National Data Period Three 2016

 

Audit Period 3 - 2016 (Jun)
(NHHI Audit Three 2016)

Data have been collected nationally from a total of 940 hospitals from both the public and private sectors. The average compliance rate was 84.1% .
 

 Overall Compliance Rate

 

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

Overall
Rate


541,629

643,938

84.1%

84.0%

84.2%
 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 151,465 187,109 81.0% 80.8% 81.1%
2 - Before Procedure

55,783

63,613 87.7% 87.4% 87.9%
3 - After a Procedure or Body Fluid Exposure Risk 68,276 75,052 91.0% 90.8% 91.2%
4 - After Touching a Patient 162,151 184,438 87.9% 87.8% 88.1%
5 - After Touching A Patient's Surroundings 103,954 133,726 77.7% 77.5% 78.0%

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

373,463

427,618

87.3% 87.2% 87.4%
Medical Practitioner

60,696

83,577

72.6% 72.3% 72.9%
Personal Care Staff

21,748

27,770

78.3% 77.8% 78.8%
Allied Health Care Worker

26,586

32,012

83.1% 82.6% 83.5%
Administrative and Clerical Staff

2,464

3,041

81.0% 79.6% 82.4%
Invasive Technician

7,166

8,511

84.2% 83.4% 85.0%
Domestic

11,037

15,432

71.5% 70.8% 72.2%
Student Doctor

1,993

2,618

76.1% 74.5% 77.7%
Student Nurse/Midwife

22,708

27,314

83.1% 82.7% 83.6%
Student Allied Health

1,358

1,700

79.9% 77.9% 81.7%
Student Personal Care 156 189 82.5% 76.5% 87.3%
Other - Not Categorised Elsewhere

3,884

5,264

73.8% 72.6% 75.0%
Dentist, Specialist Dentists 2,319 2,485 93.3% 92.3% 94.2%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,188 1,260 94.3% 92.9% 95.4%
Dental Assistant/Dental Nurse 4,145 4,332 95.7% 95.0% 96.2%
Dental Technicians/Laboratory staff (no patient contact) 16 20 80.0% 58.4% 91.9%
Student Dentist 422 472 89.4% 86.3% 91.9%
Student Dental Therapists 233 270 86.3% 81.7% 89.9%
Student Dental Assistant/Dental Nurse 46 52 88.5% 77.0% 94.6%
Student Dental Technicians/Laboratory staff (no patient contact) 1 1 100.0% 20.7% 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 (91.0%) and after touching a patient (87.9%). 
 
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

16,682

24,477

68.2% 67.6% 68.7%
2 - Before Procedure

6,154

7,576

81.2% 80.3% 82.1%
3 - After a Procedure or Body Fluid Exposure Risk

6,349

7,913

80.2% 79.3% 81.1%
4 - After Touching a Patient

20,394

25,864

78.9% 78.3% 79.3%
5 - After Touching A Patient's Surroundings

11,117

17,747

62.6% 61.9% 63.4%

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

106,539

126,544

84.2% 84.0% 84.4%
2 - Before Procedure

41,281

46,313

89.1% 88.8% 89.4%
3 - After a Procedure or Body Fluid Exposure Risk

51,221

55,294

92.6% 92.4% 92.8%
4 - After Touching a Patient

111,312

123,066

90.4% 90.3% 90.6%
5 - After Touching A Patient's Surroundings

63,110

76,401

82.6% 82.3% 82.9%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 3,392 4,025 84.3% 83.1% 85.4%
Ambulatory Care 18,024 20,663 87.2% 86.8% 87.7%
Critical Care Unit 50,793 61,463 82.6% 82.3% 82.9%
Dental 8,518 9,233 92.3% 91.7% 92.8%
Emergency Department 24,800 32,379 76.6% 76.1% 77.1%
Long-term Care 1,071 1,191 89.9% 88.1% 91.5%
Maternity 22,557 26,262 85.9% 85.5% 86.3%
Medical 77,589 94,731 81.9% 81.7% 82.1%
Mental Health 9,860 11,323 87.1% 86.4% 87.7%
Mixed 42,646 50,791 84.0% 83.6% 84.3%
Neonatal Care 11,512 12,893 89.3% 88.7% 89.8%
Oncology/Haematology 33,787 39,117 86.4% 86.0% 86.7%
Other 18,005 20,962 85.9% 85.4% 86.4%
Paediatrics 13,343 15,400 86.6% 86.1% 87.2%
Palliative 1,402 1,626 86.2% 84.5% 87.8%
Peri-operative 35,453 42,263 83.9% 83.5% 84.2%
Radiology 6,528 7,710 84.7% 83.8% 85.5%
Renal 28,646 32,605 87.9% 87.5% 88.2%
Sub Acute 22,735 26,385 86.2% 85.7% 86.6%
Surgical 108,882 130,485 83.4% 83.2% 83.6%
Transplantation Unit 2,086 2,431 85.8% 84.4% 87.1%

*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=92 ) 277,285 334,354 82.9% 82.8% 83.1%
Large (n=42) 45,739 53,808 85.0% 84.7% 85.3%
Medium (n=83) 24,479 28,819 84.9% 84.5% 85.3%
Small (n=334) 36,946 42,609 86.7% 86.4% 87.0%

**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) 22,913 27,328 83.8% 83.4% 84.3%
PPG 2 (n= 5) 9,706 11,900 81.6% 80.9% 82.2%
PPG 3 (n= 12) 26,413 31,100 84.9% 84.5% 85.3%
PPG 4 (n= 18) 18,119 21,408 84.6% 84.1% 85.1%
PPG 5 (n= 30) 19,123 22,077 86.6% 86.2% 87.1%
PPG 6 (n= 66) 16,560 19,324 85.7% 85.2% 86.2%
PPG 7 (n= 65) 10,211 11,863 86.1% 85.4% 86.7%


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= 15) 5,484 6,067 90.4% 89.6% 91.1%
Medium (n= 39) 7,254 8,461 85.7% 85.0% 86.5%
Small (n= 49) 5,462 6,488 84.2% 83.3% 85.1%


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= 23) 4,339 5,085 85.3% 84.3% 86.3%
Small (n= 6) 825 972 84.9% 82.5% 87.0%

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.