Sustained High Level of Healthcare Worker Adherence with Hand Hygiene Practice Recommendations Using the Patient-as-Observer Approach in the Ambulatory Setting

Academic Article


  • We report on a quality improvement initiative for hand hygiene adherence using the patient-as-observer method in the ambulatory setting. There were 604,661 observations recorded with improvement of adherence from 88% to 95% or greater; alcohol-based hand sanitizer purchasing correlated with this increase. This sustainable method effectively ensures hand hygiene adherence.
  • Digital Object Identifier (doi)

    Author List

  • Lee RA; Cutter GR; Pate JL; Boohaker E; Camins BC
  • Start Page

  • 1496
  • End Page

  • 1498
  • Volume

  • 37
  • Issue

  • 12