Audit Period Three - 2012 (October)
(NHHI Audit Three 2012)
Data have been collected nationally from a total of 656 hospitals from both the public and private sectors. The average compliance rate was 76.4%.
|
Overall Compliance Rate
| |
Correct HH Moments
|
Moments Observed
|
Compliance Rate
|
Lower 95% CI
|
Upper 95% CI
|
|
Overall Rate
|
319,147
|
417,490
|
76.4%
|
76.3%
|
76.6%
|
|
Compliance Rate By Moment
|
Moment
|
Correct HH
Moments
|
Moments
Observed
|
Compliance
Rate
|
Lower
95% CI
|
Upper
95% CI
|
|
Moment 1
|
87,499
|
120,702
|
72.5%
|
72.2%
|
72.7%
|
|
Moment 2
|
27,469
|
35,536
|
77.3%
|
76.9%
|
77.7%
|
|
Moment 3
|
39,082
|
45,893
|
85.2%
|
84.8%
|
85.5%
|
|
Moment 4
|
101,438
|
122,788
|
82.6%
|
82.4%
|
82.8%
|
|
Moment 5
|
63,659
|
92,571
|
68.8%
|
68.5%
|
69.1%
|
|
 |
| Figure 1. National Hand Hygiene Compliance Rate By Moment |
Compliance Rate By Healthcare Worker Type
|
| HCW Type |
Code |
Correct HH
Moments |
Moments
Observed |
Compliance
Rate |
Lower
95% CI |
Upper
95% CI |
| Admin & Clerical |
AC |
1,344 |
1,850 |
72.6% |
70.6% |
74.6% |
| Allied HCW |
AH |
15,493 |
20,686 |
74.9% |
74.3% |
75.5% |
| Domestic* |
D |
6,842 |
10,527 |
65% |
64.1% |
65.9% |
| Invasive Tech |
BL |
5,298 |
7,151 |
74.1% |
73.1% |
75.1% |
| Medical Practitioner |
DR |
34,639 |
55,164 |
62.8% |
62.4% |
63.2% |
| Nurse/Midwife |
N |
222,518 |
276,016 |
80.6% |
80.5% |
80.8% |
| Other* |
O |
2,814 |
4,546 |
61.9% |
60.5% |
63.3% |
| Personal Care Staff* |
PC |
12,117 |
17,254 |
70.2% |
69.5% |
70.9% |
| Student AH |
SAH |
792 |
1097 |
72.2% |
69.5% |
74.8% |
| Student Medical |
SDR |
1,582 |
2,369 |
66.8% |
64.9% |
68.6% |
| Student Nurse/Midwife |
SN |
15,630 |
20,706 |
75.5% |
74.9% |
76.1% |
Student Personal Care
|
SPC |
78 |
124 |
62.9% |
54.1% |
70.9% |
| *Data Incomplete |
|
 |
|
Figure 2. National Hand Hygiene Compliance Rates by Healthcare Profession
|
|
Figure 1 depicts the compliance rates for each of the 5 Moments. The highest rates of compliance were after completion of a procedure (85.2%) and after touching a patient (82.6%).
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (80.6% for nurses/midwives and 75.5% for student nurses/midwives).
|
Medical Staff hand hygiene compliance rate by Moment
|
|
MOMENT
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
1 Before Touching A Patient
|
57.3%
|
56.5%
|
58%
|
|
2 Before Procedure
|
66.8%
|
65.2%
|
68.3%
|
|
3 After a Procedure or Body Fluid Exposure Risk
|
73.1%
|
71.7%
|
74.5%
|
|
4 After Touching a Patient
|
72.6%
|
72%
|
73.3%
|
|
5 After Touching A Patient's Surroundings
|
53.0%
|
52.2%
|
53.8%
|
|
Nursing/Midwifery Staff hand hygiene compliance rate by Moment
|
|
MOMENT
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
1 Before Touching A Patient
|
76.9%
|
76.3%
|
76.9%
|
|
2 Before Procedure
|
79.6%
|
79.1%
|
80.1%
|
|
3 After a Procedure or Body Fluid Exposure Risk
|
87.2%
|
86.9%
|
87.6%
|
|
4 After Touching a Patient
|
85.6%
|
85.3%
|
85.8%
|
|
5 After Touching A Patient's Surroundings
|
75.1%
|
74.7%
|
75.5%
|
|
Compliance Rates by Peer Group - Public hospitals only
|
|
Peer Group*
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
Principal (n= 84)
|
75.4%
|
75.0%
|
75.9%
|
|
Large (n=39)
|
78.0%
|
77.2%
|
78.8%
|
|
Medium (n=79)
|
77.6%
|
76.6%
|
78.6%
|
|
Small (n=291)
|
80.6%
|
80.5%
|
80.8%
|
*See Appendix 1 for full explanation. These categories only apply to public hospitals. No Private Hospital data is included.
Principal = A1, A2
Large = B1, B2
Medium = C1, C2
Small = D1, D2, D3, E2, G
Appendix 1
Peer Group Categories
|
Principal referral and specialist women's and children's
|
A1
|
Major city hospitals with >20,000 acute casemix adjusted separations and Regional hospitals with >16,000 acute casemix-adjusted separations per annum
|
|
A2
|
Specialised acute women’s and children’s hospitals with >10,000 acute casemix-adjusted separations per annum
|
|
Large hospitals
|
B1
|
Major city acute hospitals treating more than 10,000 acute casemix-adjusted separations per annum
|
|
B2
|
Regional acute hospitals treating >8,000 acute casemix adjusted separations per annum, and remote hospitals with >5,000 casemix-adjusted separations
|
|
Medium hospitals
|
C1
|
Medium acute hospitals in Regional and Major city areas treating between 5,000 and 10,000acute casemix-adjusted separations per annum
|
|
C2
|
Medium acute hospitals in Regional and Major city areas treating between 2,000 and 5,000 acute casemix adjusted separations per annum, and acute hospitals treating <2,000 casemix-adjusted separations per annum but with >2,000 separations per annum
|
|
Small acute hospitals
|
D1
|
Small Regional acute hospitals (mainly small country town hospitals), acute hospitals treating <2,000 separations per annum, and with less than 40% nonacute and outlier patient days of total patient days
|
|
Small acute hospitals
|
D3
|
Small remote hospitals (<5,000 acute casemix-adjusted separations but not 'Multipurpose services' and not 'Small non-acute'. Most are <2,000 separations
|
|
Small sub-acute and non-acute hospitals
|
D2
E2
G
|
Small non-acute hospitals, treating <2,000 separations per annum, and with more than 40% non-acute and outlier patient days of total patient days (D2) plus Multipurpose service (E2) – Small sub-acute and non-acute hospitals (G)
|
Australian Institute of Health and Welfare 2011. Australian hospital statistics 2009–10.
Health services series no. 40. Cat. no. HSE 107. Canberra: AIHW.
http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2
|