RT Journal Article SR Electronic T1 Improving handwashing among parent-attendants visiting a newborn unit practising family participatory care JF BMJ Open Quality JO BMJ Open Qual FD British Medical Journal Publishing Group SP e001811 DO 10.1136/bmjoq-2022-001811 VO 11 IS Suppl 1 A1 Arti Maria A1 Ankur Sooden A1 Rashmi Wadhwa A1 Ravleen Kaur A1 Indu Gaur A1 Kalsang Lhamo A1 Vallamkonda Nagaratna YR 2022 UL http://bmjopenquality.bmj.com/content/11/Suppl_1/e001811.abstract AB In our newborn intensive care unit (NICU), we practise family participatory care, where the unit staff encourage parents and attendants of sick newborns to partner with them and be involved in care for their babies. There remains a concern that this practice may increase the risk of nosocomial infections being carried into the unit by parent-attendants. Staff observed that handwashing behaviours were suboptimal and inconsistent among parent-attendants. With facilitation from an improvement coach, we formed a quality improvement team of NICU staff to improve hand hygiene practices among attendants. From a baseline estimate of around 20% of attendants adhering to hand hygiene standards, the team planned to reach a target of 80% over 8 weeks by introducing a series of changes. At the end of 9 weeks, 80% of attendants were following standard hand hygiene practices.All data relevant to the study are included in the article or uploaded as supplemental information.