National Data Period Three, 2014

Audit Period 3 - 2014 (October)
(NHHI Audit Three 2014)

Data have been collected nationally from a total of 828 hospitals from both the public and private sectors. The average compliance rate was 81.9% .

 Overall Compliance Rate

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

Overall
Rate

439,856

537,154

81.9% 81.8% 82%

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 119,708 153,277 78.1% 77.9% 78.3%
2 - Before Procedure

43,217

50,925 84.9% 84.6% 85.2%
3 - After a Procedure or Body Fluid Exposure Risk 54,940 61,513 89.3% 89.1% 89.6%
4 - After Touching a Patient

133,336

154,069

86.5% 86.4% 86.7%
5 - After Touching A Patient's Surroundings

88,655

117,370

75.5% 75.3% 75.8%

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

303,576

355,059

85.5% 85.4% 85.6%
Medical Practitioner

52,187

74,338

70.2% 69.9% 70.5%
Personal Care Staff

18,055

23,725

76.1% 75.6% 76.6%
Allied Health Care Worker

21,594

26,976

80.0% 79.6% 80.5%
Administrative and Clerical Staff

1,800

2,378

75.7% 73.9% 77.4%
Invasive Technician

7,239

8,771

82.5% 81.7% 83.3%
Domestic

9,565

13,381

71.5% 70.7% 72.2%
Student Doctor

1,820

2,420

75.2% 73.4% 76.9%
Student Nurse/Midwife

18,838

22,998

81.9% 81.4% 82.4%
Student Allied Health

1,216

1,592

76.4% 74.2% 78.4%
Student Personal Care 210 256 82.0% 76.9% 86.2%
Other - Not Categorised Elsewhere

3,756

5,260

71.4% 70.2% 72.6%

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 (89.3%) and after touching a patient (86.5%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (85.5% for nurses/midwives and 82.5% for Invasive Technicians). 
 

 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

13,793

21,188

65.1% 64.5% 65.7%
2 - Before Procedure

4,747

6,152

77.2% 76.1% 78.2%
3 - After a Procedure or Body Fluid Exposure Risk

5,285

6,735

78.5% 77.5% 79.4%
4 - After Touching a Patient

17,792

22,890

77.7% 77.2% 78.3%
5 - After Touching A Patient's Surroundings

10,570

17,373

60.8% 60.1% 61.6%

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

84,563

103,349

81.8% 81.6% 82.1%
2 - Before Procedure

32,574

37,620

86.6% 86.2% 86.9%
3 - After a Procedure or Body Fluid Exposure Risk

41,523

45,490

91.3% 91.0% 91.5%
4 - After Touching a Patient

91,532

102,624

89.2%  89.0% 89.4%
5 - After Touching A Patient's Surroundings

53,384

65,976

80.9% 80.6% 81.2%

Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Ambulatory Care 16,414 19,906 82.5% 81.9% 83.0%
Critical Care Unit 49,074 61,462 79.8% 79.5% 80.2%
Dental 3,879 4,275 90.7% 89.8% 91.6%
Emergency Department 19,759 26,689 74.0% 73.5% 74.6%
Maternity 14,978 18,063 82.9% 82.4% 83.5%
Medical 63,341 78,326 80.9% 80.6% 81.1%
Mental Health 5,682 6,889 82.5% 81.6% 83.4%
Mixed 35,719 43,462 82.2% 81.8% 82.5%
Neonatal Intensive Care Unit 10,123 11,497 88.0% 87.4% 88.6%
Oncology/Haematology 23,771 28,533 83.3% 82.9% 83.7%
Other 39,163 46,900 83.5% 83.2% 83.8%
Paediatrics 12,293 14,441 85.1% 84.5% 85.7%
Renal 22,541 25,757 87.5% 87.1% 87.9%
Sub Acute 18,438 22,048 83.6% 83.1% 84.1%
Surgical 102,872 126,682 81.2% 81.0% 81.4%
Transplantation Unit 1,809 2,224 81.3% 79.7% 82.9%

*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= 87)
222,452 275,967 80.6% 80.5% 80.8%
Large (n=38)
44,439 53,132 83.6% 83.3% 84.0%
Medium (n=77)
20,403 24,542 83.1% 82.7% 83.6%
Small (n=309)
30,751 35,603 86.4% 86.0% 86.7%
**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= 6) 19,162 23,474 81.6% 81.1% 82.1%
PPG 2 (n= 5) 9,712 11,690 83.1% 82.4% 83.7%
PPG 3 (n= 12) 24,483 30,424 80.5% 80.0% 80.9%
PPG 4 (n= 18) 15,396 19,012 81.0% 80.4% 81.5%
PPG 5 (n= 27) 15,735 18,509 85.0% 84.5% 85.5%
PPG 6 (n= 66) 12,898 15,597 82.7% 82.1% 83.3%
PPG 7 (n= 50) 5,230 6,334 82.6% 81.6% 83.5%

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= 15) 4,301 4,956 86.8% 85.8% 87.7%
Medium (n= 28) 4,962 5,926 83.7% 82.8% 84.7%
Small (n= 32) 2,713 3,207 84.6% 83.3% 85.8%

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) 2,860 3,409 83.9% 82.6% 85.1%
Small (n= 6) 541 648 83.5% 80.4% 86.1%

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
Ambulatory Care

Out-patient clinic/treatment

Acute Aged Care Unit providing predominantly acute geriatric medical care

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

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.