National Data Period One 2016

 

Audit Period 1 - 2016 (Mar)
(NHHI Audit One 2016)

Data have been collected nationally from a total of 906 hospitals from both the public and private sectors. The average compliance rate was 84% .
 

 Overall Compliance Rate

 

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

Overall
Rate


543,844

647,349

84%

83.9%

84.1%
 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 149,179 184,669 80.8% 80.6% 81.0%
2 - Before Procedure 56,375 64,514 87.4% 87.1% 87.6%
3 - After a Procedure or Body Fluid Exposure Risk 69,727 76,546 91.1% 90.9% 91.3%
4 - After Touching a Patient 162,748 185,231 87.9% 87.7% 88.0%
5 - After Touching A Patient's Surroundings 105,815 136,389 77.6% 77.4% 77.8%

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

380,155

435,045

87.4% 87.3% 87.5%
Medical Practitioner

64,250

88,816

72.3% 72.0% 72.6%
Personal Care Staff

21,303

27,539

77.4% 76.9% 77.8%
Allied Health Care Worker

26,954

32,796

82.2% 81.8% 82.6%
Administrative and Clerical Staff

2,397

3,098

77.4% 75.9% 78.8%
Invasive Technician

7,450

8,715

85.5% 84.7% 86.2%
Domestic

11,823

16,315

72.5% 71.8% 73.1%
Student Doctor

1,895

2,365

80.1% 78.5% 81.7%
Student Nurse/Midwife

14,573

17,387

83.8% 83.3% 84.4%
Student Allied Health

985

1,294

76.1% 73.7% 78.4%
Student Personal Care 197 220 89.5% 84.8% 92.9%
Other - Not Categorised Elsewhere

3,669

4,974

73.8% 72.5% 75.0%
Dentist, Specialist Dentists 2,225 2,445 91.0% 89.8% 92.1%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,170 1,229 95.2% 93.9% 96.3%
Dental Assistant/Dental Nurse 4,146 4,352 95.3% 94.6% 95.9%
Dental Technicians/Laboratory staff (no patient contact) 9 11 81.8% 52.3% 94.9%
Student Dentist 406 470 86.4% 83.0% 89.2%
Student Dental Therapists 81 96 84.4% 75.8% 90.3%
Student Dental Assistant/Dental Nurse 145 168 86.3% 80.3% 90.7%
Student Dental Technicians/Laboratory staff (no patient contact) 11 14 78.6% 52.4% 92.4%

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 (91.1%) 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

17,450

25,798

67.6% 67.1% 68.2%
2 - Before Procedure

6,201

7,754

80.0% 79.1% 80.8%
3 - After a Procedure or Body Fluid Exposure Risk

6,665

8,265

80.6% 79.8% 81.5%
4 - After Touching a Patient

22,293

28,258

78.9% 78.4% 79.4%
5 - After Touching A Patient's Surroundings

11,641

18,741

62.1% 61.4% 62.8%

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

106,574

126,375

84.3% 84.1% 84.5%
2 - Before Procedure

42,348

47,738

88.7% 88.4% 89.0%
3 - After a Procedure or Body Fluid Exposure Risk

52,957

57,073

92.8% 92.6% 93.0%
4 - After Touching a Patient

113,039

124,962

90.5% 90.3% 90.6%
5 - After Touching A Patient's Surroundings

65,237

78,897

82.7% 82.4% 82.9%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 2,953 3,540 83.4% 82.2% 84.6%
Ambulatory Care 19,836 23,118 85.8% 85.3% 86.2%
Critical Care Unit 54,235 65,865 82.3% 82.0% 82.6%
Dental 8,759 9,434 92.8% 92.3% 93.3%
Emergency Department 26,325 34,395 76.5% 76.1% 77.0%
Long-term Care 734 807 91.0% 88.8% 92.7%
Maternity 20,074 23,340 86.0% 85.6% 86.4%
Medical 79,524 96,403 82.5% 82.3% 82.7%
Mental Health 9,266 10,514 88.1% 87.5% 88.7%
Mixed 45,881 54,303 84.5% 84.2% 84.8%
Neonatal Care 13,433 15,194 88.4% 87.9% 88.9%
Oncology/Haematology 32,165 37,379 86.1% 85.7% 86.4%
Other 21,206 24,608 86.2% 85.7% 86.6%
Paediatrics 11,700 13,339 87.7% 87.1% 88.3%
Palliative 835 984 84.9% 82.5% 87.0%
Peri-operative 27,508 33,424 82.3% 81.9% 82.7%
Radiology 4,362 5,236 83.3% 82.3% 84.3%
Renal 27,632 31,817 86.8% 86.5% 87.2%
Sub Acute 24,063 28,315 85.0% 84.6% 85.4%
Surgical 110,840 132,461 83.7% 83.5% 83.9%
Transplantation Unit 2,513 2,873 87.5% 86.2% 88.6%

*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=106 ) 278,098 335,465 82.9% 82.8% 83.0%
Large (n=41) 49,672 58,197 85.4% 85.1% 85.6%
Medium (n=82) 20,486 24,373 84.1% 83.6% 84.5%
Small (n=320) 40,506 47,022 86.1% 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) 21,175 24,559 86.2% 85.8% 86.6%
PPG 2 (n= 5) 9,125 10,771 84.7% 84.0% 85.4%
PPG 3 (n= 12) 27,688 32,780 84.5% 84.1% 84.9%
PPG 4 (n= 19) 18,761 22,050 85.1% 84.6% 85.5%
PPG 5 (n= 29) 18,800 21,870 86.0% 85.5% 86.4%
PPG 6 (n= 67) 14,489 16,983 85.3% 84.8% 85.8%
PPG 7 (n= 54) 7,639 9,291 82.2% 81.4% 83.0%


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= 15) 4,884 5,503 88.8% 87.9% 89.6%
Medium (n= 29) 5,576 6,585 84.7% 83.8% 85.5%
Small (n= 42) 4,457 5,053 88.2% 87.3% 89.1%


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= 21) 2,981 3,805 78.3% 77.0% 79.6%
Small (n= 8) 817 939 87.0% 84.7% 89.0%

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.