The effect of random voice hand hygiene messages delivered by medical, nursing, and infection control staff on hand hygiene compliance in intensive care

      Hand hygiene (HH) compliance in the intensive care unit has been studied extensively, with short-term, nonsustained compliance often because of lack of ongoing reinforcement. HH messages delivered by health care workers responsible for overseeing staff in the intensive care unit provided continuous reinforcement of HH. Compliance measured through product usage and reported as HH/bed-days increased by 60% for soap and sanitizer combined and 25% for sanitizer usage (P < 001).
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Naikoba S.
        • Hayward A.
        The effectiveness of interventions aimed at increasing handwashing in healthcare works: a systematic review.
        J Hosp Infect. 2001; 47: 173-180
        • Larson E.
        • Bryan J.
        • Adler L.
        • Blane C.
        A multi-faceted approach to changing hand-washing behavior.
        Am J Infect Control. 1997; 25: 3-10
        • Stone S.
        Hand hygiene: the case for evidence based education.
        J R Soc Med. 2001; 94: 278-281
        • Lankford M.
        • Zembower T.
        • Trick W.
        • Hacek D.
        • Noskin G.
        • Peterson L.
        Influence of role models and hospital design on hand hygiene health care workers.
        Emerg Infect Dis. 2003; 9: 217-223
        • Feather A.
        • Stone S.P.
        • Weanier A.
        • Boursicot K.A.
        • Pratt C.
        “Now please wash your hands,” the handwashing behavior of final MBBS candidates.
        J Hosp Infect. 2000; 45: 62-64
        • McGuckin M.
        • Waterman R.
        • Porten L.
        • Bello S.
        • Caruso M.
        • Juzaitis B.
        • et al.
        Patient education model for increasing handwashing compliance.
        Am J Infect Control. 1999; 27: 309-314
        • Grol R.
        • Grimshaw J.
        From best evidence to best practice: effective implementation of change in patients' care.
        Lancet. 2003; 362: 1225-1230
        • McGuckin M.
        • Waterman R.
        • Storr J.
        • Bowler I.C.J.W.
        • Ashby M.
        • Topley K.
        • et al.
        Evaluation of a patient-empowering hand hygiene programme in the UK.
        J Hosp Infect. 2001; 48: 222-227
      1. McGuckin M, Porten L, Schmidt R, Streed S, Brown J, Conard S, et al. Validation of a comprehensive infection control program in LTC. The Director 2004;12:14-7.

        • Larson E.
        • Albrecht S.
        • O'Keefe M.
        Hand hygiene behavior in a pediatric emergency department and a pediatric intensive care unit: comparison of use of 2 dispenser systems.
        Am J Crit Care. 2005; 14: 304-312
      2. Visscher M, Bondurant P, Smith J. Effect of hand hygiene regimens on skin condition in health care workers (HCW). Abstract Presented at the Society for Healthcare Epidemiology of America, Los Angeles; 2005.