Strong leadership presence may improve hand hygiene adherence


#IVTEAM #Intravenous literature: Lieber, S.R., Mantengoli, E., Saint, S., Fowler, K.E., Fumagalli, C., Bartolozzi, D., Magistri, L., Niccolini, F. and Bartoloni, A. (2014) The Effect of Leadership on Hand Hygiene: Assessing Hand Hygiene Adherence prior to Patient Contact in 2 Infectious Disease Units in Tuscany. Infection Control and Hospital Epidemiology. 35(3), p.313-316.


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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