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Chang NN, Schweizer ML, Reisinger HS, Jones M, Chrischilles E, Chorazy M, Huskins WC, Herwaldt L. The impact of workload on hand hygiene compliance: Is 100% compliance achievable?. Infection control and hospital epidemiology. 2022 Sep 1; 43(9):1259-1261.
Hand hygiene compliance decreased significantly when opportunities exceeded 30 per hour. At higher workloads, the number of healthcare worker types involved and the proportion of hand hygiene opportunities for which physicians and other healthcare workers were responsible increased. Thus, care complexity and risk to patients may both increase with workload.