A new mother sits by her tiny, premature baby in a neonatalintensive care unit. She watches as a physician touches thebaby without first washing his hands or using the waterless,alcohol-based hand antiseptic just a couple of feet away. Afew minutes later, a nurse and then another doctor also failto perform these basic procedures. When her baby was admittedto the unit, the mother was told to remind caregivers to washtheir hands, but only after witnessing repeated failures doesshe muster the courage to speak up about the practice she thoughtwould be routine. By . . . [Full Text of this Article]
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Dr. Goldmann is senior vice president of the Institute for Healthcare Improvement, Cambridge, Mass., and a professor in the Department of Pediatrics at Harvard Medical School, Boston.
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