Implementing an electronic hand hygiene monitoring system: Lessons learned from community hospitals.

Background: Measuring and providing feedback about hand hygiene (HH) compliance is a complicated process. Electronic HH monitoring systems have been proposed as a possible solution; however, there is little information available about how to successfully implement and maintain these systems for maximum benefit in community hospitals.

Methods: An electronic HH monitoring system was implemented in 3 community hospitals by teams at each facility with support from the system vendor.