HIGHLIGHTS
SUMMARY
H-H improvement initiatives (e_g, online training modules, visible reminders, hand-hygiene champions from among the medical staff, and empowering patients to encourage hand-washing among healthcare providers) Medical clowns as hand-hygiene promoters in hospitals Medical/Therapeutic clowning While MCs are trained in proper hygiene practices including correct hand-sanitizing procedures, no study of MCs serving as promoters of hand-hygiene has been reported in the professional/scientific literature. As in all intervention evaluation research, there exists the possibility that an underlying temporal or secular trend (i.e., extraneous factors unrelated to the . . .
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