National Data Period One, 2011

Audit Period 1 - 2011 (March)
(NHHI Audit One 2011)

Data have been collected nationally from a total of 546 hospitals from both the public and private sectors. The average compliance rate was 68.7% .

 
Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

193,336 281,231 

68.7%

68.6%

68.9%


Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

50,947

79,794

63.8%

63.5%

64.2%

Moment 2

15,193

22,270

68.2%

67.6%

68.8%

Moment 3

23,884

29,942

79.8%

79.3%

80.2%

Moment 4

61,559

79,856

77.1%

76.8%

77.4%

Moment 5

41,753

69,369

60.2%

59.8%

60.6%

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 651 1,025 63.5% 60.5% 66.5%
Allied HCW AH 10,241 15,323 66.8% 66.1% 67.6%
Domestic* D 3,069 5,702 53.8% 52.5% 55.1%
Invasive Tech BL 3,921 5,799 67.6% 66.4% 68.8%
Medical Practitioner DR 20,585 39,197 52.5% 52% 53%
Nurse/Midwife N 138,665 187,659 73.9% 73.7% 74.1%
Other* O 2,344 4,688 50% 48.6% 51.4%
Personal Care Staff* PC 7,908 12,971 61% 60.1% 61.8%
Student AH SAH 293 436 67.2% 62.6% 71.6%
Student Medical SDR 854 1,419 60.2% 57.6% 62.7%
Student Nurse SN 4,738 6,969 68% 66.9% 69.1%
Student Personal Care SPC 40 57 70.2% 56.6% 81.6%
*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 (79.8%) and after touching a patient (77.1%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (73.9% for Registered Nurses and 68% for student nurses/midwives). 
 
 

National Data Period Two, 2011

Audit Period Two - 2011 (June)
(NHHI Audit Two 2011)

Data have been collected nationally from a total of 564 hospitals from both the public and private sectors. The average compliance rate was 71.3% .

 
Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

214,685 301,175

71.3%

71.1%

71.4%


Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

57,585

86,189

66.8%

66.5%

67.1%

Moment 2

17,218

23,895

72.1%

71.5%

72.6%

Moment 3

26,387

32,376

81.5%

81.1%

81.9%

Moment 4

69,556

88,010

79.0%

78.8%

79.3%

Moment 5

43,939

70,705

62.1%

61.8%

62.5%

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 577 984 58.6% 55.5% 61.7%
Allied HCW AH 10,397 15,295 68.0% 67.2% 68.7%
Domestic* D 3,245 6,435 50.4% 49.2% 51.6%
Invasive Tech BL 4,342 6,230 69.7% 68.5% 70.8%
Medical Practitioner DR 23,011 41,578 55.3% 54.9% 55.8%
Nurse/Midwife N 151,843 198,112 76.6% 76.5% 76.8%
Other* O 2,442 4,272 57.2% 55.7% 58.6%
Personal Care Staff* PC 8,689 13,529 64.2% 63.4% 65%
Student AH SAH 503 772 65.2% 61.7% 68.4%
Student Medical SDR 984 1,734 56.7% 54.4% 59.1%
Student Nurse SN 8,581 1,2145 70.7% 69.8% 71.5%
Student Personal Care SPC 71 89 79.8% 70.3% 86.8%
*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 (81.5%) and after touching a patient (79.0%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (76.6% for Registered Nurses and 70.7% 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

50.4%

49.5%

51.2%

2 Before Procedure

58.5%

56.4%

60.5%

3 After a Procedure or Body Fluid Exposure Risk

69.6%

67.8%

71.3%

4 After Touching a Patient

67.0%

66.1%

67.8%

5 After Touching A Patient's Surroundings

44.1%

43.3%

45.0%

 

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

71.9%

71.5%

72.2%

2 Before Procedure

74.8%

74.2%

75.5%

3 After a Procedure or Body Fluid Exposure Risk

83.9%

83.5%

84.4%

4 After Touching a Patient

82.8%

82.5%

83.1%

5 After Touching A Patient's Surroundings

70.6%

70.1%

71.0%

 

