The impact of automated hand hygiene monitoring with and without complementary improvement strategies on performance rates.

Objective: To determine how engagement of the hospital and/or vendor with performance improvement strategies combined with an automated hand hygiene monitoring system (AHHMS) influence hand hygiene (HH) performance rates.

Design: Prospective, before-and-after, controlled observational study.

Setting: The study was conducted in 58 adult and pediatric inpatient units located in 10 hospitals.