2009

Period Two

National Data - National Hand Hygiene Initiative

Audit Period Two 2009 - 1st April 2009 - 31st  July 2009

Data have been collected nationally from a total of 168 hospitals from both the public and private sectors. The average compliance rate was 63.5% (range across jurisdictions was 50.1% to 70.8%). Queensland has undertaken a successful hand hygiene initiative in state public hospitals for some years using a different compliance measurement process. Queensland will be using the 5 Moments measurements from 2010.

Number of data submissions by state

State n
ACT 2
NSW 24
NT 5
QLD 0
SA 7
TAS 9
VIC 82
WA 25
Private organisations*  14

* Note: Private organisations were not separated by state of origin in this reporting period

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Figure 1. National Hand Hygiene Compliance Rates

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Figure 2. National Hand Hygiene Compliance Rates by Healthcare Profession

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Figure 3. National Hand Hygiene Compliance Rate By Moment

Figure 1 depicts the compliance rates and number of hospitals for each of the jurisdictions that submitted data for the second audit period in August 2009. The highest compliance rate and the largest number of hospitals  submitting data was Victoria (70.5% from 86 hospitals). This demonstrates the benefit of using the program over several years, as Victoria began the process well before the start of the national program.  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses (69% for student nurse and 68% for Registered Nurses).  Figure 3 depicts the compliance rates for each of the 5 Moments. The highest rates of compliance were after touching a patient (73%) and after completion of a procedure (71%).  The National Hand Hygiene Initiative is continuing.  Measurement and reporting of compliance with the 5 Moments program will remain a key part of the initiative and the Commission will make the national results available through its website (www.safetyandquality.gov.au). The number of hospitals providing data in this second round of reporting has increased and it is anticipated to continue to increase for the subsequent data periods.  This ongoing initiative will remain a valuable step in the national efforts to reduce the risk of healthcare acquired infections in Australia.

Source: Australian Commission on Safety and Quality in Healthcare - Windows into Safety and Quality in Health Care 2009, pp 11-12. 

Period Three

 

National Data - National Hand Hygiene Initiative

Audit Period Three 2009 - 1st August 2009 - 31st October 2009

Data have been collected nationally from a total of 290 hospitals from both the public and private sectors. The average compliance rate was 61.8% .

Overall Compliance Rate*

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 78,552 127,125 61.8% 61.5% 62.0%

*Not all health services provided data by Moment and Healthcare Worker to Jurisdictions.  Hence the total number of moments is not the sum of the moments listed in the compliance rate by Moment and compliance rate by Healthcare Worker tables.

Number of data submissions by state

State n
ACT 2
NSW 115
NT 5
QLD 0
SA 14
TAS 14
VIC 83
WA 39
Private organisations*  18

* Note: Private organisations were not separated by state of origin in this reporting period

Compliance Rate By Moment

Moment Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Moment 1 20,175 35,900 56.2% 55.7% 56.7%
Moment 2 5,069 8,664 58.5% 57.5% 59.5%
Moment 3 9,085 12,478 72.8% 72.0% 73.6%
Moment 4 26,386 36,925 71.5% 71.0% 71.9%
Moment 5 17,270 32,586 53.0% 52.5% 53.5%


Compliance Rate By Healthcare Worker Type

HCW Type Code Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Allied HCW AH 3,713 6,412 57.9% 56.7% 59.1%
Invasive Tech BL 1,621 2,807 57.7% 55.9% 59.6%
Medical Practitioner DR 8,252 17,830 46.3% 45.6% 47.0%
Nurse/Midwife N 52,226 76,575 67.5% 67.2% 67.8%
Other* O 2,728 6,099 43.0% 41.5% 44.4%
Personal Care Staff** PSA 4,729 9,155 53.3% 52.2% 54.3%
Student AH SAH 183 375 48.8% 43.8% 53.8%
Student Medical SDR 197 414 47.6% 42.8% 52.4%
Student Nurse SN 4,340 6,973 62.2% 61.1% 63.4%
*includes administrative and clerical staff
**includes domestic and personal care staff