It sounds counterintuitive and a little scary.
The research finds as few as 30% of hospital employees wash their hands before dealing with patients.
Needless to say, that can lead to infection and other issues that hospitals don’t need.
Their answer comes from thousands of miles away.
The New York Times reports some facilities are turning to motion sensing cameras that send pictures and video to a monitoring company in India.
People there watch to make sure the employee washes their hands carefully before any interaction.
Others turn to undercover cleanliness cops who keep watch while some use special electronic badges.
The problem for hospitals goes beyond the obvious. New federal law on the way would penalize their Medicare reimbursement if preventable infections reach too high of a rate.
One doctor in Long Island told the Times "this is not a quick fix, this is a war."
Researchers point to several reasons why such a basic tenant of cleanliness is so hard to maintain.
Dry skin is one complaint along with resisting authority.
Some even say old fashioned boredom is the reason.