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culture change, evidence-based practice, hand hygiene, patient safety



  1. Day, Cindy DNP, NEA, BC, RN


Hand hygiene is critical to the safety of patients in hospitals today.


Objective: Engaging staff, physicians, patients, and visitors in hand hygiene is important to create a safe environment. The author discusses the development and implementation of an evidence-based practice guideline for improving hand hygiene and application of that guideline in an academic medical center setting.


Method: Establishment of a multidisciplinary team committed to improving organizational performance, development of a practice guideline, organizational assessment, and the implementation of a multimodal intervention plan are all keys to success.


Conclusion: Organizational culture can be changed utilizing an evidence-based, organization-specific approach to hand hygiene.