2011

Period One

National Data - National Hand Hygiene Initiative

Audit Period One 2011 - 1st November 2010 - 31st March 2011

Data have been collected nationally from a total of 546 hospitals from both the public and private sectors. The average compliance rate was 68.7% .

Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 193,336 281,231  68.7% 68.6% 68.9%

 

Number of data submissions by state

State Public Private
ACT 2  
NSW 178  
NT 5  
QLD 75  
SA 24  
TAS 18 4
VIC 85  
WA 42 7
State deidentified *   106
Total 429 117

*Some private hospital submitters chose to remain deidentified in the HHA database

Compliance Rate By Moment

Moment Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Moment 1 50,947 79,794 63.8% 63.5% 64.2%
Moment 2 15,193 22,270 68.2% 67.6% 68.8%
Moment 3 23,884 29,942 79.8% 79.3% 80.2%
Moment 4 61,559 79,856 77.1% 76.8% 77.4%
Moment 5 41,753 69,369 60.2% 59.8% 60.6%

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 651 1,025 63.5% 60.5% 66.5%
Allied HCW AH 10,241 15,323 66.8% 66.1% 67.6%
Domestic* D 3,069 5,702 53.8% 52.5% 55.1%
Invasive Tech BL 3,921 5,799 67.6% 66.4% 68.8%
Medical Practitioner DR 20,585 39,197 52.5% 52% 53%
Nurse/Midwife N 138,665 187,659 73.9% 73.7% 74.1%
Other* O 2,344 4,688 50% 48.6% 51.4%
Personal Care Staff* PC 7,908 12,971 61% 60.1% 61.8%
Student AH SAH 293 436 67.2% 62.6% 71.6%
Student Medical SDR 854 1,419 60.2% 57.6% 62.7%
Student Nurse SN 4,738 6,969 68% 66.9% 69.1%
Student Personal Care SPC 40 57 70.2% 56.6% 81.6%
*Data Incomplete

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 (79.8%) and after touching a patient (77.1%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (73.9% for Registered Nurses and 68% for student nurses/midwives).  

Click here for Data Definitions.

Period Two

National Data - National Hand Hygiene Initiative

Audit Period Two 2011 - 1st April - 30th June

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%

Number of data submissions by state

State Public Private
ACT 2  
NSW 182  
NT 4  
QLD 80  
SA 22  
TAS 18 5
VIC 85  
WA 54 7
State deidentified *   105
Total 447 117

*Some private hospital submitters chose to remain deidentified in the HHA database

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% 61.8% 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

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 (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). 

Medical Staff hand hygiene compliance rate by Moment

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%

Click here for Data Definitions.

Period Three

National Data - National Hand Hygiene Initiative

Audit Period Three 2011 - 1st July - 31st October

Data have been collected nationally from a total of 589 hospitals from both the public and private sectors. The average compliance rate was 72.6% .

Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 235,518 324,423 72.6% 72.4% 72.7%

Number of data submissions by state

State Public Private
ACT 2  
NSW 194  
NT 3  
QLD 80  
SA 25  
TAS 18 5
VIC 85  
WA 52 6
State deidentified *   119
Total 459 130

*Some private hospital submitters chose to remain deidentified in the HHA database

Compliance Rate By Moment

Moment Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Moment 1 64,207 93,720 68.5% 68.2% 68.8%
Moment 2 18,910 26,065 72.5% 72.0% 73.1%
Moment 3 28,493 34,633 82.3% 81.9% 82.7%
Moment 4 75,892 95,198 79.7% 79.5% 80.0%
Moment 5 48,016 74,807 64.2% 63.8% 64.5%

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 855 1,224 69.9% 67.2% 72.4%
Allied HCW AH 11,558 16,371 70.6% 69.9% 71.3%
Domestic* D 4,473 7,990 56.0% 54.9% 57.1%
Invasive Tech BL 4,118 5,923 69.5% 68.3% 70.7%
Medical Practitioner DR 25,303 43,457 58.2% 57.8% 58.7%
Nurse/Midwife N 162,771 210,555 77.3% 77.1% 77.5%
Other* O 2,251 4,011 56.1% 54.6% 57.6%
Personal Care Staff* PC 10,690 15,885 67.3% 66.6% 68.0%
Student AH SAH 663 987 67.2% 64.2% 70.0%
Student Medical SDR 1,169 1,885 62.0% 59.8% 64.2%
Student Nurse/Midwife SN 11,541 15,979 72.2% 71.5% 72.9%
*Data Incomplete

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 (82.3%) and after touching a patient (79.7%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (77.3% for nurses/midwives and 72.2% for student nurses/midwives). 

Medical Staff hand hygiene compliance rate by Moment

MOMENT COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
1 Before Touching A Patient 53.3% 52.4% 54.1%
2 Before Procedure 60.7% 58.8% 62.6%
3 After a Procedure or Body Fluid Exposure Risk 68.3% 66.6% 70.0%
4 After Touching a Patient 68.9% 68.1% 69.6%
5 After Touching A Patient's Surroundings 48.8% 47.9% 49.7%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
1 Before Touching A Patient 72.8% 72.5% 73.2%
2 Before Procedure 75.1% 74.5% 75.7%
3 After a Procedure or Body Fluid Exposure Risk 84.7% 84.3% 85.1%
4 After Touching a Patient 82.8% 82.5% 83.1%
5 After Touching A Patient's Surroundings 71.9% 71.5% 72.4%

Compliance Rates by Unit

Unit Type COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
Medical (n=300) 71.6% 71.2% 72.0%
Surgical (n=424) 69.4% 69.1% 69.8%
Mixed (n=318) 75.0% 74.5% 75.5%
Emergency (n=120) 63.5% 62.7% 64.3%
Critical Care (n=208) 71.1% 71.3% 72.2%

Compliance Rates by Peer Group - Public hospitals only

Peer Group* COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
Principal (n= 81) 71.6% 71.4% 71.8%
Large (n=38) 75.4% 75.0% 75.9%
Medium (n=75) 75.7% 75.0% 76.3%
Small (n=260) 78.3% 77.8% 78.9%

Click here for Data Definitions.