2013

Period One

National Data - National Hand Hygiene Initiative

Audit Period One 2013 - 1st November 2012 - 31st March 2013

Data have been collected nationally from a total of 687 hospitals from both the public and private sectors. The average compliance rate was 76.9 % .

Overall Compliance Rate

 Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Overall Rate 354,593 461,082 76.9% 76.8% 77%

Number of data submissions by state

StatePublicPrivate
ACT 2  
NSW 203  
NT 5  
QLD 99 7
SA 23  
TAS 18 5
VIC 83  
WA 63 14
State Deidentified *   165
Total 496 191

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

Compliance Rate by Moment

MomentCorrect
Moments
Total
Moments
Compliance
Rate
Lower 95% CIUpper 95% CI
1 - Before Touching A Patient 95,871 132,059 72.6% 72.4% 72.8%
2 - Before Procedure 31,486 40,559 77.6% 77.2% 78.0%
3 - After a Procedure or Body Fluid Exposure Risk 44,085 51,564 85.5% 85.2% 85.8%
4 - After Touching a Patient 112,316 135,371 83.0% 82.8% 83.2%
5 - After Touching A Patient's Surroundings 70,835 101,529 69.8% 69.5% 70.0%

Click to EnlargeFigure 1. National Hand Hygiene Compliance Rate By Moment
 

Compliance Rate by Health Care Worker

HCW TypeCorrect
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Lower
95% CI
Nurse/Midwife 253,834 312,964 81.1% 81.0% 81.2%
Medical Practitioner 39,522 62,323 63.4% 63.0% 63.8%
Personal Care Staff 13,873 19,831 70.0% 69.3% 70.6%
Allied Health Care Worker 17,519 23,238 75.4% 74.8% 75.9%
Administrative and Clerical Staff 1,487 2,185 68.0% 66.1% 70.0%
Invasive Technician 5,749 7,690 74.8% 73.8% 75.7%
Domestic 7,393 11,910 62.1% 61.2% 62.9%
Student Doctor 1,668 2,545 65.5% 63.7% 67.4%
Student Nurse/Midwife 10,127 13,074 77.4% 76.7% 78.2%
Student Allied Health 787 1,091 72.1% 69.4% 74.7%
Student Personal Care 78 110 70.9% 61.8% 78.6%
Other - Not Categorised Elsewhere 2,570 4,139 62.1% 60.6% 63.6%

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 (85.5%) and after touching a patient (83%). 

Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (81.1% for nurses/midwives and 77.4% for student nurses/midwives). 

Medical Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
1- Before Touching A Patient 10,435 18,052 57.8% 57.1% 58.5%
2 - Before Procedure 3,004 4,504 66.7% 65.3% 68.0%
3 - After a Procedure or Body Fluid Exposure Risk 3,559 4,918 72.4% 71.1% 73.6%
4 - After Touching a Patient 14,483 19,749 73.3% 72.7% 73.9%
5 - After Touching A Patient's Surroundings 8,041 15,100 53.2% 52.4% 54.0%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient 69,928 91,021 76.8% 76.6% 77.1%
2 - Before Procedure 24,971 31,209 80.0% 79.6% 80.4%
3 - After a Procedure or Body Fluid Exposure Risk 35,139 40,057 87.7% 87.4% 88.0%
4 - After Touching a Patient 79,362 92,523 85.8% 85.5% 86.0%
5 - After Touching A Patient's Surroundings 44,434 58,154 76.4% 76.1% 76.8%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Ambulatory Care 12,675 16,692 75.9% 75.3% 76.6%
Critical Care Unit 42,921 56,937 75.4% 75.0% 75.7%
Emergency Department 17,375 25,893 67.1% 66.5% 67.7%
Maternity 10,279 13,205 77.8% 77.1% 78.5%
Medical 51,932 67,678 76.7% 76.4% 77.0%
Mental Health 2,013 2,785 72.3% 70.6% 73.9%
Mixed 30,557 39,201 77.9% 77.5% 78.4%
Neonatal Intensive Care Unit 8,060 9,402 85.7% 85.0% 86.4%
Oncology/Haematology 20,551 26,384 77.9% 77.4% 78.4%
Other 46,952 58,586 80.1% 79.8% 80.5%
Paediatrics 7,741 9,669 80.0% 79.2% 80.8%
Renal 17,126 20,655 82.9% 82.4% 83.4%
Sub Acute 12,642 15,713 80.4% 79.8% 81.1%
Surgical 72,139 96,173 75.0% 74.7% 75.3%
Transplantation Unit 1,630 2,109 77.3% 75.4% 79.0%

