Audit Period One - 2012 (March)
(NHHI Audit One 2012)
Data have been collected nationally from a total of 629 hospitals from both the public and private sectors. The average compliance rate was 73.8% .
|
Overall Compliance Rate
| |
Correct HH Moments
|
Moments Observed
|
Compliance Rate
|
Lower 95% CI
|
Upper 95% CI
|
|
Overall Rate
|
287,220 |
389,077
|
73.8%
|
73.7%
|
74.0%
|
|
Compliance Rate By Moment
|
Moment
|
Correct HH
Moments
|
Moments
Observed
|
Compliance
Rate
|
Lower
95% CI
|
Upper
95% CI
|
|
Moment 1
|
76,925 |
111,029
|
69.3%
|
69.0
|
69.6%
|
|
Moment 2
|
24,115 |
32,395
|
74.4%
|
74.0%
|
74.9%
|
|
Moment 3
|
35,342 |
42,499
|
83.2%
|
82.8%
|
83.5%
|
|
Moment 4
|
90,931
|
112,644
|
80.7%
|
80.5%
|
81.0%
|
|
Moment 5
|
59,907
|
90,510
|
66.2%
|
65.9%
|
66.5%
|
|
|
| Figure 1. National Hand Hygiene Compliance Rate By Moment |
Compliance Rate By Healthcare Worker Type
|
| HCW Type |
Code |
Correct HH
Moments |
Moments
Observed |
Compliance
Rate |
Lower
95% CI |
Upper
95% CI |
| Admin & Clerical |
AC |
1628 |
2198 |
74.1% |
72.2% |
75.9% |
| Allied HCW |
AH |
14416
|
20173 |
71.5% |
70.8% |
72.1% |
| Domestic* |
D |
6463
|
11022 |
58.6% |
57.7% |
59.6% |
| Invasive Tech |
BL |
5070
|
7058 |
71.8% |
70.8% |
72.9% |
| Medical Practitioner |
DR |
32034 |
53742 |
59.6% |
59.2% |
60.0% |
| Nurse/Midwife |
N |
203632
|
260094 |
78.3% |
78.1% |
78.4% |
| Other* |
O |
2686 |
4529 |
59.3% |
57.9% |
60.7% |
| Personal Care Staff* |
PC |
11220 |
16503 |
68.0% |
67.3% |
68.7% |
| Student AH |
SAH |
650 |
883 |
73.6% |
70.6% |
76.4% |
| Student Medical |
SDR |
1384 |
2040 |
67.8% |
65.8% |
69.8% |
| Student Nurse/Midwife |
SN |
7901 |
10677 |
74.0% |
73.2% |
74.8% |
Student Personal Care
|
SPC |
136 |
158 |
86.1% |
79.8% |
90.6% |
| *Data Incomplete |
|
|
|
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 (83.2%) and after touching a patient (80.7%).
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (78.3% for nurses/midwives and 74.0% for student nurses/midwives).
|
Medical Staff hand hygiene compliance rate by Moment
|
|
MOMENT
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
1 Before Touching A Patient
|
54.3%
|
53.5%
|
55.1%
|
|
2 Before Procedure
|
63.4%
|
61.7%
|
65.1%
|
|
3 After a Procedure or Body Fluid Exposure Risk
|
71.1%
|
69.5%
|
72.5%
|
|
4 After Touching a Patient
|
69.6%
|
68.9%
|
70.3%
|
|
5 After Touching A Patient's Surroundings
|
50.5%
|
49.7%
|
51.3%
|
|
Nursing/Midwifery Staff hand hygiene compliance rate by Moment
|
|
MOMENT
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
1 Before Touching A Patient
|
73.4%
|
73.1%
|
73.7%
|
|
2 Before Procedure
|
76.5%
|
76.5%
|
77.0%
|
|
3 After a Procedure or Body Fluid Exposure Risk
|
85.2%
|
85.2%
|
85.6%
|
|
4 After Touching a Patient
|
83.8%
|
83.8%
|
84.1%
|
|
5 After Touching A Patient's Surroundings
|
73.5%
|
73.5%
|
73.9%
|
|
Compliance Rates by Peer Group - Public hospitals only
|
|
Peer Group*
|
COMPLIANCE RATE
|
LOWER 95%CI
|
UPPER 95%CI
|
|
Principal (n= 83)
|
72.6%
|
72.4%
|
72.8%
|
|
Large (n=39)
|
74.7%
|
74.2%
|
75.1%
|
|
Medium (n=77)
|
77.1%
|
76.6%
|
77.7%
|
|
Small (n=283)
|
80.4%
|
79.9%
|
80.8%
|
*See Appendix 1 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, G
Appendix 1
Peer Group Categories
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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)
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Australian Institute of Health and Welfare 2011. Australian hospital statistics 2009–10.
Health services series no. 40. Cat. no. HSE 107. Canberra: AIHW.
http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2
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