Key success factors include the continuation of support from superintendents (photo showed E-letter from superintendent to every staff), and team works. We provide alcohol-based hand rub hospital-wide (particularly at the point of care) and balance between accessibility versus fire safety and patient safety. We customize “My Five Moments” and put posters or reminders at the healthcare zone as well as at the public area. We have annual hospital-level lectures for staff. We also encouraged HH ambassadors (role model nearby) to conduct unit-level quality improvement program, provideskill-based education and accreditation. NTUH, one of three Centers of Excellence for Hand Hygiene Promotion in Taiwan, has shared experiences with others via lectures, workshops and Patient Safety Summit in a 2-year country-wide HH accreditation program. Superintendents from different hospitals showed their commitment (photo). We emphasize the importance of top-down leadership and bottom-up efforts to achieve the institutional safety climate.

​E-letter from superintendent to every staff	Patient Safety Summit