Tag Archives: do

Becker's Hospital Review
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Becker’s Hospital Review: 5 Reasons Direct Observation Is No Longer the Gold Standard

Hand hygiene is widely recognized as the most important foundational aspect in reducing Healthcare Associated Infections. Measuring clinicians’ hand hygiene performance rates is critical to being able to address this problem. Until recently, the only way to do this was through Direct Observation – having “mystery shoppers” in hospital hallways make notes of whether or not clinicians performed hand hygiene. DO was considered the “gold standard” of hand hygiene monitoring because it was really the only way to

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The Impossible Duality of Direct Observation
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The Impossible Duality of Direct Observation

Some claim that Direct Observation (D.O.) is the best method to both (A) measure, and (B) change hand hygiene behavior. We assert that D.O. can do one or the other, but not both. (And it does neither particularly effectively, which we’ll get to later.) First, let’s look at using D.O. to measure hand hygiene behavior. Let’s put aside most of the problems with D.O., such as observer bias, recall bias, small sample size, inability to see into rooms,

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Direct Observation: the “Fool’s Gold” Standard
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Direct Observation: the “Fool’s Gold” Standard

fool’s gold (ˈfo͞olz ˌɡōld): something that you think will be very pleasant or successful but is not. Direct observation is no longer the gold standard in hand hygiene performance monitoring. Direct observation is, rather, the “Fool’s Gold” standard. You remember Fool’s Gold, or iron pyrite. It’s a mineral – not a metal – that’s shiny and gold-colored. It’s often confused for the real thing, but there is no value.  People wasted a lot of time trying to find

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