Using goal setting, task clarification, and feedback to increase the use of the hands-free technique by hospital operating room staff.

Hospital staff set their own weekly goals for using the hands-free technique when passing sharp tools.

They also got clear one-page rules and a short weekly feedback chart.

The study ran in both inpatient and outpatient operating rooms.

Safe sharp-passing doubled after the package started.

Gains held five months later with no extra coaching.

Maguire et al. (2022) used the same goal-plus-feedback recipe to push residential-school staff to 100% COVID-19 mask and glove use.

DeFriedman et al. (2025) later showed the same idea works on Zoom: parents learned perfect car-seat installs after one BST call and feedback.

Morosohk et al. (2025) added covert spot-checks to the mix; room-search fidelity stayed high even when staff thought no one was watching.

Together the four studies trace a clear line: brief staff-set goals plus quick feedback keep safety behaviors strong across hospitals, schools, homes, and screens.

You can copy the whole package in one lunch break. Ask your team to pick a safe-behavior target, write a one-sentence rule, and post a weekly tally. Whether you run an OR, a group home, or a telehealth parent class, the same three moves—goal, clarify, feedback—keep staff and clients safer for months.