Hospital acquired infections are a major problem, accounting for $10 billion in healthcare costs annually in the US. Proper hand hygiene is one of the most effective ways to prevent the spread of infections like MRSA and other pathogens in healthcare settings. However, handwashing compliance among healthcare workers is low. The introduction of alcohol-based hand rubs has significantly increased hand hygiene frequency and compliance compared to handwashing with soap and water alone due to being faster, more convenient and better tolerated on skin. Increased hand hygiene is critical for reducing healthcare associated infections and improving patient outcomes.