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The Centers for Disease Control and Prevention recommends indicators to measure improvement in adherence to hand-hygiene guidelines.

CDC’s Hand-Hygiene Performance Indicators

January 1, 2003

CDC’s Hand-Hygiene Performance Indicators

The Centers for Disease Control and Prevention recommends these indicators to measure improvement in adherence to hand-hygiene guidelines:

  • Periodically monitor and record adherence as the number of hand-hygiene episodes performed by personnel/number of hand-hygiene opportunities, by ward or by service. Provide feedback to personnel regarding their performance.
  • Monitor the volume of alcohol-based hand rub (or detergent used for hand washing or hand antisepsis) used per 1,000 patient days.
  • Monitor adherence to policies dealing with wearing artificial nails.
  • When outbreaks of infection occur, assess the adequacy of health care worker hand hygiene.

Source: Healthcare Infection Control Practices Advisory Committee. Hand Hygiene in Healthcare Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Atlanta; 2002.