Observing and improving hand hygiene compliance: implementation and refinement of an electronic-assisted direct-observer hand hygiene audit program

Infect Control Hosp Epidemiol. 2013 Feb;34(2):207-10. doi: 10.1086/669084. Epub 2012 Dec 21.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Computers, Handheld*
  • Cross Infection / prevention & control
  • Guideline Adherence / organization & administration*
  • Hand Hygiene / standards*
  • Hospitals, University
  • Humans
  • Medical Staff, Hospital
  • North Carolina
  • Observation / methods*