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Hand hygiene has been recognized for more than 150 years as the single most effective method of preventing healthcare associated infections (HAI). And yet, for the past several decades, compliance has been reported by published accounts to have remained on average, less than 50 percent. There has been success in reducing HAI of multiple types according to the Center for Disease Control and Prevention (CDC) HAI Progress report, though zero infections in any category is still an aspirational goal. And there have been published accounts of localized projects employing a variety of approaches resulting in improved hand hygiene. Yet sustained nationwide improvement in hand hygiene compliance has remained elusive, even after multiple national guidelines, numerous performance improvement initiatives, and educational programs. The one approach that is common to numerous reports of successful hand hygiene improvement is use of a multi-modal program. Additionally, there have been several innovative technologies and products introduced in the past decade that show initial promise. The key to progress toward sustained nationwide improvement in hand hygiene compliance may lie in determining which components of a multi-modal approach are most effective, including recent innovations; in other words, a hand hygiene bundle.

  • Review the challenge of suboptimal hand hygiene among healthcare workers
  • Explore the options for improving hand hygiene
  • Learn about the need for a hand hygiene bundle