Through a multimodal intervention hand hygiene compliance on intervention wards was improved to 75.6% in comparison to 66.0% in the control group. All involved wards were intensive care units from 11 hospitals of Buenos Aires. The interventions were:
I: signed letter of commitment of directors and team leaders;
II: improved availability of hand rubs through rapid re-supply;
III: reminders for hand hygiene placed at entrances of patient rooms and common areas;
IV: storyboards with letters of commitment, performance indicators, and photos of the healthcare team;
V: monthly performance feedback