Abstract: Objective To investigate the influence of the multi-dimensional hand hygiene education on the hand hygiene compliance in refresher medical workers before and after the multi-dimensional hand hygiene education. Methods For the poor hand hygiene compliance of the refresher workers after the training in the first half of 2016, a multi-dimensional hand hygiene education have been performed with aim to improve hand hygiene compliance of newly-entered refresher. The multi-dimensional hand hygiene education bundle include "standardized hand hygiene series lectures", "Hospital Sense Group Assessment", "Clinical operation check List" and "Addition of hand hygiene supervision post". Results The trainees, who joined the department in the second half of 2016, enrolled in the training of hand hygiene. The refresher doctors’ hand hygiene compliance rose from 44.9% (318/709) in the first half to 81.4% (991/1,217) in the second half. Hand Hygiene Compliance Difference is 36.5%, (P<0.001); there are significant differences. The hand hygiene compliance of refresher nurses rose from 63.1 (318/709) in the first half to 91.9% (2,177/2,368) in the second half. Hand Hygiene Compliance Difference is 28.8%, (P<0.001); there are significant differences. Conclusions The established training model of hand hygiene could significantly improve the hand hygiene compliance of the trainees in a short-term.

Key words: [Key words]: hand hygiene, nosocomial infection, compliance, multi-dimension