National Data Period One, 2014

Audit Period 1 - 2014 (March)
(NHHI Audit One 2014)

Data have been collected nationally from a total of 776 hospitals from both the public and private sectors. The average compliance rate was 80.3% .

 Overall Compliance Rate

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

Overall
Rate


430,833

536,855

80.3%

80.1%

80.4%

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 116,248 152,208 76.4% 76.2% 76.6%
2 - Before Procedure 40,828 49,497 82.5% 82.1% 82.8%
3 - After a Procedure or Body Fluid Exposure Risk 53,412 60,905 87.7% 87.4% 88.0%
4 - After Touching a Patient 131,782 154,302 85.4% 85.2% 85.6%
5 - After Touching A Patient's Surroundings 88,563 119,943 73.8% 73.6% 74.1%
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 305,280 363,132 84.1% 83.9% 84.2%
Medical Practitioner 51,018 75,105 67.9% 67.6% 68.3%
Personal Care Staff 16,949 22,797 74.3% 73.8% 74.9%
Allied Health Care Worker 21,455 27,290 78.6% 78.1% 79.1%
Administrative and Clerical Staff 1,928 2,515 76.7% 75% 78.3%
Invasive Technician 7,265 9,182 79.1% 78.3% 79.9%
Domestic 9,666 14,341 67.4% 66.6% 68.2%
Student Doctor 1,831 2,587 70.8% 69% 72.5%
Student Nurse/Midwife 11,226 13,897 80.8% 80.1% 81.4%
Student Allied Health 767 986 77.8% 75.1% 80.3%
Student Personal Care 136 176 77.3% 70.5% 82.8%
Other - Not Categorised Elsewhere 3,312 4,847 68.3% 67% 69.6%

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 (87.7%) and after touching a patient (85.4%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (84.1% for nurses/midwives and 80.8% for student nurses/midwives). 
 

 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 13,307 21,307 62.5% 61.8% 63.1%
2 - Before Procedure 4,387 5,934 73.9% 72.8% 75.0%
3 - After a Procedure or Body Fluid Exposure Risk 5,152 6,651 77.5% 76.4% 78.5%
4 - After Touching a Patient 17,757 23,379 76.0% 75.4% 76.5%
5 - After Touching A Patient's Surroundings 10,415 17,834 58.4% 57.7% 59.1%

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 84,271 105,113 80.2% 79.9% 80.4%
2 - Before Procedure 31,849 37,696 84.5% 84.1% 84.9%
3 - After a Procedure or Body Fluid Exposure Risk 41,751 46,605 89.6% 89.3% 89.9%
4 - After Touching a Patient 92,728 105,139 88.2%  88.0% 88.4%
5 - After Touching A Patient's Surroundings 54,681 68,579 79.7% 79.4% 80.0%

Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Ambulatory Care 16,317 20,338 80.2% 79.7% 80.8%
Critical Care Unit 48,140 61,666 78.1% 77.7% 78.4%
Dental 1,932 2,231 86.6% 85.1% 87.9%
Emergency Department 19,993 27,436 72.9% 72.3% 73.4%
Maternity 12,338 15,071 81.9% 81.2% 82.5%
Medical 60,434 75,972 79.5% 79.3% 79.8%
Mental Health 3,543 4,257 83.2% 82.1% 84.3%
Mixed 35,336 43,379 81.5% 81.1% 81.8%
Neonatal Intensive Care Unit 8,726 10,025 87.0% 86.4% 87.7%
Oncology/Haematology 22,759 28,457 80.0% 79.5% 80.4%
Other 59,017 72,553 81.3% 81.1% 81.6%
Paediatrics 9,967 11,852 84.1% 83.4% 84.7%
Renal 19,747 23,252 84.9% 84.5% 85.4%
Sub Acute 15,531 18,745 82.9% 82.3% 83.4%
Surgical 94,384 118,528 79.6% 79.4% 79.9%
Transplantation Unit 2,669 3,093 86.3% 85.0% 87.5%

*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= 82)
217,186 274,095 79.2% 79.1% 79.4%
Large (n=39)
44,347 53,612 82.7% 82.4% 83.0%
Medium (n=77)
19,518 23,811 82.0% 81.5% 82.5%
Small (n=300)
29,844 35,435 84.2% 83.8% 84.6%
**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= 7) 20,491 25,969 78.9% 78.4% 79.4%
PPG 2 (n= 5) 11,910 14,699 81.0% 80.4% 81.7%
PPG 3 (n= 12) 25,059 31,670 79.1% 78.7% 79.6%
PPG 4 (n= 19) 15,400 19,480 79.1% 78.5% 79.6%
PPG 5 (n= 29) 16,487 20,197 81.6% 81.1% 82.2%
PPG 6 (n= 64) 11,749 14,531 80.9% 80.2% 81.5%
PPG 7 (n= 42) 3,945 5,001 78.9% 77.7% 80.0%

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= 19) 4,710 5,972 78.9% 77.8% 79.9%
Medium (n= 24) 4,675 5,464 85.6% 84.6% 86.5%
Small (n= 28) 2,546 3,235 78.7% 77.3% 80.1%

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= 8) 601 751 80.0% 77.0% 82.7%
Small (n= 16) 17,786 2,274 78.5% 76.8% 80.2%

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

Critical Care Unit

Including Coronary Care, Adult and Paediatric Intensive Care Units, High Dependency Unit

Emergency Department
 
Maternity

Delivery suite, maternity ward

Medical

Including dermatology, neurology, respiratory etc

Mental Health
 
Mixed
 
Neonatal Intensive Care Unit
 
Oncology/Haematology Unit

Including Day Oncology

Other

If not defined within the other categories

Paediatrics

Children’s Wards of Non-paediatric hospitals

Renal
Including dialysis
Sub Acute

Including rehab, geriatric evaluation and management

Surgical

Including neurosurgery, urology, ENT, ophthalmology, theatre, recovery 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.