Audit Period Three - 2011 (October)
(NHHI Audit Three 2011)
Data have been collected nationally from a total of 589 hospitals from both the public and private sectors. The average compliance rate was 72.6% .
|
Overall Compliance Rate
| |
Correct HH Moments
|
Moments Observed
|
Compliance Rate
|
Lower 95% CI
|
Upper 95% CI
|
|
Overall Rate
|
235,518 |
324,423
|
72.6%
|
72.4%
|
72.7%
|
|
Compliance Rate By Moment
|
Moment
|
Correct HH
Moments
|
Moments
Observed
|
Compliance
Rate
|
Lower
95% CI
|
Upper
95% CI
|
|
Moment 1
|
64,207 |
93,720
|
68.5%
|
68.2%
|
68.8%
|
|
Moment 2
|
18,910 |
26,065
|
72.5%
|
72.0%
|
73.1%
|
|
Moment 3
|
28,493 |
34,633
|
82.3%
|
81.9%
|
82.7%
|
|
Moment 4
|
75,892
|
95,198
|
79.7%
|
79.5%
|
80.0%
|
|
Moment 5
|
48,016
|
74,807
|
64.2%
|
63.8%
|
64.5%
|
|
 |
| 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 |
855 |
1,224 |
69.9% |
67.2% |
72.4% |
| Allied HCW |
AH |
11,558 |
16,371 |
70.6% |
69.9% |
71.3% |
| Domestic* |
D |
4,473 |
7,990 |
56.0% |
54.9% |
57.1% |
| Invasive Tech |
BL |
4,118 |
5,923 |
69.5% |
68.3% |
70.7% |
| Medical Practitioner |
DR |
25,303 |
43,457 |
58.2% |
57.8% |
58.7% |
| Nurse/Midwife |
N |
162,771 |
210,555 |
77.3% |
77.1% |
77.5% |
| Other* |
O |
2,251 |
4,011 |
56.1% |
54.6% |
57.6% |
| Personal Care Staff* |
PC |
10,690 |
15,885 |
67.3% |
66.6% |
68.0% |
| Student AH |
SAH |
663 |
987 |
67.2% |
64.2% |
70.0% |
| Student Medical |
SDR |
1,169 |
1,885 |
62.0% |
59.8% |
64.2% |
| Student Nurse/Midwife |
SN |
11,541 |
15,979 |
72.2% |
71.5% |
72.9% |
| *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 (82.3%) and after touching a patient (79.7%).
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (77.3% for nurses/midwives and 72.2% for student nurses/midwives).
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Medical Staff hand hygiene compliance rate by Moment
|
|
MOMENT
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
1 Before Touching A Patient
|
53.3%
|
52.4%
|
54.1%
|
|
2 Before Procedure
|
60.7%
|
58.8%
|
62.6%
|
|
3 After a Procedure or Body Fluid Exposure Risk
|
68.3%
|
66.6%
|
70.0%
|
|
4 After Touching a Patient
|
68.9%
|
68.1%
|
69.6%
|
|
5 After Touching A Patient's Surroundings
|
48.8%
|
47.9%
|
49.7%
|
|
Nursing/Midwifery Staff hand hygiene compliance rate by Moment
|
|
MOMENT
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
1 Before Touching A Patient
|
72.8%
|
72.5%
|
73.2%
|
|
2 Before Procedure
|
75.1%
|
74.5%
|
75.7%
|
|
3 After a Procedure or Body Fluid Exposure Risk
|
84.7%
|
84.3%
|
85.1%
|
|
4 After Touching a Patient
|
82.8%
|
82.5%
|
83.1%
|
|
5 After Touching A Patient's Surroundings
|
71.9%
|
71.5%
|
72.4%
|
|
Compliance Rates by Unit
|
|
Unit Type
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
Medical (n=300)
|
71.6%
|
71.2%
|
72.0%
|
|
Surgical (n=424)
|
69.4%
|
69.1%
|
69.8%
|
|
Mixed (n=318)
|
75.0%
|
74.5%
|
75.5%
|
|
Emergency (n=120)
|
63.5%
|
62.7%
|
64.3%
|
|
Critical Care (n=208)
|
71.1%
|
71.3%
|
72.2%
|
|
Compliance Rates by Peer Group - Public hospitals only
|
|
Peer Group*
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
Principal (n= 81)
|
71.6%
|
71.4%
|
71.8%
|
|
Large (n=38)
|
75.4%
|
75.0%
|
75.9%
|
|
Medium (n=75)
|
75.7%
|
75.0%
|
76.3%
|
|
Small (n=260)
|
78.3%
|
77.8%
|
78.9%
|
*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
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Principal referral and specialist women's and children's
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A1
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Major city hospitals with >20,000 acute casemix adjusted separations and Regional hospitals with >16,000 acute casemix-adjusted separations per annum
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A2
|
Specialised acute women’s and children’s hospitals with >10,000 acute casemix-adjusted separations per annum
|
|
Large hospitals
|
B1
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Major city acute hospitals treating more than 10,000 acute casemix-adjusted separations per annum
|
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B2
|
Regional acute hospitals treating >8,000 acute casemix adjusted separations per annum, and remote hospitals with >5,000 casemix-adjusted separations
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Medium hospitals
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C1
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Medium acute hospitals in Regional and Major city areas treating between 5,000 and 10,000acute casemix-adjusted separations per annum
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C2
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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
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Small acute hospitals
|
D1
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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
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Small acute hospitals
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D3
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Small remote hospitals (<5,000 acute casemix-adjusted separations but not 'Multipurpose services' and not 'Small non-acute'. Most are <2,000 separations
|
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Small sub-acute and non-acute hospitals
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D2
E2
G
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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)
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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
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