Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting.
Approach to Improving Safety
Setting of Care
In this quality improvement study, patients were asked to report on their physician's hand hygiene practice, and mirroring results of prior studies, most patients were willing to participate and rated their physicians highly. Patient reports and nurse observations regarding hand hygiene compliance corresponded 87% of the time, leading the authors to conclude that engaging patients in this role is a feasible method to promote compliance.