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Updated: May 15, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
Observing and improving hand hygiene compliance: implementation and refinement of an electronic-assisted
Luke F Chen1, Charlene Carriker, Russell Staheli
1Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Medical Center, Durham, NC, USA. luke.chen@duke.edu
Abstract:
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.
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