The Effect of Leadership on Hand Hygiene: Assessing Hand Hygiene Adherence prior to Patient Contact in 2 Infectious Disease Units in Tuscany.

The Effect of Leadership on Hand Hygiene: Assessing Hand Hygiene Adherence prior to Patient Contact in 2 Infectious Disease Units in Tuscany.

Infect Control Hosp Epidemiol. 2014 Mar;35(3):313-6

Authors: Lieber SR, Mantengoli E, Saint S, Fowler KE, Fumagalli C, Bartolozzi D, Magistri L, Niccolini F, Bartoloni A

We assessed hand hygiene adherence in 2 infectious disease units. In one unit, adherence declined slightly from year 1 (84.2%) to year 4 (71.0%) after a multimodal intervention but remained much higher than before intervention. Adherence dropped in the second unit after a loss of leadership (from 50.7% to 5.7%). Strong leadership presence may improve hand hygiene adherence.

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