title: Observing and improving hand hygiene compliance: implementation and refinement of an electronic-assisted direct-observer hand hygiene audit program.
abstract: We implemented a direct-observer hand hygiene audit program that used trained observers, wireless data entry devices, and an intranet portal. We improved the reliability and utility of the data by standardizing audit processes, regularly retraining auditors, developing an audit guidance tool, and reporting weighted composite hand hygiene compliance scores.
authors.affiliation: Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Medical Center, Durham, NC, USA. luke.chen@duke.edu
authors.forename: Luke F
authors.initials: LF
authors.lastname: Chen
authors.forename: Charlene
authors.initials: C
authors.lastname: Carriker
authors.forename: Russell
authors.initials: R
authors.lastname: Staheli
authors.forename: Pamela
authors.initials: P
authors.lastname: Isaacs
authors.forename: Brandon
authors.initials: B
authors.lastname: Elliott
authors.forename: Becky A
authors.initials: BA
authors.lastname: Miller
authors.forename: Deverick J
authors.initials: DJ
authors.lastname: Anderson
authors.forename: Rebekah W
authors.initials: RW
authors.lastname: Moehring
authors.forename: Sheila
authors.initials: S
authors.lastname: Vereen
authors.forename: Judie
authors.initials: J
authors.lastname: Bringhurst
authors.forename: Lisa
authors.initials: L
authors.lastname: Rhodes
authors.forename: Nancy
authors.initials: N
authors.lastname: Strittholt
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Sexton
mesh_terms: D034201:Computers, Handheld; D003428:Cross Infection / Q000517:prevention & control; D019983:Guideline Adherence / Q000458:organization & administration*; D063373:Hand Hygiene / Q000592:standards*; D006785:Hospitals, University; D006801:Humans; D008505:Medical Staff, Hospital; D009657:North Carolina; D019370:Observation / Q000379:methods*