study therefore is more of a 'PILOT' study the results of which need to be confirmed in a larger one. Please elaborate more on this limitation in the discussion. - Kindly use 'Median' instead of 'Mean" for the participants' age (small sample size).- There are several places in the manuscript with words missing letter or written wrongly (e.g. concent instead of consent;  desientitised; emphysised; etc..). there are also a couple of sentences that are incomplete. Please review all text carefully and correct these words/sentences.

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

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Video based monitoring systems for hand hygiene compliance auditing: what do patients think?

PONE-D-22-18853R2

Dear Dr. McKay,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

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Kind regards,

Claire Seungeun Lee

Academic Editor

PLOS ONE