National Data - National Hand Hygiene Initiative

Audit Period Two 2018   1st April 2018 - 30th June 2018

Data have been collected nationally from a total of 1017 organisations (934 hospitals) from both the public and private sectors. The average compliance rate was 85.1%.

Overall Compliance Rate

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

501,534

589,640

85.1%

85.0%

85.1%

Number Of Data Submissions By State

StatePublicPrivate
ACT 2 10
NSW 231 125
NT 6 3
QLD 112 101
SA 22 22
TAS 18 13
VIC 144 82
WA 81 45
Total 616 401

Compliance Rate By Moment

MomentCorrect
Moments
Total
Moments
Compliance
Rate
Lower 95% CIUpper 95% CI
1 - Before Touching A Patient 139,574 171,047 81.6% 81.4% 81.8%
2 - Before Procedure 53,085 59,601 89.1% 88.8% 89.3%
3 - After a Procedure or Body Fluid Exposure Risk 64,956 70,806 91.7% 91.5% 91.9%
4 - After Touching a Patient 149,105 169,177 88.1% 88.0% 88.3%
5 - After Touching A Patient's Surroundings 94,814 119,009 79.7% 79.4% 79.9%

NHHI 2 2018 Moments

Figure 1. National Hand Hygiene Compliance Rate By Moment
 

Compliance Rate By Health Care Worker

HCW TypeCorrect
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Nurse/Midwife 347,882 394,702 88.1% 88.0% 88.2%
Medical Practitioner 53,757 73,375 73.3% 72.9% 73.6%
Personal Care Staff 18,538 23,381 79.3% 78.8% 79.8%
Allied Health Care Worker 23,504 28,182 83.4% 82.9% 83.8%
Administrative and Clerical Staff 2,289 2,869 79.8% 78.3% 81.2%
Invasive Technician 6,671 7,879 84.7% 83.9% 85.4%
Domestic 10,198 13,690 74.5% 73.8% 75.2%
Student Doctor 1,306 1,688 77.4% 75.3% 79.3%
Student Nurse/Midwife 20,503 24,328 84.3% 83.8% 84.7%
Student Allied Health 1,342 1,636 82.0% 80.1% 83.8%
Student Personal Care 183 218 83.9% 78.5% 88.2%
Other - Not Categorised Elsewhere 4,580 5,846 78.3% 77.3% 79.4%
Dentist, Specialist Dentists 3,023 3,241 93.3% 92.4% 94.1%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,326 1,398 94.8% 93.6% 95.9%
Dental Assistant/Dental Nurse 5,227 5,531 94.5% 93.9% 95.1%
Dental Technicians/Laboratory staff (no patient contact) 17 19 89.5% 68.6% 97.1%
Student Dentist 447 516 86.6% 83.4% 89.3%
Student Dental Therapists 179 188 95.2% 91.2% 97.5%
Student Dental Assistant/Dental Nurse 70 75 93.3% 85.3% 97.1%
Ambulance 492 868 56.7% 53.4% 59.9%

NHHI 2 2018 HCW

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 (91.7%) and before a procedure (89.1%). 

Figure 2 depicts the compliance rate by healthcare worker professional group. 

Medical Staff Hand Hygiene Compliance Rate By Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
1- Before Touching A Patient  14,974  21,858  68.5%  67.9%  69.1%
2 - Before Procedure  5,473  6,777  80.8%  79.8%  81.7%
3 - After a Procedure or Body Fluid Exposure Risk  5,983  7,350  81.4%  80.5%  82.3%
4 - After Touching a Patient  18,656  23,616  79.0%  78.5%  79.5%
5 - After Touching A Patient's Surroundings  8,671  13,774  63.0%  62.1%  63.8%

Nursing/Midwifery Staff Hand Hygiene Compliance Rate By Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient  98,671  116,402  84.8%  84.6%  85.0%
2 - Before Procedure  39,143  43,302  90.4%  90.1%  90.7%
3 - After a Procedure or Body Fluid Exposure Risk  48,579  52,052  93.3%  93.1%  93.5%
4 - After Touching a Patient  102,331  112,989  90.6%  90.4%  90.7%
5 - After Touching A Patient's Surroundings  59,158 69,957  84.6%  84.3%  84.8%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Acute Aged Care  4,627  5,288  87.5%  86.6%  88.4%
Ambulatory Care  16,559  18,814  88.0%  87.5%  88.5%
Critical Care Unit  42,635  50,934  83.7%  83.4%  84.0%
Dental  11,876  12,686  93.6%  93.2%  94.0%
Emergency Department  24,097  32,010  75.3%  74.8%  75.7%
Long-term Care  3,165  3,650  86.7%  85.6%  87.8%
Maternity  20,075  23,337  86.0%  85.6%  86.5%
Medical  66,686  79,300  84.1%  83.8%  84.3%
Mental Health  10,948  12,430  88.1%  87.5%  88.6%
Mixed  39,876  46,264  86.2%  85.9%  86.5%
Neonatal Care  11,161  12,461  89.6%  89.0%  90.1%
Oncology/Haematology  27,351  31,224  87.6%  87.2%  88.0%
Other  9,972  11,585  86.1%  85.4%  86.7%
Paediatrics  9,984  11,456  87.2%  86.5%  87.8%
Palliative  3,445  3,973  86.7%  85.6%  87.7%
Peri-operative  40,531  49,024  82.7%  82.3%  83.0%
Radiology  11,181  13,282  84.2%  83.6%  84.8%
Renal  31,027  35,200  88.1%  87.8%  88.5%
Sub Acute  24,685  28,659  86.1%  85.7%  86.5%
Surgical  90,193  106,456  84.7%  84.5%  84.9%
Transplantation Unit  1,460  1,607  90.9%  89.3%  92.2%
Click Here For Ward Type Definitions
 

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=93)  246,630  295,428  83.5%  83.3%  83.6%
Large (n=42)  44,109  51,935  84.9%  84.6%  85.2%
Medium (n=81)  25,196  29,279  86.1%  85.7%  86.4%
Small (n=334)  36,635  41,301  88.7%  88.4%  89.0%

Please click here for public hospital peer group definitions. These categories only apply to public hospitals. No Private Hospital data is included.

Private Hospitals Only

Private Peer GroupCorrect
Moments
Total
Moments
Compliance
Rate
Lower
95%CI
Upper
95% CI
PPG 1 (n= 7)  17,565  20,751  84.6%  84.1%  85.1%
PPG 2 (n= 6)  12,712  14,259  89.2%  88.6%  89.7%
PPG 3 (n= 12)  20,360  23,765  85.7%  85.2%  86.1%
PPG 4 (n= 20)  17,413  19,976  87.2%  86.7%  87.6%
PPG 5 (n= 27)  14,520  16,731  86.8%  86.3%  87.3%
PPG 6 (n= 71)  18,239  21,364  85.4%  84.9%  85.8%
PPG 7 (n= 74)  9,241  10,561  87.5%  86.9%  88.1%

Click here for private hospital peer group definitions.

Private Day Hospitals Only

Day Hospital Peer GroupCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
Large (n= 16)  4,456  5,153  86.5%  85.5%  87.4%
Medium (n= 45)  7,650  8,790  87.0%  86.3%  87.7%
Small (n= 56)  5,841  6,658  87.7%  86.9%  88.5%

 Click here for day hospital peer group definitions.

Standalone And Satellite Dialysis Centres Only

Dialysis Centres Peer GroupCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
Large (n= 24)  4,272  5,119  83.5%  82.4%  84.4%
Small (n= 11)  1,346  1,548  87.0%  85.2%  88.5%