Monitoring hand hygiene: Meaningless, harmful, or helpful?

Whereas monitoring adherence to hand hygiene (HH) guidelines is standard practice in most acute care facilities, practice improvement has been slow. In hospitals primarily concerned with reputation, incentives to report high HH rates may create negative consequences. Practice change will require increased staff engagement and more sustainable methods to monitor HH and provide feedback. Copyright (c) 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.