title: Feasibility of monitoring compliance to the My 5 Moments and Entry/Exit hand hygiene methods in US hospitals.
abstract: We compared the ability to observe hand hygiene opportunities using the World Health Organization My 5 Moments method to the Entry/Exit method. Under covert direct observation, Entry/Exit method opportunities were observed at all times. My 5 Moments were observable in 32.3% of episodes, with a lower rate in wards versus intensive care units (28.0% vs 39.4%; P < .01). In US hospitals, the Entry/Exit method appears to be more feasible for directly observed hand hygiene compliance monitoring due to line-of-sight issues and other barriers.
authors.affiliation: Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA; Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA.
authors.forename: Nai-Chung N
authors.initials: NC
authors.lastname: Chang
authors.affiliation: Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA.
authors.forename: Heather S
authors.initials: HS
authors.lastname: Reisinger
authors.affiliation: Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Jesson
authors.affiliation: Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA.
authors.forename: Marin L
authors.initials: ML
authors.lastname: Schweizer
authors.affiliation: University of Maryland School of Medicine, Baltimore, MD; Veterans Affairs Maryland Health Care System, Baltimore, MD.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Morgan
authors.affiliation: Veterans Affairs Portland Health Care System, Portland, OR.
authors.forename: Graeme N
authors.initials: GN
authors.lastname: Forrest
authors.affiliation: Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA. Electronic address: eli-perencevich@uiowa.edu.
authors.forename: Eli N
authors.initials: EN
authors.lastname: Perencevich
mesh_terms: D000067289:Behavior Observation Techniques / Q000379:methods*; D003187:Compliance; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D063373:Hand Hygiene / Q000379:methods*; D006761:Hospitals; D006801:Humans; D017053:Infection Control / Q000379:methods*; D011446:Prospective Studies; D014481:United States
keywords: Handwashing; Infection prevention; infection control