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Positive Deviance and Hand Hygiene: More Questions than Answers
Positive Deviance and Hand Hygiene
Positive Deviance and Hand Hygiene
To the Editor—Optimizing adherence to hand hygiene rec ommendations has been problematic in many healthcare set tings. We read with interest the article by Marra et al1 relating their experience with a positive deviance (PD) approach to improving hand hygiene adherence. The authors should be commended for adding to our understanding of hand hygiene and the PD strategy for improving adherence, but a number of limitations should be noted and several questions should be addressed.
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