Worse, the caregivers, most of whom began their shifts in the morning, were even less likely to sanitize their hands in the afternoons. This decline from the relative diligence of the mornings to the relative neglect of the afternoon was as great as 38 percent. That is, for every ten times they washed their hands in the morning, they did so only six times in the afternoon.6 The consequences are grave. “The decrease in hand hygiene compliance that we detected during a typical work
