Replicating changes in hand hygiene in a surgical intensive care unit with remote video auditing and feedback
Using remote video auditing (RVA) and real-time feedback, we replicated health care workers hand hygiene in a second intensive care unit. During the first 4 weeks using RVA without feedback, the compliance rate was 30.42%. The rate during the 64-week postfeedback period (initial 16 and 48 weeks maintenance) with RVA and feedback exceeded 80% on average. These data demonstrate that improved handhygiene was achieved and sustained with the use of RVA and feedback.