National Data Period Two 2016

 

Audit Period 2 - 2016 (Jun)
(NHHI Audit Two 2016)

Data have been collected nationally from a total of 902 hospitals from both the public and private sectors. The average compliance rate was 83.9% .
 

 Overall Compliance Rate

 

  Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI

Overall
Rate


459,619

547,575

83.9%

83.8%

84%
 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 126,965 157,430 80.6% 80.5% 80.8%
2 - Before Procedure

47,519

54,584 87.1% 86.8% 87.3%
3 - After a Procedure or Body Fluid Exposure Risk 58,852 64,996 90.5% 90.3% 90.8%
4 - After Touching a Patient 136,970 155,951 87.8% 87.7% 88.0%
5 - After Touching A Patient's Surroundings 89,313 114,614 77.9% 77.7% 78.2%

Figure 1. National Hand Hygiene Compliance Rate By Moment
 

Compliance Rate by Health Care Worker

HCW Type Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Lower
95% CI
Nurse/Midwife

317,105

363,813

87.2% 87.1% 87.3%
Medical Practitioner

52,631

72,595

72.5% 72.2% 72.8%
Personal Care Staff

17,549

22,622

77.6% 77.0% 78.1%
Allied Health Care Worker

22,691

27,567

82.3% 81.9% 82.8%
Administrative and Clerical Staff

1,982

2,482

79.9% 78.2% 81.4%
Invasive Technician

6,377

7,430

85.8% 85.0% 86.6%
Domestic

9,900

13,551

73.1% 72.3% 73.8%
Student Doctor

1,547

1,998

77.4% 75.5% 79.2%
Student Nurse/Midwife

17,218

20,831

82.7% 82.1% 83.2%
Student Allied Health

1,225

1,537

79.7% 77.6% 81.6%
Student Personal Care 192 218 88.1% 83.1% 91.7%
Other - Not Categorised Elsewhere

3,154

4,321

73.0% 71.6% 74.3%
Dentist, Specialist Dentists 2,479 2,639 93.9% 93.0% 94.8%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,040 1,106 94.0% 92.5% 95.3%
Dental Assistant/Dental Nurse 4,042 4,284 94.4% 93.6% 95.0%
Dental Technicians/Laboratory staff (no patient contact) 16 16 100.0% 80.6% 100.0%
Student Dentist 275 335 82.1% 77.6% 85.8%
Student Dental Therapists 105 130 80.8% 73.2% 86.6%
Student Dental Assistant/Dental Nurse 86 95 90.5% 83.0% 94.9%
Student Dental Technicians/Laboratory staff (no patient contact) 5 5 100.0% 56.6% 100.0%

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 (90.5%) and after touching a patient (87.8%). 
 
Figure 2 depicts the compliance rate by healthcare worker professional group. 
 

 Medical Staff hand hygiene compliance rate by Moment

Moment Correct Moments Total Moments Compliance Rate Lower 95% CI Upper 95% CI
1- Before Touching A Patient

14,273

21,061

67.8% 67.1% 68.4%
2 - Before Procedure

5,314

6,652

79.9% 78.9% 80.8%
3 - After a Procedure or Body Fluid Exposure Risk

5,540

6,999

79.2% 78.2% 80.1%
4 - After Touching a Patient

17,760

22,474

79.0% 78.5% 79.6%
5 - After Touching A Patient's Surroundings

9,744

15,409

63.2% 62.5% 64.0%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

Moment Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient

89,616

106,653

84.0% 83.8% 84.2%
2 - Before Procedure

35,020

39,624

88.4% 88.1% 88.7%
3 - After a Procedure or Body Fluid Exposure Risk

43,953

47,632

92.3% 92.0% 92.5%
4 - After Touching a Patient

94,232

104,306

90.3% 90.2% 90.5%
5 - After Touching A Patient's Surroundings

54,284

65,598

82.8% 82.5% 83.0%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 2,464 3,060 80.5% 79.1% 81.9%
Ambulatory Care 16,245 18,638 87.2% 86.7% 87.6%
Critical Care Unit 47,461 57,366 82.7% 82.4% 83.0%
Dental 8,179 8,822 92.7% 92.2% 93.2%
Emergency Department 21,678 28,472 76.1% 75.6% 76.6%
Long-term Care 638 674 94.7% 92.7% 96.1%
Maternity 18,519 21,479 86.2% 85.8% 86.7%
Medical 63,115 77,042 81.9% 81.6% 82.2%
Mental Health 7,784 9,081 85.7% 85.0% 86.4%
Mixed 37,440 44,369 84.4% 84.0% 84.7%
Neonatal Care 10,093 11,296 89.4% 88.8% 89.9%
Oncology/Haematology 28,845 33,941 85.0% 84.6% 85.4%
Other 15,929 18,519 86.0% 85.5% 86.5%
Paediatrics 19,569 10,819 84.4% 87.8% 89.0%
Palliative 788 911 86.5% 84.1% 88.6%
Peri-operative 26,802 32,398 82.7% 82.3% 83.1%
Radiology 4,619 5,328 86.7% 85.8% 87.6%
Renal 23,400 26,978 86.7% 86.3% 87.1%
Sub Acute 20,946 24,695 84.8% 84.4% 85.3%
Surgical 93,265 111,617 83.6% 83.3% 83.8%
Transplantation Unit 1,840 2,070 88.9% 87.5% 90.2%

