Methods and systems for improving hand hygiene

Exemplary embodiments of methodologies of improving hygiene metric, methodologies of training observers, and software products for improving hygiene metrics are disclosed herein. An exemplary methodology of improving hand-hygiene includes obtaining data indicative of the number of opportunities for one or more users to obtain a dose of hand cleaner for a plurality of dispensers through an electronic monitoring system. In addition, the exemplary methodology includes obtaining data indicative of dispense events by the plurality of dispensers through the electronic monitoring system. The methodology further includes determining a metric for the one or more users as a function of the data indicative of the number of opportunities and the data indicative of dispense events and providing instructions for an observer to obtain observation data related to the one or more users as a function of the metric.