TY - SER TI - Observation inflates compliance rates SN - 0360-4039 PY - 2014/// KW - Hygiene KW - Medical personnel N1 - Nursing N2 - When people know they're being observed, they may alter their behavior--a phenomenon known as the Hawthorne effect or observation bias. Researchers hypothesized that because of the Hawthorne effect, healthcare workers are more likely to follow hand hygiene guidelines when hand hygiene auditors are on site, artificially inflating compliance rates. Michael Gardam, MD, recommends that front-line staff take ownership of initiatives to improve compliance ER -