National Data Period One 2015

Audit Period 1 - 2015 (March)
(NHHI Audit One 2015)

Data have been collected nationally from a total of 867 hospitals from both the public and private sectors. The average compliance rate was 82.2% .
 

 Overall Compliance Rate

 

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

Overall
Rate


470,810

572,695

82.2%

82.1%

82.3%

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 128,105 163,011 78.6% 78.4% 78.8%
2 - Before Procedure

46,801

54,980 85.1% 84.8% 85.4%
3 - After a Procedure or Body Fluid Exposure Risk 59,489 66,419 89.6% 89.3% 89.8%
4 - After Touching a Patient

142,502

164,304

86.7% 86.6% 86.9%
5 - After Touching A Patient's Surroundings

93,913

123,981

75.7% 75.5% 76.0%

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

331,157

385,895

85.8% 85.7% 85.9%
Medical Practitioner

58,480

82,499

70.9% 70.6% 71.2%
Personal Care Staff

18,873

24,860

75.9% 75.4% 76.4%
Allied Health Care Worker

23,790

29,207

81.5% 81.0% 81.9%
Administrative and Clerical Staff

1,851

2,392

77.4% 75.7% 79.0%
Invasive Technician

6,970

8,483

82.2% 81.3% 83.0%
Domestic

10,165

14,626

69.5% 68.7% 70.2%
Student Doctor

1,825

2,392

76.3% 74.6% 78.0%
Student Nurse/Midwife

11,920

14,618

81.5% 80.9% 82.2%
Student Allied Health

983

1,205

81.6% 79.3% 83.7%
Student Personal Care 126 143 88.1% 81.8% 92.4%
Other - Not Categorised Elsewhere

4,670

6,375

73.3% 72.2% 74.3%

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 (89.6%) and after touching a patient (86.7%). 
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

15,322

23,386

65.5% 64.9% 66.1%
2 - Before Procedure

5,631

7,216

78.0% 77.1% 79.0%
3 - After a Procedure or Body Fluid Exposure Risk

6,383

7,924

80.6% 79.7% 81.4%
4 - After Touching a Patient

19,953

25,558

78.1% 77.6% 78.6%
5 - After Touching A Patient's Surroundings

11,191

18,415

60.8% 60.1% 61.5%

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

92,387

112,379

82.2% 82.0% 82.4%
2 - Before Procedure

35,513

40,940

86.7% 86.4% 87.1%
3 - After a Procedure or Body Fluid Exposure Risk

45,623

49,879

91.5% 91.2% 91.7%
4 - After Touching a Patient

99,410

111,246

89.4% 89.2% 89.5%
5 - After Touching A Patient's Surroundings

58,224

71,451

81.5% 81.2% 81.8%

Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 1,110 1,350 82.2% 80.1% 84.2%
Ambulatory Care 16,001 18,974 84.3% 83.8% 84.8%
Critical Care Unit 46,786 58,496 80.0% 79.7% 80.3%
Dental 4,996 5,589 89,4% 88.6% 90.2%
Emergency Department 22,362 31,005 72.1% 71.6% 72.6%
Maternity 16,664 19,665 84.7% 82.2% 85.2%
Medical 67,337 83,065 81.1% 80.8% 81.3%
Mental Health 8,138 9,775 83.3% 82.5% 84.0%
Mixed 40,175 48,249 83.3% 82.9% 83.6%
Neonatal Care 11,215 12,694 88.3% 87.8% 88.9%
Oncology/Haematology 24,624 29,300 84.0% 83.6% 84.5%
Other 40,415 47,978 84.2% 83.9% 84.6%
Paediatrics 11,303 13,187 85.7% 85.1% 86.3%
Palliative 7 12 58.3% 32.0% 80.7%
Peri-operative 2,110 2,779 75.9% 74.3% 77.5%
Radiology 963 1,112 86.6% 84.5% 88.5%
Renal 23,771 27,088 87.8% 87.4% 88.1%
Sub Acute 20,224 24,239 83.4% 83.0% 83.9%
Surgical 110,341 135,496 81.4% 81.2% 81.6%
Transplantation Unit 2,268 2,642 85.8% 84.5% 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= 97)
232,512 286,723 81.1% 80.9% 81.2%
Large (n=41)
49,028 58,903 83.2% 82.9% 83.5%
Medium (n=81)
21,697 25,830 84.0% 83.5% 84.4%
Small (n=327)
34,115 39,998 85.3% 84.9% 85.6%
**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) 21,286 25,810 82.5% 82.0% 82.9%
PPG 2 (n= 5) 10,247 12,311 83.2% 82.6% 83.9%
PPG 3 (n= 12) 24,397 29,999 81.3% 80.9% 81.8%
PPG 4 (n= 18) 17,367 21,487 80.8% 80.3% 81.3%
PPG 5 (n= 28) 16,480 19,482 84.6% 84.1% 85.1%
PPG 6 (n= 66) 13,791 16,454 83.8% 83.2% 84.4%
PPG 7 (n= 53) 5,643 6,763 83.4% 82.5% 84.3%

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) 4,446 4,999 88.9% 88.0% 89.8%
Medium (n= 28) 4,919 5,859 84.0% 83.0% 84.9%
Small (n= 30) 2,792 3,321 84.1% 82.8% 85.3%

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= 19) 2,902 3,426 84.7% 83.5% 85.9%
Small (n= 7) 512 603 84.9% 81.8% 87.5%

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

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.