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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 

Interventions to Improve Hand Hygiene Compliance in Patient Care

Description of Resource: 
This systematic review sought to identify strategies to improve health care workers' compliance with recommendations for hand hygiene: hand washing with soap and water, or using alcohol-based hand rub (ABHR), or both. It identified 26 trials. Six studies assessed different types of performance feedback, 2 studies evaluated education, 3 studies evaluated cues such as signs or scent, and 1 study assessed placement of ABHR. All of these strategies may slightly improve hand hygiene compliance. Multimodal strategies that include some but not all strategies may slightly improve hand hygiene compliance and slightly reduce infection rates.

Evidence-Based Resource Details

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Developed By: 
Cochrane Review
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Healthcare-Associated Infections
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Gould DJ, Moralejo D, Drey N, Chudleigh JH, Taljaard M. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev [Internet]. 2017 [cited 2017 12 5];(9):Article CD005186. doi: 10.1002/14651858.CD005186.pub4. Available from: