 This review summarizes the latest technologies adopted in electronic hand hygiene monitoring systems for healthcare workers and discusses their capabilities and limitations. The results show that 73 studies used electronic monitoring systems to monitor hand hygiene compliance, while 21 studies evaluated hand hygiene quality. However, the review highlights issues such as accuracy, data integration, privacy and confidentiality, usability, associated costs, and infrastructure improvements. Additionally, standardized measurement tools are lacking to evaluate system performance differences among electronic hand hygiene monitoring systems, and more research is needed on their implementation to improve system performance and address other hand hygiene-related issues. This article was authored by Chaofan Wang, Weiwei Jiang, Kang Ninyang, and others.