Department of Medicine, University of Toronto, Canada; Evaluative Clinical Sciences Program, Sunnybrook Research Institute, Canada; Institute for Clinical Evaluative Sciences, Canada; Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Canada; Center for Leading Injury Prevention Practice Education & Research, Canada; Corresponding author at: Sunnybrook Health Sciences Centre, G-151, 2075 Bayview Ave, Toronto, Ontario, M4N 3M5, Canada.
Deva Thiruchelvam
Evaluative Clinical Sciences Program, Sunnybrook Research Institute, Canada; Institute for Clinical Evaluative Sciences, Canada
Hand hygiene is a practical, affordable, acceptable, reliable, and effective strategy to mitigate nosocomial infection risks in hospitals. Here we provide an image of clinical medicine that documents a potential error related to hand sanitizer dispenser malfunction. An awareness of this adverse event can lead to immediate modifiable changes in healthcare settings to reduce the risks of nosocomial infections.
