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PSNet: Patient Safety Network
Journal Article

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra A-M, Cohen B, Stone PW, et al. Journal of nursing care quality. 2011;26:30-8.

This study found that organizations that prioritized teamwork—specifically by using morning huddles among nurses—reported higher rates of hand hygiene. Although system factors may play a role in suboptimal hand hygiene, some observers have argued for greater emphasis on individual responsibility in this area.