Alcohol-based hand rub and nosocomial scabies.

minders remains a major challenge to individualized feedback strategies. More intensive efforts, beyond poster campaigns, may be necessary to encourage patients to remind HCWs. Prior patient feedback strategies used one-on-one patient information sessions; however, inpatient turnover imposes continual resource demands on that approach. Clinical leaders are needed to openly invite their teams to give hand hygiene feedback. It may be useful for future "empowerment" campaigns to build on the finding that most of the surveyed HCWs, at least in principle, accept reminder strategies. This is a step toward an open hospital culture where HCWs can mutually enforce hand hygiene adherence to promote patient safety.