- •Overt observations and timely feedback provide reliable and efficient Hand hygiene (HH) monitoring.
- •Observer visibility allows for dialogue around the observation process and HH moments.
- •Transparency around observer presence encourages dialogue around improvement.
- •Leadership engagement strengthened relationship between HH observers and clinicians.
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- Hand hygiene: back to the basics of infection control.Indian J Med Res. 2011; 134: 611-620
- The effect of incorporating covert observation into established overt observation-based hand hygiene promotion programs.Am J Infect Control. 2019; 47: 482-486
- Quantitative impact of direct, personal feedback on hand hygiene technique.J Hosp Infect. 2015; 91: 81-84
- Automated and electronically assisted hand hygiene monitoring systems: a systematic review.Am J Infect Control. 2014; 42: 472-478
- My five moments for hand hygiene': a user-centered design approach to understand, train, monitor and report hand hygiene.J Hosp Infect. 2007; 67: 9-21
- Face touching: a frequent habit that has implications for hand hygiene.Am J Infect Control. 2015; 43: 112-114
- Mobile phones: Reservoirs for the transmission of nosocomial pathogens.Adv Biomed Res. 2015; 4: 144
- Hand-hygiene practices in the operating theatre: an observational study.Br J Anaesth. 2011; 107: 553-558
- Hand hygiene and aseptic techniques during routine anesthetic care - observations in the operating room.Antimicrob Resist Infect Control. 2015; 4: 5
- Hand hygiene in the operating room: the final frontier.Am J Infect Control. 2017; 45: S102-S103
- Barriers, perceptions, and adherence: hand hygiene in the operating room and endoscopy suite.Am J Infect Control. 2017; 45: 695-697
- Hand hygiene in pediatric and neonatal intensive care unit patients: daily opportunities and indication- and profession-specific analyses of compliance.Am J Infect Control. 2011; 39: 732-737
- An observational study of the hand hygiene initiative: a comparison of preintervention and postintervention outcomes.BMJ Open. 2013; 3e003018
- Characteristics of inpatient units associated with sustained hand hygiene compliance.J Patient Saf. 2021; 17: e1272-e1277
- Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.BMJ Qual Saf. 2012; 21: 1019-1026
- Monitoring hand hygiene via human observers: how should we be sampling?.Infect Control Hosp Epidemiol. 2012; 33: 689-695
Conflicts of interest: Paid contract with PDI, APIC liaison to HICPAC, Solutions for Patient Safety IP Advisory Group; Public Policy Chair for APIC; APIC Chapter 15 Board Member (President-2021); APIC Annual Conference Committee Member (Vice Chair of Abstract Committee-2021).