Monitoring hand hygiene adherence and providing performance feedback to health care workers is a critical component of multimodal hand hygiene promotion programs, but important variations exist in the way adherence is measured. Within the framework of the World Health Organization's (WHO) First Global Patient Safety Challenge known as “Clean Care is Safer Care,” an evidence-based, user-centered concept, “My five moments for hand hygiene,” has been developed for measuring, teaching, and reporting hand hygiene adherence.
