title: Relationship between systems-level factors and hand hygiene adherence.
abstract: This study was a cross-sectional descriptive survey of acute care hospitals in California to describe staff hand hygiene compliance and related predictors and explore the relationship between hand hygiene adherence and health care-associated infections. Although there was a relatively small sample size, institutions with morning huddles reported a significantly higher proportion of 95% or more hand hygiene compliance. Huddles are an organizational tool to improve teamwork and communication and may offer promise to influence hand hygiene adherence.
authors.affiliation: Columbia University School of Nursing, New York, USA. ad66@columbia.edu
authors.forename: Ann-Margaret
authors.initials: AM
authors.lastname: Dunn-Navarra
authors.forename: Bevin
authors.initials: B
authors.lastname: Cohen
authors.forename: Patricia W
authors.initials: PW
authors.lastname: Stone
authors.forename: Monika
authors.initials: M
authors.lastname: Pogorzelska
authors.forename: Sarah
authors.initials: S
authors.lastname: Jordan
authors.forename: Elaine
authors.initials: E
authors.lastname: Larson
mesh_terms: D002140:California; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D019983:Guideline Adherence / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D063373:Hand Hygiene / Q000458:organization & administration* / Q000592:standards* / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006761:Hospitals / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D017053:Infection Control / Q000458:organization & administration* / Q000592:standards* / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D012307:Risk Factors; D011795:Surveys and Questionnaires