While no one in health care doubts that increased hand hygiene will significantly reduce infections, the question has always been how to ensure that proper hand hygiene is consistently practiced.
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Is the New York Giants' bathroom more sanitary than your hospital room? Could be. And that player cleanliness may even have helped send the team to the Super Bowl.
The field of medicine has understood the importance of hand washing for almost 200 years. The fact that you need signs, though, suggests that not everyone is washing their hands all the time. What kinds of signs are likely to be most effective?
Is it possible that health workers might be more motivated by messages that emphasize patients' welfare rather than their own?
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