A hospital ward has increasing rates of health care-associated infections. Direct observation shows hand hygiene compliance of 54% before patient

Question

A hospital ward has increasing rates of health care-associated infections. Direct observation shows hand hygiene compliance of 54% before patient contact. Staff say sinks are distant and feedback is infrequent. Which of the following is the most appropriate quality improvement measure?

Accepted Answer

Provide alcohol-based hand rub access, audit compliance, and give unit-level feedback

Answer

Restrict visitors as the primary intervention

Answer

Measure compliance once and stop

Answer

Rely on annual lectures without measurement

Answer

Replace hand hygiene with prophylactic antibiotics

Hand hygiene improvement — USMLE Step 3 MCQ

A hospital ward has increasing rates of health care-associated infections. Direct observation shows hand hygiene compliance of 54% before patient contact. Staff say sinks are distant and feedback is infrequent. Which of the following is the most appropriate quality improvement measure?