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= 83) 187,443 246,718 76% 75.8% 76.1%
Large (n=39) 37,811 47,515 79.6% 79.2% 79.9%
Medium (n=75) 16,866 21,425 78.7% 78.2% 79.3%
Small (n=298) 25,324 30,798 82.2% 81.8% 82.6%

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= 8) 17,473 23,916 73.0% 72.5% 73.6%
PPG 2 (n= 5) 10,850 14,009 77.4% 76.8% 78.1%
PPG 3 (n= 11) 16,359 21,986 74.4% 73.8% 75.0%
PPG 4 (n= 17) 12,051 15,165 79.5% 78.8% 80.1%
PPG 5 (n= 28) 11,695 14,965 78.1% 77.5% 78.8%
PPG 6 (n= 55) 9,872 12,453 79.3% 78.6% 80.0%
PPG 7 (n= 23) 2,032 2,590 78.4% 76.8% 80.0%

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= 10) 3,209 4,725 67.9% 66.6% 69.2%
Medium (n= 13) 1,873 2,411 77.7% 76.0% 79.3%
Small (n= 21) 1,383 1,880 73.6% 71.5% 75.5%

Click here for day hospital peer group definitions.

Period Two

National Data - National Hand Hygiene Initiative

Audit Period Two 2013 - 1st April - 30th June

Data have been collected nationally from a total of 687 hospitals from both the public and private sectors. The average compliance rate was 78.3% .

Overall Compliance Rate

 Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Overall Rate 329,565 420,922 78.3% 78.2% 78.4%

Number of data submissions by state

StatePublicPrivate
ACT 2  
NSW 202  
NT 5  
QLD 85
SA 23  
TAS 17 6
VIC 85  
WA 66 17
State Deidentified *   173
Total 485 202

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

Compliance Rate by Moment

MomentCorrect
Moments
Total
Moments
Compliance
Rate
Lower 95% CIUpper 95% CI
1 - Before Touching A Patient 89,579 120,329 74.4% 74.2% 74.7%
2 - Before Procedure 29,135 36,562 79.7% 79.3% 80.1%
3 - After a Procedure or Body Fluid Exposure Risk 40,329 46,759 86.2% 85.9% 86.6%
4 - After Touching a Patient 102,934 122,473 84% 83.8% 84.2%
5 - After Touching A Patient's Surroundings 67,588 94,799 71.3% 71% 71.6%

Click to EnlargeFigure 1. National Hand Hygiene Compliance Rate By Moment
 

Compliance Rate by Health Care Worker

HCW TypeCorrect
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Lower
95% CI
Nurse/Midwife 231,379 280,641 82.4% 82.3% 82.6%
Medical Practitioner 36,178 56,001 64.6% 64.2% 65%
Personal Care Staff 12,914 17,934 72% 71.3% 72.7%
Allied Health Care Worker 16,040 20,830 77% 76.4% 77.6%
Administrative and Clerical Staff 1,422 1,978 71.9% 69.9% 73.8%
Invasive Technician 5,621 7,308 76.9% 75.9% 77.9%
Domestic 7,147 10,903 65.6% 64.6% 66.4%
Student Doctor 1,546 2,268 68.2% 66.2% 70%
Student Nurse/Midwife 13,922 18,200 76.9% 76.3% 77.5%
Student Allied Health 735 999 73.6% 70.8% 76.2%
Student Personal Care 114 149 76.5% 69.1% 82.6%
Other - Not Categorised Elsewhere 2,477 3,711 66.7% 65.2% 68.2%

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 (86.2%) and after touching a patient (84%). 

Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (82.4% for nurses/midwives and 76.9% for student nurses/midwives and invasive technicians). 

