2012

Period One

National Data - National Hand Hygiene Initiative

Audit Period One 2012 - 1st November 2011 - 31st March 2012

Data have been collected nationally from a total of 629 hospitals from both the public and private sectors. The average compliance rate was 73.8% .

Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 287,220 389,077 73.8% 73.7% 74.0%

Number of data submissions by state

State Public Private
ACT 2  
NSW 200  
NT 4  
QLD 90  
SA 26  
TAS 19 4
VIC 84  
WA 60 8
State deidentified *   132
Total 485 144

* 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 76,925 111,029 69.3% 69.0 69.6%
Moment 2 24,115 32,395 74.4% 74.0% 74.9%
Moment 3 35,342 42,499 83.2% 82.8% 83.5%
Moment 4 90,931 112,644 80.7% 80.5% 81.0%
Moment 5 59,907 90,510 66.2% 65.9% 66.5%

ChartNtnlMoment3 2012

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 1628 2198 74.1% 72.2% 75.9%
Allied HCW AH 14416 20173 71.5% 70.8% 72.1%
Domestic* D 6463 11022 58.6% 57.7% 59.6%
Invasive Tech BL 5070 7058 71.8% 70.8% 72.9%
Medical Practitioner DR 32034 53742 59.6% 59.2% 60.0%
Nurse/Midwife N 203632 260094 78.3% 78.1% 78.4%
Other* O 2686 4529 59.3% 57.9% 60.7%
Personal Care Staff* PC 11220 16503 68.0% 67.3% 68.7%
Student AH SAH 650 883 73.6% 70.6% 76.4%
Student Medical SDR 1384 2040 67.8% 65.8% 69.8%
Student Nurse/Midwife SN 7901 10677 74.0% 73.2% 74.8%
Student Personal Care SPC 136 158 86.1% 79.8% 90.6%
*Data Incomplete

ChartNtnlHCW3 2011 lge

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 (83.2%) and after touching a patient (80.7%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (78.3% for nurses/midwives and 74.0% 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 54.3% 53.5% 55.1%
2 Before Procedure 63.4% 61.7% 65.1%
3 After a Procedure or Body Fluid Exposure Risk 71.1% 69.5% 72.5%
4 After Touching a Patient 69.6% 68.9% 70.3%
5 After Touching A Patient's Surroundings 50.5% 49.7% 51.3%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
1 Before Touching A Patient 73.4% 73.1% 73.7%
2 Before Procedure 76.5% 76.5% 77.0%
3 After a Procedure or Body Fluid Exposure Risk 85.2% 85.2% 85.6%
4 After Touching a Patient 83.8% 83.8% 84.1%
5 After Touching A Patient's Surroundings 73.5% 73.5% 73.9%

Compliance Rates by Peer Group - Public hospitals only

Peer Group* COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
Principal (n= 83) 72.6% 72.4% 72.8%
Large (n=39) 74.7% 74.2% 75.1%
Medium (n=77) 77.1% 76.6% 77.7%
Small (n=283) 80.4% 79.9% 80.8%

Click here for Data Definitions.

Period Two

National Data - National Hand Hygiene Initiative

Audit Period Two 2012 - 1st April - 30th June

Data have been collected nationally from a total of 605 hospitals from both the public and private sectors. The average compliance rate was 75.7 % .

Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate  261,298 345,195 75.7% 75.6% 75.8%

Number of data submissions by state

State Public Private
ACT 2  
NSW 196  
NT 4  
QLD 83  
SA 24  
TAS 17 5
VIC 83  
WA 62 10
State deidentified *   119
Total 471 134

* 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 72,408 100,570 72.0% 71.7% 72.3%
Moment 2  21,406 28,226 75.8% 75.3% 76.3%
Moment 3  31,287 36,993 84.6% 84.2% 84.9%
Moment 4 82,708 100,850 82.0% 81.8% 82.2%
Moment 5 53,489 78,556 68.1% 67.8% 68.4%

