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%
|
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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%
|
62.5%
|
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 |
|
 |
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Figure 2. National Hand Hygiene Compliance Rates by Healthcare Profession
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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).
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Medical Staff hand hygiene compliance rate by Moment
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|
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%
|
|
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*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
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Appendix 1
Peer Group Categories
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Principal referral and specialist women's and children's
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A1
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Major city hospitals with >20,000 acute casemix adjusted separations and Regional hospitals with >16,000 acute casemix-adjusted separations per annum
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A2
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Specialised acute women’s and children’s hospitals with >10,000 acute casemix-adjusted separations per annum
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Large hospitals
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B1
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Major city acute hospitals treating more than 10,000 acute casemix-adjusted separations per annum
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B2
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Regional acute hospitals treating >8,000 acute casemix adjusted separations per annum, and remote hospitals with >5,000 casemix-adjusted separations
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Medium hospitals
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C1
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Medium acute hospitals in Regional and Major city areas treating between 5,000 and 10,000acute casemix-adjusted separations per annum
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C2
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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
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Small acute hospitals
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D1
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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
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Small acute hospitals
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D3
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Small remote hospitals (<5,000 acute casemix-adjusted separations but not 'Multipurpose services' and not 'Small non-acute'. Most are <2,000 separations
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Small sub-acute and non-acute hospitals
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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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