Medical Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
1- Before Touching A Patient 9,508 16,157 58.8% 58.1% 59.6%
2 - Before Procedure 2,830 3,948 71.7% 70.2% 73.1%
3 - After a Procedure or Body Fluid Exposure Risk 3,509 4,657 75.3% 74.1% 76.6%
4 - After Touching a Patient 12,925 17,522 73.8% 73.1% 74.4%
5 - After Touching A Patient's Surroundings 7,406 13,717 54% 53.2% 54.8%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient 64,344 81,722 78.7% 78.4% 79%
2 - Before Procedure 22,776 27,854 81.8% 81.3% 82.2%
3 - After a Procedure or Body Fluid Exposure Risk 31,341 35,545 88.2% 87.8% 88.5%
4 - After Touching a Patient 71,845 82,442 87.1% 86.9% 87.4%
5 - After Touching A Patient's Surroundings 41,073 53,078 77.4% 77% 77.7%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Ambulatory Care 11,918 14,905 80.0% 79.3% 80.6%
Critical Care Unit 38,898 50,790 76.6% 76.2% 77%
Emergency Department 14,237 20,614 69.1% 68.4% 69.7%
Maternity 10,446 13,114 79.6% 79% 80.3%
Medical 50,187 64,224 78.1% 77.8% 78.5%
Mental Health 2,855 3,774 75.6% 74.2% 77%
Mixed 27,990 35,252 79.4% 79% 79.8%
Neonatal Intensive Care Unit 5,841 6,927 84.3% 83.4% 85.2%
Oncology/Haematology 20,207 25,566 79% 78.5% 79.5%
Other 42,792 52,948 80.8% 80.5% 81.2%
Paediatrics 6,923 8,069 85.8% 85% 86.5%
Renal 14,559 17,459 83.4% 82.8% 83.9%
Sub Acute 11,908 14,716 80.9% 80.3% 81.5%
Surgical 69,282 90,662 76.4% 76.1% 76.7%
Transplantation Unit 1,522 1,902 80% 78.2% 81.8%

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= 82) 165,984 214,928 77.2% 77% 77.4%
Large (n=39) 34,753 43,218 80.4% 80% 80.8%
Medium (n=77) 16,387 20,582 79.6% 79.1% 80.2%
Small (n=284) 22,661 27,355 82.9% 82.4% 83.3%

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= 8) 18321 23,980 76.4% 75.8% 76.9%
PPG 2 (n= 5) 9849 12605 78.1% 77.4% 78.8%
PPG 3 (n= 11) 14949 19318 77.4% 76.8% 78.0%
PPG 4 (n= 18) 12,805 15,991 80.1% 79.4% 80.7%
PPG 5 (n= 28) 12399 15495 80% 79.4% 80.6%
PPG 6 (n= 56) 10215 12,892 79.2% 78.5% 79.9%
PPG 7 (n= 27) 2,445 3189 76.7% 75.2% 78.1%

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= 11) 3,076 4,319 71.2% 69.8% 72.6%
Medium (n= 16) 2,244 2,675 83.9% 82.4% 85.2%
Small (n= 20) 1,695 2,140 79.2% 77.4% 80.9%

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= 1) 290 400 72.5% 67.9% 76.6%
Small (n= 6) 414 529 78.3% 74.5% 81.6%

Click here for dialysis peer group definitions.

Period Three

National Data - National Hand Hygiene Initiative

Audit Period Three 2013 - 1st July - 31st October

Data have been collected nationally from a total of 752 hospitals from both the public and private sectors. The average compliance rate was 79% .

Overall Compliance Rate

 Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Overall Rate 329,565 420,922 78.3% 78.2% 78.4%

Number of data submissions by state

StatePublicPrivate
ACT 2  
NSW 204  
NT 5  
QLD 94 8
SA 23  
TAS 16 7
VIC 85  
WA 65 22
State Deidentified *   211
Total 504 248

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

Compliance Rate by Moment

MomentCorrect
Moments
Total
Moments
Compliance
Rate
Lower 95% CIUpper 95% CI
1 - Before Touching A Patient 104,285 139,305 74.9% 74.6% 75.1%
2 - Before Procedure 35,839 44,471 80.6% 80.2% 81.0%
3 - After a Procedure or Body Fluid Exposure Risk 47,791 55,116 86.7% 86.4% 87.0%
4 - After Touching a Patient 119,621 141,757 84.4% 84.2% 84.6%
5 - After Touching A Patient's Surroundings 77,107 106,526 72.4% 72.1% 72.7%

