459. Patient-Based Surveys to Better Understand Patients’ Perceptions of Healthcare Providers’ Hand Hygiene Practices and if Patient Responses Validate Secret Observers’ Hand Hygiene Compliance Reporting

Background Hand hygiene (HH) is one of the simplest and most effective methods to decrease healthcare-associated infections (HAIs). However, in outpatient settings, it is difficult to audit HH practices as patient-healthcare provider (HCP) interactions take place behind closed doors. Within our system, secret observers (SO) monitor HCPs HH, which is routinely reported at near 100%. We wished to determine patient’s perception of their HCP’s HH and see how well it matched SO HH observations.