Abstract
After three years of mandatory quarterly hand hygiene audits in public Malaysian hospitals the burden of auditing is impacting the support and potential sustainability of the program. We looked to alternative methods to routinely measure compliance because human auditing has decreased validity and reliability inherent in the methodology.
Highlights
After three years of mandatory quarterly hand hygiene audits in public Malaysian hospitals the burden of auditing is impacting the support and potential sustainability of the program
Small increases in compliance were followed with incongruent large increases in alcohol based hand rub (ABHR) purchase
The lack of correlation between ABHR and compliance rates suggests that compliance rates are not reflected in changes in ABHR purchasing patterns
Summary
After three years of mandatory quarterly hand hygiene audits in public Malaysian hospitals the burden of auditing is impacting the support and potential sustainability of the program. We looked to alternative methods to routinely measure compliance because human auditing has decreased validity and reliability inherent in the methodology
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