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Positive Deviance and Hand Hygiene: More Questions than Answers
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---2augustus 20242024/2025A+
- To the Editor—Optimizing adherence to hand hygiene rec 
ommendations has been problematic in many healthcare set 
tings. We read with interest the article by Marra et al1 relating 
their experience with a positive deviance (PD) approach to 
improving hand hygiene adherence. The authors should be 
commended for adding to our understanding of hand hygiene 
and the PD strategy for improving adherence, but a number 
of limitations should be noted and several questions should 
be addressed.
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