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At Clinic A, the plan is to meet as a team and start with 10 patients. The team will note how many clinicians washed their hands before and after each patient encounter to learn what might be the barriers to hand washing. The team will continue to track 10 patients per week as various interventions are tested and then will determine if hand hygiene compliance gets better over time. At Clinic B, the plan is to meet as a team and choose a test to implement. The team will randomly assign patients to two groups, making sure both have similar attributes. The team will then develop a database, and over the next six months, measure how many clinicians in each group washed their hands before and after each patient encounter. After that, the team will implement the chosen intervention with one of the groups and reassess hand hygiene compliance as compared to the control group.
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