National Data - National Hand Hygiene Initiative

Audit Period One 2018   1st November 2017 - 31st March 2018

Data have been collected nationally from a total of 1009 organisations (930 hospitals) from both the public and private sectors. The average compliance rate was 84.8% . 

Overall Compliance Rate

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

607,534

716,437

84.8%

84.7%

84.9%

Number of data submissions by state

StatePublicPrivate
ACT 2 9
NSW 231 121
NT 5 3
QLD 113 99
SA 22 24
TAS 16 11
VIC 141 83
WA 85 44
Total 615 394

Compliance Rate by Moment

MomentCorrect
Moments
Total
Moments
Compliance
Rate
Lower 95% CIUpper 95% CI
1 - Before Touching A Patient 168,235 207,026 81.3% 81.1% 81.4%
2 - Before Procedure 64,634 72,602 89.0% 88.8% 89.3%
3 - After a Procedure or Body Fluid Exposure Risk 78,614 85,703 91.7% 91.5% 91.9%
4 - After Touching a Patient 179,309 203,614 88.1% 87.9% 88.2%
5 - After Touching A Patient's Surroundings 116,742 147,492 79.2% 78.9% 79.4%

NHHI 1 2018 Moment

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 424,826 483,095 87.9% 87.8% 88.0%
Medical Practitioner 67,438 92,213 73.1% 72.8% 73.4%
Personal Care Staff 23,985 29,980 80.0% 79.5% 80.5%
Allied Health Care Worker 29,791 35,966 82.8% 82.4% 83.2%
Administrative and Clerical Staff 2,938 3,651 80.5% 79.2% 81.7%
Invasive Technician 8,450 9,860 85.7% 85.0% 86.4%
Domestic 12,787 17,354 73.7% 73.0% 74.3%
Student Doctor 1,754 2,263 77.5% 75.7% 79.2%
Student Nurse/Midwife 17,819 21,143 84.3% 83.8% 84.8%
Student Allied Health 1,272 1,550 82.1% 80.1% 83.9%
Student Personal Care 103 136 75.7% 67.9% 82.2%
Other - Not Categorised Elsewhere 4,667 6,143 76.0% 74.9% 77.0%
Dentist, Specialist Dentists 3,401 3,683 92.3% 91.4% 93.2%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,395 1,479 94.3% 93.0% 95.4%
Dental Assistant/Dental Nurse 5,644 6,037 93.5% 92.8% 94.1%
Dental Technicians/Laboratory staff (no patient contact) 29 32 90.6% 75.8% 96.8%
Student Dentist 417 495 84.2% 80.8% 87.2%
Student Dental Therapists 123 142 86.6% 80.0% 91.3%
Student Dental Assistant/Dental Nurse 28 37 75.7% 59.9% 86.6%
Student Dental Technicians/Laboratory staff (no patient contact) 10 12 83.3% 55.2% 95.3%
Ambulance 657 1,166 56.3% 53.5% 59.2%

NHHI 1 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 (89.0%). 

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  18,527  27,291  67.9%  67.3%  68.4%
2 - Before Procedure  6,808  8,323  81.8%  81.0%  82.6%
3 - After a Procedure or Body Fluid Exposure Risk  7,392  9,033  81.8%  81.0%  82.6%
4 - After Touching a Patient  23,098  29,348  78.7%  78.2%  79.2%
5 - After Touching A Patient's Surroundings  11,613  18,218  63.7%  63.0%  64.4%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient  120,533  142,469  84.6%  84.4%  84.8%
2 - Before Procedure  48,169  53,325  90.3%  90.1%  90.6%
3 - After a Procedure or Body Fluid Exposure Risk  59,230  63,467  93.3%  93.1%  93.5%
4 - After Touching a Patient  124,559  137,598  90.5%  90.4%  90.7%
5 - After Touching A Patient's Surroundings  72,335 86,236  83.9%  83.6%  84.1%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Acute Aged Care  7,107  8,324  85.4%  84.6%  86.1%
Ambulatory Care  20,250  23,053  87.8%  87.4%  88.3%
Critical Care Unit  50,320  60,330  83.4%  83.1%  83.7%
Dental  12,451  13,465  92.5%  92.0%  92.9%
Emergency Department  28,797  38,988  73.9%  73.4%  74.3%
Long-term Care  3,951  4,517  87.5%  86.5%  88.4%
Maternity  24,646  28,786  85.6%  85.2%  86.0%
Medical  83,914  100,077  83.8%  83.6%  84.1%
Mental Health  12,766  14,567  87.6%  87.1%  88.2%
Mixed  49,666  57,936  85.7%  85.4%  86.0%
Neonatal Care  14,545  16,356  88.9%  88.4%  89.4%
Oncology/Haematology  33,755  38,908  86.8%  86.4%  87.1%
Other  12,393  14,184  87.4%  86.8%  87.9%
Paediatrics  13,021  15,185  85.7%  85.2%  86.3%
Palliative  4,127  4,641  88.9%  88.0%  89.8%
Peri-operative  47,478  56,555  84.0%  83.6%  84.3%
Radiology  11,521  13,662  84.3%  83.7%  84.9%
Renal  35,741  40,757  87.7%  87.4%  88.0%
Sub Acute  30,706  35,790  85.8%  85.4%  86.2%
Surgical  108,680  128,368  84.7%  84.5%  84.9%
Transplantation Unit  1,699  1,988  85.5%  83.8%  86.9%

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)  314,100  377,423  83.2%  83.1%  83.3%
Large (n=42)  56,238  65,616  85.7%  85.4%  86%
Medium (n=82)  29,873  34,770  85.9%  85.5%  86.3%
Small (n=337)  43,442  49,279  88.2%  87.9%  88.4%

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)  18,764  22,533  83.3%  82.8%  83.8%
PPG 2 (n= 5)  12,961  14,703  88.2%  87.6%  88.7%
PPG 3 (n= 11)  23,184  26,435  87.7%  87.3%  88.1%
PPG 4 (n= 19)  18,314  21,106  86.8%  86.3%  87.2%
PPG 5 (n= 29)  17,137  19,780  86.6%  86.2%  87.1%
PPG 6 (n= 71)  20,887  24,517  85.2%  84.7%  85.6%
PPG 7 (n= 69)  9,998  11,421  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= 13)  4,319  4,848  89.1%  88.2%  89.9%
Medium (n= 49)  9,027  10,677  84.5%  83.8%  85.2%
Small (n= 58)  6,435  7,343  87.6%  86.9%  88.4%

 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= 23)  5,454  6,392  85.3%  84.4%  86.2%
Small (n= 11)  1,260  1,546  81.5%  79.5%  83.4%