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. 2017 Sep 1;2017(9):CD005186. doi: 10.1002/14651858.CD005186.pub4

Moghnieh 2016.

Methods Non‐randomised trial in 1 hospital
Study period: November 2015‐March 2016
Lebanon
Participants Nurses
Interventions Incentives in 1 intervention arm, and audit feedback in separate intervention arm vs education in control group
Outcomes Observed hand hygiene compliance
Notes Funding source: Not stated
Declaration of interest: Not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Non‐random allocation
Allocation concealment (selection bias) Unclear risk Allocation was done at the start of the study but method was not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not possible to blind
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Auditors were blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Missing data (missed opportunities) unlikely to be very different in different arms
Similar loss to follow‐up in both groups
Selective reporting (reporting bias) Low risk No evidence of selective reporting
Other bias Low risk No evidence
Baseline outcomes Low risk Similar baseline hand hygiene compliance
Baseline characteristics Unclear risk Reported as similar but no supporting data provided
Protection from contamination Unclear risk Unclear if staff moved from unit to unit and would have been aware of feedback