In what is likely a Hawthorne effect, hand hygiene rates skyrocket when the staff see that auditor is watching.BMJ Qual Saf. 2014;23:974-980.
Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.
Srigley JA, Furness CD, Baker GR, Gardam M. BMJ Qual Saf. 2014;23:974-980.
Hand hygiene rates were about threefold higher when an auditor was present compared with hallway dispensers that were not visible by a direct observer. Since many publicly reported hand hygiene rates are based on direct auditor observations, this study suggests these metrics may be greatly inflated.
Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].
Baxter AD, Allan J, Bedard J, et al. Can J Anaesth. 2005;52:535-541.
Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment?
Raschka S, Dempster L, Bryce E. Am J Infect Control. 2013;41:773-777.
Improvement of medication event interventions through use of an electronic database.
Merandi J, Morvay S, Lewe D, et al. Am J Health Syst Pharm. 2013;70:1708-1714.
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Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.
Le-Abuyen S, Ng J, Kim S, et al. Am J Infect Control. 2014;42:439-442.