National Data Period Three 2015

Audit Period 3 - 2015 (Oct)
(NHHI Audit Three 2015)

Data have been collected nationally from a total of 890 hospitals from both the public and private sectors. The average compliance rate was 83.2% .
 

 Overall Compliance Rate

 

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

Overall
Rate


500,537

601,929

83.2%

83.1%

83.2%

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 137,344 172,427 79.7% 79.5% 79.8%
2 - Before Procedure

50,933

58,748 86.7% 86.4% 87.0%
3 - After a Procedure or Body Fluid Exposure Risk 63,763 70,689 90.2% 90.0% 90.4%
4 - After Touching a Patient

151,126

173,526

87.1% 86.9% 87.2%
5 - After Touching A Patient's Surroundings

97,371

126,539

76.9% 76.7% 77.2%

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

345,821

398,887

86.7% 86.6% 86.8%
Medical Practitioner

58,068

81,264

71.5% 71.1% 71.8%
Personal Care Staff

20,821

26,745

77.9% 77.3% 78.3%
Allied Health Care Worker

24,975

30,641

81.5% 81.1% 81.9%
Administrative and Clerical Staff

1,996

2,527

79.0% 77.4% 80.5%
Invasive Technician

7,113

8,577

82.9% 82.1% 83.7%
Domestic

11,076

15,513

71.4% 70.7% 72.1%
Student Doctor

2,377

3,135

75.8% 74.3% 77.3%
Student Nurse/Midwife

22,112

26,382

83.8% 83.4% 84.3%
Student Allied Health

1,278

1,676

76.3% 74.2% 78.2%
Student Personal Care 230 272 84.6% 79.8% 88.4%
Other - Not Categorised Elsewhere

4,670

6,310

74.0% 72.9% 75.1%

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 (90.2%) and after touching a patient (87.1%). 
 
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

15,432

23,309

66.2% 65.6% 66.8%
2 - Before Procedure

5,734

7,148

80.2% 79.3% 81.1%
3 - After a Procedure or Body Fluid Exposure Risk

6,260

7,831

79.9% 79.0% 80.8%
4 - After Touching a Patient

19,801

25,430

77.9% 77.4% 78.4%
5 - After Touching A Patient's Surroundings

10,841

17,546

61.8% 61.1% 62.5%

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

97,243

116,717

83.3% 83.1% 83.5%
2 - Before Procedure

38,450

43,554

88.3% 88.0% 88.6%
3 - After a Procedure or Body Fluid Exposure Risk

48,452

52,669

92.0% 91.8% 92.2%
4 - After Touching a Patient

103,213

114,951

89.8% 89.6% 90.0%
5 - After Touching A Patient's Surroundings

58,463

70,996

82.3% 82.1% 82.6%

Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 2,850 3,683 77.4% 76.0% 78.7%
Ambulatory Care 17,324 20,609 84.1% 83.6% 84.6%
Critical Care Unit 51,401 63,331 81.2% 80.9% 81.5%
Dental 5,017 5,440 92.2% 91.5% 92.9%
Emergency Department 23,496 30,952 75.9% 75.4% 76.4%
Long-term Care 474 610 77.7% 74.2% 80.8%
Maternity 19,155 22,762 84.2% 83.7% 84.6%
Medical 72,405 88,932 81.4% 81.2% 81.7%
Mental Health 7,746 8,994 86.1% 85.4% 86.8%
Mixed 42,133 50,204 83.9% 83.6% 84.2%
Neonatal Care 11,255 12,633 89.1% 88.5% 89.6%
Oncology/Haematology 28,437 33,202 85.6% 85.3% 86.0%
Other 23,541 27,782 84.7% 84.3% 85.2%
Paediatrics 14,791 17,110 86.4% 85.9% 87.0%
Palliative 660 773 85.4% 82.7% 87.7%
Peri-operative 23,409 28,426 82.4% 81.9% 82.8%
Radiology 3,120 3,689 84.6% 83.4% 85.7%
Renal 26,765 30,632 87.4% 87.0% 87.7%
Sub Acute 23,221 27,453 84.6% 84.2% 85.0%
Surgical 101,776 122,807 82.9% 82.7% 83.1%
Transplantation Unit 1,561 1,905 81.9% 80.2% 83.6%

*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= 95)
258,477 315,936 81.8% 81.7% 81.9%
Large (n=40)
42,555 50,617 84.1% 83.8% 84.4%
Medium (n=80)
24,353 29,246 83.3% 82.8% 83.7%
Small (n=342)
38,550 44,737 86.2% 85.8% 86.5%
**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) 18,246 21,703 84.1% 83.6% 84.6%
PPG 2 (n= 5) 9,964 11,816 84.3% 83.7% 85.0%
PPG 3 (n= 12) 26,813 31,763 84.4% 84.0% 84.8%
PPG 4 (n= 18) 19,520 23,029 84.8% 84.3% 85.2%
PPG 5 (n= 28) 17,407 20,783 83.8% 83.2% 84.3%
PPG 6 (n= 68) 14,788 17,513 84.4% 83.9% 85.0%
PPG 7 (n= 56) 6,587 7,774 84.7% 83.9% 85.5%


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= 13) 4,152 4,750 87.4% 86.4% 88.3%
Medium (n= 30) 5,456 6,298 86.6% 85.8% 87.4%
Small (n= 37) 3,571 4,059 88.0% 86.9% 88.9%

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= 21) 3,014 3,607 83.6% 82.3% 84.7%
Small (n= 7) 697 807 86.4% 83.8% 88.6%

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

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.