Click to EnlargeFigure 1. National Hand Hygiene Compliance Rate By Moment
 

Compliance Rate by Health Care Worker

HCW TypeCorrect
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Lower
95% CI
Nurse/Midwife 268,599 323,832 82.9% 82.8% 83.1%
Medical Practitioner 43,066 65,452 65.8% 65.4% 66.2%
Personal Care Staff 14,751 20,440 72.2% 71.5% 72.8%
Allied Health Care Worker 17,930 23,021 77.9% 77.3% 78.4%
Administrative and Clerical Staff 1,630 2,207 73.9% 72% 75.6%
Invasive Technician 6,102 8,090 75.4% 74.5% 76.4%
Domestic 8,128 12,223 66.5% 65.7% 67.3%
Student Doctor 1,893 2,693 70.3% 68.5% 72%
Student Nurse/Midwife 17,892 22,656 79% 78.4% 79.5%
Student Allied Health 986 1,316 74.9% 72.5% 77.2%
Student Personal Care 103 143 72% 64.2% 78.7%
Other - Not Categorised Elsewhere 3,563 5,102 69.8% 68.6% 71.1%

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 (86.7%) and after touching a patient (84.4%). 

Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (82.9% for nurses/midwives and 79% for student nurses/midwives). 

Medical Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
1- Before Touching A Patient 11,277 18,578 60.7% 60% 61.4%
2 - Before Procedure 3,815 5,362 71.1% 69.9% 72.3%
3 - After a Procedure or Body Fluid Exposure Risk 4,308 5,723 75.3% 74.1% 76.4%
4 - After Touching a Patient 15,201 20,499 74.2% 73.6% 74.7%
5 - After Touching A Patient's Surroundings 8,465 15,290 55.4% 54.6% 56.1%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient 74,601 94,718 78.8% 78.5% 79%
2 - Before Procedure 27,356 33,027 82.8% 82.4% 83.2%
3 - After a Procedure or Body Fluid Exposure Risk 36,828 41,468 88.8% 88.5% 89.1%
4 - After Touching a Patient 83,003 94,978 87.4% 87.2% 87.6%
5 - After Touching A Patient's Surroundings 46,811 59,641 78.5% 78.2% 78.8%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Ambulatory Care 14,197 17,836 79.6% 79% 80.2%
Critical Care Unit 43,509 56,164 77.5% 77.1% 77.8%
Dental 639 805 79.4% 76.4% 82.0%
Emergency Department 17,543 24,630 71.2% 70.7% 71.8%
Maternity 11,743 14,585 80.5% 79.9% 81.1%
Medical 51,669 66,412 77.8% 77.5% 78.1%
Mental Health 3,208 4,130 77.7% 76.4% 78.9%
Mixed 31,575 39,382 80.2% 79.8% 80.6%
Neonatal Intensive Care Unit 7,277 8,534 85.3% 84.5% 86%
Oncology/Haematology 20,995 26,621 78.9% 78.4% 79.4%
Other 56,043 68,972 81.3% 81% 81.5%
Paediatrics 8,847 10,675 82.9% 82.1% 83.6%
Renal 17,500 21,057 83.1% 82.6% 83.6%
Sub Acute 14,391 17,193 83.7% 83.1% 84.2%
Surgical 84,296 108,809 77.5% 77.2% 77.7%
Transplantation Unit 1,211 1,370 88.4% 86.6% 90%

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= 82) 189,539 243,959 77.7% 77.5% 77.9%
Large (n=39) 42,070 51,287 82% 81.7% 82.4%
Medium (n=77) 18,698 23,039 81.2% 80.7% 81.7%
Small (n=284) 27,634 32,802 84.2% 83.9% 84.6%

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) 18,502 24,446 75.7% 75.1% 76.2%
PPG 2 (n= 5) 10,892 13,806 78.9% 78.2% 79.6%
PPG 3 (n= 12) 19,953 26,230 76.1% 75.5% 76.6%
PPG 4 (n= 18) 13,866 17,626 78.7% 78.1% 79.3%
PPG 5 (n= 28) 15,224 18,578 81.9% 81.4% 82.5%
PPG 6 (n= 60) 11,029 13,780 80% 79.4% 80.7%
PPG 7 (n= 38) 3,233 4,278 75.6% 74.3% 76.8%

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= 18) 4,623 5,797 79.7% 78.7% 80.8%
Medium (n= 22) 3,447 4,207 81.9% 80.7% 83.1%
Small (n= 30) 2,516 3,226 78% 76.5% 79.4%

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= 2) 627 757 82.8% 80% 85.3%
Small (n= 8) 744 949 78.4% 75.7% 80.9%

Click here for dialysis peer group definitions.