Main Causes of Failure to Clean Hands

There are several causes that lead to failure in hand hygiene compliance. The reasons include:

  • ineffective placement of dispensers or sinks
  • hand hygiene data compliance data are not collected or reported accurately or frequently
  • lack of accountability and just-in time coaching
  • safety culture does not stress hand hygiene at all levels
  • ineffective or insufficient education
  • hands full
  • wearing gloves interferes with process
  • perception that hand hygiene is not needed if wearing gloves
  • health care workers forget
  • and distractions

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