*See Appendix 1 for full explanation

Compliance Rates by Peer Group
Public hospitals only
Public Peer Group** Correct
Moments
Total
Moments
Compliance
Rate
Lower
95%
CI
Upper
95%
CI
Principal (n=91 ) 228,545 275,969 82.8% 82.7% 83.0%
Large (n=41) 39,452 46,348 85.1% 84.8% 85.4%
Medium (n=81) 20,329 24,207 84.0% 83.5% 84.4%
Small (n=328) 35,034 40,354 86.8% 86.5% 87.1%

**See Appendix 2 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, E3,E4, E9, F, G

Private hospitals only
Private Peer Group Correct
Moments
Total
Moments
Compliance
Rate
Lower
95%CI
Upper
95% CI
PPG 1 (n= 7) 20,751 24,475 84.8% 84.3% 85.2%
PPG 2 (n= 5) 7,700 9,638 79.9% 79.1% 80.7%
PPG 3 (n= 12) 22,449 26,378 85.1% 84.7% 85.5%
PPG 4 (n= 19) 18,227 21,620 84.3% 83.8% 84.8%
PPG 5 (n= 29) 17,196 20,153 85.3% 84.8% 85.8%
PPG 6 (n= 67) 15,363 18,141 84.7% 84.2% 85.2%
PPG 7 (n= 56) 6,627 7,800 85.0% 84.2% 85.7%


PPG 1 = >400 acute inpatient beds
PPG 2 = 301-400 acute inpatient beds
PPG 3 = 201-300 acute inpatient beds
PPG 4 = 151-200 acute inpatient beds
PPG 5 = 101-150 acute inpatient beds
PPG 6 = 51-100 acute inpatient beds

PPG 7 = <51 acute inpatient beds

Private day hospitals only

Day Hospital Peer Group Correct Moments Total Moments Compliance Rate Lower 95% CI Upper 95% CI
Large (n= 12) 4,470 5,027 88.9% 88.0% 89.8%
Medium (n= 34) 5,883 6,859 85.8% 84.9% 86.6%
Small (n= 43) 4,581 5,311 86.3% 85.3% 87.2%


Large = Stand alone facility performing >5,000 procedures per annum

Medium = Stand alone facility performing 2,000 -5,000 procedures per annum
Small = Stand alone facility performing <2,000 procedures per annum

 

Standalone and Satellite Dialysis Centres only

Dialysis Centres Peer Group Correct Moments Total Moments Compliance Rate Lower 95% CI Upper 95% CI
Large (n= 20) 3,006 3,950 76.1% 74.7% 77.4%
Small (n= 7) 825 931 88.6% 86.4% 90.5%

Large = Stand alone facility performing >5,000 procedures per annum

Small = Stand alone facility performing <5,000 procedures per annum

Appendix 1

Ward Type Categories

Ward Type
Further Definitions
Acute Aged Care

Unit providing predominantly acute geriatric medical care

Ambulatory Care

Out-patient clinic/treatment

Critical Care Unit

Including Coronary Care, Adult and Paediatric Intensive Care Units, High Dependency Unit

Dental  
Emergency Department  
Long-term Care Includes residential care for adults and children, and transition wards for  patients awaiting long-term care placement
Maternity

Delivery suite, maternity ward

Medical

Including dermatology, neurology, respiratory etc

Mental Health  
Mixed  
Neonatal Care  Includes Neonatal Intensive Care Unit and Special Care Nursery
Oncology/Haematology Unit

Including Day Oncology

Other

If not defined within the other categories

Paediatrics

Children’s Wards of Non-paediatric hospitals

Palliative  
Peri-operative Includes pre-operative units, theatre and recovery/post-anaesthesia care unit
Radiology Medical imaging, including nuclear medicine and interventional radiology units
Renal Including dialysis
Sub Acute

Including rehab, geriatric evaluation and management

Surgical

General and specialty surgical wards, including orthopaedics, neurosurgery, urology, ENT, opthalmology etc

Transplantation Unit  

 

Appendix 2

Public Peer Group Categories

Principalreferral 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
 
Largehospitals
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
 
Mediumhospitals
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 acutehospitals
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 acutehospitals
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.