Hospitals are always looking for cost-effective ways to track hand hygiene. Electronic hand hygiene monitoring is evolving. There are currently several hand hygiene monitoring systems in place. A system monitors based on group activity and compiles evidence-based statistics that determine how many times workers should have washed their hands based on hospital-specific data and nurse-to-patient ratio (Lorenzi, 2014). Another available system uses the hospital's Wi-Fi network to transmit information. When the healthcare worker enters or leaves a room and dispenses the soap or hand sanitizer, a built-in "exciter unit" triggers the staff member's badge to send a message that documents the time and location of hand hygiene event, allowing the hospital to track health workers. hygiene (Lorenzi,