Monitor indicators to track hand hygiene compliance

Periodically assess adherence, product volume

Infection control professionals should track the following performance indicators to ensure compliance with new hand hygiene guidelines by the Centers for Disease Control and Prevention:

  • Periodically monitor and record adherence as the number of hand-hygiene episodes of hand-hygiene opportunities, by ward or by service. Provide feedback to personnel regarding their performance.
  • Monitor the volume of alcohol-based hand rub (or detergent used for hand washing or hand antisepsis) used per 1,000 patient days.
  • Monitor adherence to policies dealing with the wearing of artificial nails.
  • When outbreaks of infection occur, assess the adequacy of health care worker hand hygiene.1


1. Centers for Disease Control and Prevention. Guideline for hand hygiene in health care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR 2002; 52(RR16);1-44.