Part 2 book “Hand hygiene - A handbook for medical professionals” has contents: Performance feedback, marketing hand hygiene, human factors design, institutional safety climate, patient participation and empowerment, national hand hygiene campaigns, the economic impact of improved hand hygiene, hand hygiene - key principles for the manager, and other contents. | k Chapter 25 Performance Feedback Andrew J. Stewardson1,2 and Hugo Sax3 1 Infectious Diseases Department, Austin Health and Hand Hygiene Australia, Melbourne, Australia 2 Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland 3 Division of Infectious Diseases and Infection Control, University Hospital of Zurich, Zürich, Switzerland KEY MESSAGES k • Performance feedback enhances hand hygiene compliance by demonstrating discordance between perceived and actual hand hygiene behavior. • Feedback should involve data that healthcare workers will consider pertinent to them. • Data should be given meaning, whether by peer-comparison, goal-setting, or other methods. WHAT WE KNOW – THE EVIDENCE Performance feedback involves providing an individual, or group, with information regarding their own performance with the objective of influencing their practice. In the context of hand hygiene promotion, performance feedback generally means providing healthcare workers (HCWs) with their own hand hygiene compliance data. HCWs generally overestimate their own hand hygiene compliance. Hence, feedback can facilitate improvement by drawing HCWs’ attention to the discordance between their perceived and actual performance. Theoretical Framework The objective of optimal hand hygiene behavior is to prevent transmission of pathogenic or resistant microorganisms between patients or from nonsterile to Hand Hygiene: A Handbook for Medical Professionals, First Edition. Edited by Didier Pittet, John M. Boyce and Benedetta Allegranzi. © 2017 John Wiley & Sons, Inc. Published 2017 by John Wiley & Sons, Inc. k k k Chapter 25 k Performance Feedback 173 sterile sites within an individual Thus, from a human factors perspective, hand hygiene faces two overlapping challenges common to many infection prevention First, hand hygiene lacks a direct and observable result. It is
