Skip to main content Accessibility help

Safety Culture and Hand Hygiene: Linking Attitudes to Behavior

  • Elizabeth Lee Daugherty (a1), Lori A. Paine (a2), Lisa L. Maragakis (a1), J. Bryan Sexton (a3) and Cynthia S. Rand (a1) (a4)...


Corresponding author

Division of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, 1830 East Monument Street, Room 549, Baltimore, MD 21205 (


Hide All
1. Pronovost, PJ, Berenholtz, SM, Goeschel, C, et al. Improving patient safety in intensive care units in Michigan. J Crit Care 2008;23(2):207221.
2. Paine, LA, Rosenstein, BJ, Sexton, JB, Kent, P, Holzmueller, CG, Pronovost, PJ. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf Health Care 2010;19(6):547554.
3. Pronovost, P, Needham, D, Berenholtz, S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355(26):27252732.
4. Berenholtz, SM, Pham, JC, Thompson, DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidemiol 2011;32(4):305314.
5. Sexton, JB, Helmreich, RL, Neilands, TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006;6:44.
6. Larson, EL, Early, E, Cloonan, P, Sugrue, S, Parides, M. An organizational climate intervention associated with increased handwashing and decreased nosocomial infections. Behav Med 2000;26(1):1422.
7. The Joint Commission. Measuring hand hygiene adherence: overcoming the challenges. 2009. Accessed April 25, 2012.
8. World Health Organization. Guide to implementation: a guide to the implementation of the WHO multimodal hand hygiene improvement strategy. 2009. Accessed April 25, 2012.


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed