Health-care associated infections are a threat to patient safety and the most common adverse events resulting from a stay in the hospital.1 Approximately 5 to 10% of hospitalized patients in the developed world acquire such infections, and the burden of disease is even higher in developing countries. Proper use of hand hygiene is a critical to the prevention of these infections, but compliance among health care workers is most often below 40%. . . . .
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Supported in part by a grant from the Swiss National Research Fund (FN 3200B0-122324) and by the University of Geneva Hospitals.
Drs. Longtin and Sax contributed equally to this article.
Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.
We thank all members of the Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, for their dedication to improving patient safety, Rosemary Sudan for editorial assistance, Otto Zingg for his technical assistance with the video, and Christa Prins for the photographs in this article.
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