463. Healthcare Workers Perceptions Regarding the Use of an Electronic Hand Hygiene Monitoring System at a VA Hospital

A cornerstone of healthcare-associated infection prevention is hand hygiene which has resulted in regulatory requirements to monitor hand hygiene compliance. Direct observation is the gold standard for hand hygiene compliance monitoring, but has several drawbacks. Electronic monitoring systems have begun to replace direct observation with several potential advantages, including larger sample size and more timely feedback. End user acceptance and adoption is a critical step to evidence-based practice implementation. To evaluate potential barriers and facilitators to adoption, we conducted a qualitative evaluation of nursing perceptions following a trial of an electronic hand hygiene compliance monitoring system