We are re-thinking how we monitor hand hygiene. Sometimes it's quite obvious when staff are being observed for hand hygiene compliance by infection control staff. We think this might skew the results.
So, an idea we came up with is to use the "secret shopper" approach with patients being the one's that are monitoring hand hygiene compliance.
Do you use or have heard of this type of approach? I can't find much information specifically related to hand hygiene monitoring.