SUPPLEMENTARY MATERIAL SUPPLEMENTARY TABLES Table S1A: A summary of implementation activities per hospital; all hospitals implementing the HH intervention, alone or in combination System change Training and Education Evaluation and Feedback Reminders in the workplace Institutional safety climate Hospital Intervention Action plan Alcoholbased handrub available at the bedside Educational sessions Smallgroup/ bedside training Presentations Institutional feedback of results Individual feedback of compliance results (according to the allocated intervention) Posters Supported by hospital management Supported by ICU management: Additional activities 3 Both No Yes Yes Yes Adapted WHO material or made their own Yes Yes WHO in local language No Supportive, ICU management in PROHIBIT team - 4 HH No Yes, but in one ICU difficult to access. Yes Yes Adapted WHO material or made their own Yes Yes already in place (WHO) Yes Supportive after change of ICU head doctor Badges pocket bottles with ABHR handed out 5 HH Yes Yes, improved as part of the intervention. Yes (for the entire hospital) Yes Adapted WHO material or made their own Yes Yes WHO in English Yes Supportive after change of ICU head doctor note on hospital’s homepage fluorescence testing questionnaire 6 Both No Yes Yes Yes Adapted WHO material or made their own Yes Yes already in place Yes Supportive screensaver 7 HH Yes Yes. Some dispensers were repositioned to improve accessibility. Yes Yes Used WHO material, without adaptation Yes Yes made their own Yes Supportive kick off meeting wall of Fame, monthly prize traffic light; HH test (May 5)
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