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PSNet: Patient Safety Network
Journal Article

Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.

Fuller C, Besser S, Savage J, et al. American journal of infection control. 2014;42:106-10.

This study used direct observation and immediate feedback to explain why clinicians did not wash their hands. These real-time accounts provided insights into the reasons for noncompliance, which frequently included memory lapses, distractions, and lack of knowledge regarding specific indications (for instance, handwashing before and after donning gloves).