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  1,028 1,449 70.9% 68.6% 73.2%
Allied HCW AH 12,659 17,121 73.9% 73.3% 74.6%
Domestic* D 6,033 9,593 62.9% 61.9% 63.9%
Invasive Tech BL 4.404 6,118 72.0% 70.8% 73.1%
Medical Practitioner DR 29,543 47,489 62.2% 61.8% 62.6%
Nurse/Midwife N 182,083 227,254 80.1% 80.0% 80.3%
Other* O  2,195 3,514 62.5% 60.9% 64.1%
Personal Care Staff* PC  10,366 15,037 68.9% 68.2% 69.7%
Student AH SAH 821  1,131 72.6% 69.9% 75.1%
Student Medical SDR 1,187 1,768 67.1% 64.9% 69.3%
Student Nurse/Midwife SN  10,813 14,506 74.5% 73.8% 75.2%
Student Personal Care SPC 166 215 77.2% 71.2% 82.3%
*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 (84.6%) and after touching a patient (82.0%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (80.1% for nurses/midwives and 74.5% 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 57.5% 56.7% 58.3%
2 Before Procedure 64.6% 62.8% 66.3%
3 After a Procedure or Body Fluid Exposure Risk 73.3% 71.7% 74.7%
4 After Touching a Patient 72.0% 71.3% 72.7%
5 After Touching A Patient's Surroundings 52.4% 51.5% 53.3%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
1 Before Touching A Patient 76.2% 75.8% 76.5%
2 Before Procedure 78.4% 77.8% 78.9%
3 After a Procedure or Body Fluid Exposure Risk 86.7% 86.3% 87.1%
4 After Touching a Patient 85.2% 84.9% 85.4%
5 After Touching A Patient's Surroundings 75.0% 74.6% 75.4%

Compliance Rates by Peer Group - Public hospitals only

Peer Group* COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
Principal (n= 83) 74.5% 74.3% 74.7%
Large (n=39) 76.5% 76.1% 77.0%
Medium (n=75) 78.5% 77.9% 79.1%
Small (n=274) 82.2% 81.7% 82.6%

Click here for Data Definitions.

Period Three

National Data - National Hand Hygiene Initiative

Audit Period Three 2012 - 1st July - 31st October

Data have been collected nationally from a total of 656 hospitals from both the public and private sectors. The average compliance rate was 76.4%.

Overall Compliance Rate

  Correct HH Moments Moments Observed Compliance Rate Lower 95% CI Upper 95% CI
Overall Rate 319,147 417,490 76.4% 76.3% 76.6%

Number of data submissions by state

State Public Private
ACT 2  
NSW 196  
NT 5  
QLD 103  
SA 23  
TAS 19 5
VIC 83  
WA 66 10
State deidentified *   144
Total 497 159

*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 87,499 120,702 72.5% 72.2% 72.7%
Moment 2 27,469 35,536 77.3% 76.9% 77.7%
Moment 3 39,082 45,893 85.2% 84.8% 85.5%
Moment 4 101,438 122,788 82.6% 82.4% 82.8%
Moment 5 63,659 92,571 68.8% 68.5% 69.1%

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 1,344 1,850 72.6% 70.6% 74.6%
Allied HCW AH 15,493 20,686 74.9% 74.3% 75.5%
Domestic* D 6,842 10,527 65% 64.1% 65.9%
Invasive Tech BL 5,298 7,151 74.1% 73.1% 75.1%
Medical Practitioner DR 34,639 55,164 62.8% 62.4% 63.2%
Nurse/Midwife N 222,518 276,016 80.6% 80.5% 80.8%
Other* O 2,814 4,546 61.9% 60.5% 63.3%
Personal Care Staff* PC 12,117 17,254 70.2% 69.5% 70.9%
Student AH SAH 792 1097 72.2% 69.5% 74.8%
Student Medical SDR 1,582 2,369 66.8% 64.9% 68.6%
Student Nurse/Midwife SN 15,630 20,706 75.5% 74.9% 76.1%
Student Personal Care SPC 78 124 62.9% 54.1% 70.9%
*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 (85.2%) and after touching a patient (82.6%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (80.6% for nurses/midwives and 75.5% 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 57.3% 56.5% 58%
2 Before Procedure 66.8% 65.2% 68.3%
3 After a Procedure or Body Fluid Exposure Risk 73.1% 71.7% 74.5%
4 After Touching a Patient 72.6% 72% 73.3%
5 After Touching A Patient's Surroundings 53.0% 52.2% 53.8%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
1 Before Touching A Patient 76.9% 76.3% 76.9%
2 Before Procedure 79.6% 79.1% 80.1%
3 After a Procedure or Body Fluid Exposure Risk 87.2% 86.9% 87.6%
4 After Touching a Patient 85.6% 85.3% 85.8%
5 After Touching A Patient's Surroundings 75.1% 74.7% 75.5%

Compliance Rates by Peer Group - Public hospitals only

Peer Group* COMPLIANCE RATE LOWER 95%CI UPPER 95%CI
Principal (n= 84) 75.4% 75.0% 75.9%
Large (n=39) 78.0% 77.2% 78.8%
Medium (n=79) 77.6% 76.6% 78.6%
Small (n=291) 80.6% 80.5% 80.8%

Click here for Data Definitions.