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Effects of Peer Monitoring and Peer Feedback on Hand Hygiene in Surgical Intensive Care Unit and Step-down Units

Langston, Michael PhD, RN

Section Editor(s): OERMANN, H. MARILYN PhD, RN, FAAN

doi: 10.1097/NCQ.0b013e3181ea75b8

Attempts to increase hand hygiene compliance of health care workers solely through education have met with mixed success. A peer-monitoring and feedback intervention was evaluated to determine the effectiveness in increasing hand hygiene among health care staff at a large teaching hospital. Comparisons of pre- (n = 263) and post- (n = 253) observations revealed that the intervention had a significant effect on increasing hand hygiene compliance after nonpatient contact in a patient's room (P = .006).

University of North Carolina Hospitals, Chapel Hill.

Correspondence: Michael Langston, PhD, RN, University of North Carolina Hospitals, 10 Manning Dr, Chapel Hill, NC, 27514 (

Accepted for publication: May 30, 2010

© 2011 Lippincott Williams & Wilkins, Inc.