Hand washing: How one hospital achieved nearly compliance- hand hygiene in hospital ,Vanderbilt already had a traditional hand-hygiene program in place, but it was doing little to improve hand-washing rates. So the doctors took a different approach, focusing on three important areas: Training. Every single hospital employee received training on correct hand-washing protocol, from clerical workers to chief surgeons.Hand washing: How one hospital achieved nearly complianceVanderbilt already had a traditional hand-hygiene program in place, but it was doing little to improve hand-washing rates. So the doctors took a different approach, focusing on three important areas: Training. Every single hospital employee received training on correct hand-washing protocol, from clerical workers to chief surgeons.