When Observation Changes Behavior: Understanding the Hawthorne Effect in Hand Hygiene Monitoring

The Challenge of Measuring True Compliance For more than a decade, infection prevention programs have relied on direct observation as the gold standard for assessing hand hygiene compliance. Trained observers document whether healthcare workers disinfect their hands during the World Health Organization’s “5 Moments for Hand Hygiene” — before and after patient contact, before aseptic […]

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