Education:
(1) Orient new healthcare workers to hand hygiene practices.
(2) Provide ongoing reminders.
(3) Conduct annual updates with competency assessment.
(4) Identify role models who will encourage hand hygiene.
Engineering:
(1) Make sure hand care facilities are accessible and convenient.
(2) Place alcohol-based gel dispensing stations in moderate and high demand areas.
Product evaluation:
(1) Select the hand hygiene products that are effective and likely to be used, rather than just the cheapest.
(2) Survey healthcare workers for feedback about products.
Administrative:
(1) Develop written hand hygiene guidelines.
(2) Reduce understaffing and excessive workload, especially in critical care areas.
(3) Enforce guidelines for hand hygiene.
(4) Emphasize safety as a key component of the institutional culture.
(5) Regularly monitor hand hygiene practices in patient care areas.
