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Hand Hygiene

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12 Recommendations Table 4. Type and Timing of Feedback by Hand Hygiene Measurement Method Measurement Method Type of Feedback Timing of Feedback Direct overt observations Individualized Immediate Direct covert observations Individualized End of observation period Aggregate Regular reports of adherence (e.g., weekly) AHHMSs Individualized Immediate (i.e., real-time reminders) Aggregate Continuously updated realtime reports Regular reports of adherence (e.g., weekly) Remote video observations Individualized End of shi Aggregate Regular reports of adherence (e.g., weekly) Patient as observer Individualized Regular reports of adherence (e.g., weekly) Aggregate Regular reports of adherence (e.g., weekly) Indirect methods Aggregate Regular reports of usage or events (e.g., monthly, quarterly)

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