Compliance Rates by Unit

Unit Type

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Medical (n=287)

70.5%

70.0%

70.9%

Surgical (n=389)

68.4%

68.1%

68.8%

Mixed (n=300)

73.7%

73.1%

74.2%

Emergency (n=115)

60.2%

59.4%

61.0%

Critical Care (n=194)

68.3%

67.8%

68.7%

 

Compliance Rates by Peer Group - Public hospitals only

Peer Group*

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Principal (n= 83)

70.3%

70.0%

70.5%

Large (n=38)

74.1%

73.6%

74.6%

Medium (n=76)

74.4%

73.8%

75.1%

Small (n=245)

79.3%

78.7%

79.8%

*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

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.

http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2

National Data Period Three, 2011

Audit Period Three - 2011 (October)
(NHHI Audit Three 2011)

Data have been collected nationally from a total of 589 hospitals from both the public and private sectors. The average compliance rate was 72.6% .

 Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

235,518 324,423

72.6%

72.4%

72.7%

Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

64,207

93,720

68.5%

68.2%

68.8%

Moment 2

18,910

26,065

72.5%

72.0%

73.1%

Moment 3

28,493

34,633

82.3%

81.9%

82.7%

Moment 4

75,892

95,198

79.7%

79.5%

80.0%

Moment 5

48,016

74,807

64.2%

63.8%

64.5%

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 855 1,224 69.9% 67.2% 72.4%
Allied HCW AH 11,558 16,371 70.6% 69.9% 71.3%
Domestic* D 4,473 7,990 56.0% 54.9% 57.1%
Invasive Tech BL 4,118 5,923 69.5% 68.3% 70.7%
Medical Practitioner DR 25,303 43,457 58.2% 57.8% 58.7%
Nurse/Midwife N 162,771 210,555 77.3% 77.1% 77.5%
Other* O 2,251 4,011 56.1% 54.6% 57.6%
Personal Care Staff* PC 10,690 15,885 67.3% 66.6% 68.0%
Student AH SAH 663 987 67.2% 64.2% 70.0%
Student Medical SDR 1,169 1,885 62.0% 59.8% 64.2%
Student Nurse/Midwife SN 11,541 15,979 72.2% 71.5% 72.9%
*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 (82.3%) and after touching a patient (79.7%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (77.3% for nurses/midwives and 72.2% 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

53.3%

52.4%

54.1%

2 Before Procedure

60.7%

58.8%

62.6%

3 After a Procedure or Body Fluid Exposure Risk

68.3%

66.6%

70.0%

4 After Touching a Patient

68.9%

68.1%

69.6%

5 After Touching A Patient's Surroundings

48.8%

47.9%

49.7%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

72.8%

72.5%

73.2%

2 Before Procedure

75.1%

74.5%

75.7%

3 After a Procedure or Body Fluid Exposure Risk

84.7%

84.3%

85.1%

4 After Touching a Patient

82.8%

82.5%

83.1%

5 After Touching A Patient's Surroundings

71.9%

71.5%

72.4%

Compliance Rates by Unit

Unit Type

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Medical (n=300)

71.6%

71.2%

72.0%

Surgical (n=424)

69.4%

69.1%

69.8%

Mixed (n=318)

75.0%

74.5%

75.5%

Emergency (n=120)

63.5%

62.7%

64.3%

Critical Care (n=208)

71.1%

71.3%

72.2%

Compliance Rates by Peer Group - Public hospitals only

Peer Group*

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Principal (n= 81)

71.6%

71.4%

71.8%

Large (n=38)

75.4%

75.0%

75.9%

Medium (n=75)

75.7%

75.0%

76.3%

Small (n=260)

78.3%

77.8%

78.9%

*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

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.

http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2