Improving Hand Hygiene Compliance in a Resource-Limited ICU Using a Low-Cost Multimodal Quality Improvement Intervention.

ABSTRACT: Background/Objective: Hand hygiene is a cornerstone of infection prevention; however, compliance is inconsistent in intensive care units (ICUs), particularly in resource-constrained settings. This study evaluated whether a low-cost, multimodal quality improvement intervention could improve process-level hand hygiene compliance using routine, episode-based audits embedded in the ICU practice. Methods: We conducted a single-cycle Plan-Do-Study-Act quality improvement project in a 12-bed mixed medical-surgical ICU in Pakistan (December 2023-January 2024). Hand hygiene performance was assessed using the unit's routine weekly episode-based audit protocol, aligned with the WHO Five Moments framework. A targeted multimodal intervention comprising education, point-of-care visual remi

SUBMITTER: Qazi S 

PROVIDER: S-EPMC12897775 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature