Contact precautions as a barrier to hand hygiene: The Plan–Do–Study–Act (PDSA) framework to improve compliance with gloved hand hygiene

In an identified quality improvement effort, nurses were observed regarding their workflow while in contact precaution rooms. Multiple opportunities for hand hygiene were missed while nurses were in gloves, predominantly while moving between “dirty” and “clean” tasks. An education initiative afterward did not show improvement in hand hygiene rates.