Infection Control

Secret shoppers help improve hand hygiene compliance

Briefings on Infection Control, April 1, 2009

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“It’s impossible for the ICP to do [accurate hand hygiene observation] when they’re rounding. People tend to run screaming to the closest sink when they see us,” says Gayle Lovato, MS, RN, an IP at Inova Loudoun Hospital in Leesburg, VA. The numbers support her observation. Research has shown that people are more likely to wash their hands after using the bathroom if someone else is in the bathroom with them than if they are alone, says Hudson. Cleveland’s secret shopper program found striking differences in compliance: Staff members are 90%–95% complaint with hand hygiene guidelines when they know they are being observed, but those numbers dip when the secret shopper is watching, Hudson says.

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