National Data Period Two, 2014

Audit Period 2 - 2014 (June)
(NHHI Audit Two 2014)

Data have been collected nationally from a total of 782 hospitals from both the public and private sectors. The average compliance rate was 81% .

 Overall Compliance Rate

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

Overall
Rate

378,812

467,880


81%

80.9%

81.1%

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 103,273 133,442 77.4% 77.2% 77.6%
2 - Before Procedure

35,743

43,018 83.1% 82.7% 83.4%
3 - After a Procedure or Body Fluid Exposure Risk 46,855 53,055 88.3% 88% 88.6%
4 - After Touching a Patient

115,806

135,238

85.6% 85.4% 85.8%
5 - After Touching A Patient's Surroundings

77,135

103,127

74.8% 74.5% 75.1%

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

265,976

314,035

84.7% 84.6% 84.8%
Medical Practitioner

44,314

64,300

68.9% 68.6% 69.3%
Personal Care Staff

14,816

19,789

74.9% 74.3% 75.5%
Allied Health Care Worker

17,946

22,461

79.9% 79.4% 80.4%
Administrative and Clerical Staff

1,438

1,935

74.3% 72.3% 76.2%
Invasive Technician

5,708

7,266

78.6% 77.6% 79.5%
Domestic

8,265

11,970

69% 68.2% 69.9%
Student Doctor

1,640

2,195

74.7% 72.9% 76.5%
Student Nurse/Midwife

14,754

18,334

80.5% 79.9% 81%
Student Allied Health

799

1,080

74% 71.3% 76.5%
Student Personal Care 116 156 74.4% 67% 80.6%
Other - Not Categorised Elsewhere

3,040

4,359

69.7% 68.4% 71.1%

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 (88.3%) and after touching a patient (85.6%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (84.7% for nurses/midwives and 80.5% 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

11,875

18,430

64.4

%
63.7% 65.1%
2 - Before Procedure

3,944

5,266

74.9% 73.7% 76%
3 - After a Procedure or Body Fluid Exposure Risk

4,496

5,762

78% 76.9% 79.1%
4 - After Touching a Patient

15,129

19,778

76.5% 75.9% 77.1%
5 - After Touching A Patient's Surroundings

8,870

15,064

58.9% 58.1% 59.4%

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

74,206

91,569

81% 80.8% 81.3%
2 - Before Procedure

27,513

32,290

85.2% 84.8% 85.6%
3 - After a Procedure or Body Fluid Exposure Risk

36,323

40,205

90.3% 90.1% 90.6%
4 - After Touching a Patient

80,788

91,468

88.3%  88.1% 88.5%
5 - After Touching A Patient's Surroundings

47,146

58,503

80.6% 80.3% 80.9%

Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Ambulatory Care 13,104 16,288 80.5% 79.8% 81.1%
Critical Care Unit 42,984 54,469 78.9% 78.+6% 79.3%
Dental 2,204 2,485 88.7% 87.4% 89.9%
Emergency Department 18,769 25,405 73.9% 73.3% 74.4%
Maternity 11,880 14,101 84.2% 83.6% 84.8%
Medical 53,943 66,975 80.5% 80.2% 80.8%
Mental Health 3,710 4,655 79.7% 78.5% 80.8%
Mixed 31,880 38,917 81.9% 81.5% 82.3%
Neonatal Intensive Care Unit 7,810 9,097 85.9% 85.1% 86.6%
Oncology/Haematology 20,120 24,719 81.4% 80.9% 81.9%
Other 39,775 48,360 82.2% 81.9% 82.6%
Paediatrics 10,613 12,450 85.2% 84.6% 85.9%
Renal 18,701 21,965 85.1% 84.7% 85.6%
Sub Acute 13,940 16,642 83.8% 83.2% 84.3%
Surgical 87,601 109,197 80.2% 80% 80.5%
Transplantation Unit 1,778 2,155 82.5% 80.8% 84.1%

*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= 85)
190,994 238,671 80% 79.9% 80.2%
Large (n=38)
37,057 44,874 82.6% 82.2% 82.9%
Medium (n=77)
17,761 21,415 82.9% 82.4% 83.4%
Small (n=299)
26,820 31,389 85.4% 85.1% 85.8%
**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) 16,352 20,163 81.1% 80.6% 81.6%
PPG 2 (n= 5) 9,639 11,816 81.6% 80.9% 82.3%
PPG 3 (n= 12) 20,806 26,297 79.1% 78.6% 79.6%
PPG 4 (n= 18) 13,206 16,653 79.3% 78.7% 79.9%
PPG 5 (n= 27) 15,001 18,125 82.8% 82.2% 83.3%
PPG 6 (n= 64) 11,670 14,260 81.8% 81.2% 82.5%
PPG 7 (n= 47) 4,435 5,594 79.3% 78.2% 80.3%

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= 16) 3,826 4,652 82.2% 81.1% 83.3%
Medium (n= 22) 3,681 4,358 84.5% 83.4% 85.5%
Small (n= 29) 2,755 3,427 80.4% 79% 81.7%

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) 623 748 83.3% 80.4% 85.8%
Small (n= 15) 2,039 2,545 80.1% 78.5% 81.6%

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
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.