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Improving hand hygiene from high to very high compliance has not been documented to decrease healthcare-associated infections. We conducted longitudinal analyses during 2013-2015 in an 853-bed hospital and observed a significantly increased hand hygiene compliance rate (p&lt;0.001) and a significantly decreased healthcare-associated infection rate (p = 0.0066).

Reduction of Healthcare-Associated Infections by Exceeding High Compliance with Hand Hygiene Practices