2010

Period One

National Data - National Hand Hygiene Initiative

Audit Period One 2010 - 1st November 2009 - 31st March 2010

Data have been collected nationally from a total of 377 hospitals from both the public and private sectors. The average compliance rate was 64.0% .

Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 114,453 178,914 64.0% 63.7% 64.2%

Number of data submissions by state

State n
ACT 2
NSW 158
NT 3
QLD 1
SA 19
TAS 18
VIC 81
WA 39
Private organisations*  56
* 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 27,802 48,879 56.9% 56.4% 57.3%
Moment 2 8,017 13,228 60.6% 59.8% 61.4%
Moment 3 14,190 18,836 75.3% 74.7% 75.9%
Moment 4 38,495 52,087 73.9% 73.5% 74.3%
Moment 5 25,949 45,884 56.6% 56.1% 57.0%


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 6,411 10,231 62.7% 61.7% 63.6%
Invasive Tech BL 2,334 4,194 55.7% 54.1% 57.1%
Medical Practitioner DR 13,104 26,574 49.3% 48.7% 49.9%
Nurse/Midwife N 72,097 103,090 69.9% 69.7% 70.2%
Other* O 2,572 5,600 45.9% 44.6% 47.2%
Personal Care Staff** PSA 13,725 22,464 61.1% 60.5% 61.7%
Student AH SAH 247 433 57.0% 52.3% 61.6%
Student Medical SDR 454 786 57.8% 54.3% 61.2%
Student Nurse SN 3,517 5,552 63.3% 62.1% 64.6%
*includes administrative and clerical staff
**includes domestic and personal care staff

  

Period Two

National Data - National Hand Hygiene Initiative

Audit Period Two 2010 - 1st April - 30th June

Comparison of compliance rates by jurisdiction including national data and the private sector 2009 - 10 YTD

Comparison of compliance rates by jurisdiction shows an upward trend in most jurisdictions towards 70% compliance.  Queensland which had an 11 opportunities program, has completed the introduction and training for the 5 Moments and will submit data for publication from the September-December 2010 audit.

 Click to view larger image (pdf)

Source: Australian Commission on Safety and Quality in Healthcare - Windows into Safety and Quality in Health Care 2010, pp 24-26.File NOT FOUND
 

Audit Period Two 2010 - 1st April - 30th June

Data have been collected nationally from a total of 449 hospitals from both the public and private sectors. The average compliance rate was 67.0% .


Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 164194 245123 67.0% 66.8% 67.2%

 

Number of data submissions by state

 

State n
ACT 2
NSW 178
NT 5
QLD 22
SA 19
TAS 17
VIC 85
WA 44
Private organisations*  77

* 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 42046 68195 61.7% 61.3% 62.0%
Moment 2 11978 18370 65.2% 64.5% 65.9%
Moment 3 20336 26333 77.2% 76.7% 77.7%
Moment 4 55052 72690 75.7% 75.4% 76.0%
Moment 5 34782 59517 58.4% 58.0% 58.8%

Click to view larger image (pdf)

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 202 377 53.6% 48.4% 58.7%
Allied HCW AH 8404 13169 63.8% 63.0% 64.6%
Domestic* D 1444 2869 50.3% 48.5% 52.2%
Invasive Tech BL 3642 5744 63.4% 62.1% 64.7%
Medical Practitioner DR 16610 32816 50.6% 50.1% 51.2%
Nurse/Midwife N 114406 157428 72.7% 72.5% 72.9%
Other* O 1316 2124 62.0% 59.9% 64.0%
Personal Care Staff* PC 4248 6909 61.5% 60.3% 62.6%
Student AH SAH 519 816 63.6% 60.2% 66.9%
Student Medical SDR 1141 1957 58.3% 56.1% 60.5%
Student Nurse SN 5852 8509 68.8% 67.8% 69.8%
Student Personal Care SPC 36 76 47.4% 35.7% 59.1%
*Data Incomplete

Click to view larger image (pdf)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 (77.2%) and after touching a patient (75.7%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses (72.7% for Registered Nurses and 68.8% for student nurse).  

Period Three

National Data - National Hand Hygiene Initiative

Audit Period Three 2010 - 1st July - 31st October

Data have been collected nationally from a total of 521 hospitals from both the public and private sectors. The average compliance rate was 68.3% .


Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 168,641 246,931 68.3% 68.1% 68.5%

 

Number of data submissions by state

State n
ACT 2
NSW 178
NT 5
QLD 81
SA 23
TAS 17
VIC 84
WA 38
Private organisations*  93

* 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 43,499 68,979 63.1% 62.7% 63.4%
Moment 2 13,620 19,901 68.4% 67.8% 69.1%
Moment 3 21,520 27,189 79.1% 78.7% 79.6%
Moment 4 54,531 71,732 76.0% 75.7% 76.3%
Moment 5 35,471 59,139 60.0% 59.6% 60.4%

Click to view larger image (pdf)

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 318 577 55.1% 50.9% 59.2%
Allied HCW AH 8,187 12,595 65.0% 64.2% 65.8%
Domestic* D 3,289 5,924 55.5% 54.2% 56.8%
Invasive Tech BL 3,890 5,793 67.2% 65.9% 68.4%
Medical Practitioner DR 17,897 34,224 52.3% 51.8% 52.8%
Nurse/Midwife N 116,851 158,732 73.6% 73.4% 73.9%
Other* O 2,364 4,920 48.0% 46.6% 49.4%
Personal Care Staff* PC 5,700 9,107 62.6% 61.6% 63.6%
Student AH SAH 808 1,212 66.7% 63.9% 69.3%
Student Medical SDR 588 1,147 51.3% 48.3% 54.2%
Student Nurse SN 8,732 12,674 68.9% 68.1% 69.7%
Student Personal Care SPC 17 26 65.4% 44.3% 82.8%
*Data Incomplete

Click to view larger image (pdf)

 

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 (79.1%) and after touching a patient (76.0%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses (73.6% for Registered Nurses and 68.9% for student nurse).