2014

Period One

National Data - National Hand Hygiene Initiative

Audit Period One 2014 - 1st November 2013 - 31st March 2014

Data have been collected nationally from a total of 776 hospitals from both the public and private sectors. The average compliance rate was 80.3% .

Overall Compliance Rate

 Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Overall
Rate
430,833 536,855 80.3% 80.1% 80.4%

Number of data submissions by state

StatePublicPrivate
ACT 2 4
NSW 213 56
NT 5 0
QLD 92 53
SA 23 21
TAS 17 8
VIC 85 45
WA 66 30
State Deidentified *   56
Total 503 273

*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 116,248 152,208 76.4% 76.2% 76.6%
2 - Before Procedure 40,828 49,497 82.5% 82.1% 82.8%
3 - After a Procedure or Body Fluid Exposure Risk 53,412 60,905 87.7% 87.4% 88.0%
4 - After Touching a Patient 131,782 154,302 85.4% 85.2% 85.6%
5 - After Touching A Patient's Surroundings 88,563 119,943 73.8% 73.6% 74.1%

Figure 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 305,280 363,132 84.1% 83.9% 84.2%
Medical Practitioner 51,018 75,105 67.9% 67.6% 68.3%
Personal Care Staff 16,949 22,797 74.3% 73.8% 74.9%
Allied Health Care Worker 21,455 27,290 78.6% 78.1% 79.1%
Administrative and Clerical Staff 1,928 2,515 76.7% 75% 78.3%
Invasive Technician 7,265 9,182 79.1% 78.3% 79.9%
Domestic 9,666 14,341 67.4% 66.6% 68.2%
Student Doctor 1,831 2,587 70.8% 69% 72.5%
Student Nurse/Midwife 11,226 13,897 80.8% 80.1% 81.4%
Student Allied Health 767 986 77.8% 75.1% 80.3%
Student Personal Care 136 176 77.3% 70.5% 82.8%
Other - Not Categorised Elsewhere 3,312 4,847 68.3% 67% 69.6%

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 (87.7%) and after touching a patient (85.4%). 

Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (84.1% for nurses/midwives and 80.8% 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 13,307 21,307 62.5% 61.8% 63.1%
2 - Before Procedure 4,387 5,934 73.9% 72.8% 75.0%
3 - After a Procedure or Body Fluid Exposure Risk 5,152 6,651 77.5% 76.4% 78.5%
4 - After Touching a Patient 17,757 23,379 76.0% 75.4% 76.5%
5 - After Touching A Patient's Surroundings 10,415 17,834 58.4% 57.7% 59.1%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient 84,271 105,113 80.2% 79.9% 80.4%
2 - Before Procedure 31,849 37,696 84.5% 84.1% 84.9%
3 - After a Procedure or Body Fluid Exposure Risk 41,751 46,605 89.6% 89.3% 89.9%
4 - After Touching a Patient 92,728 105,139 88.2%  88.0% 88.4%
5 - After Touching A Patient's Surroundings 54,681 68,579 79.7% 79.4% 80.0%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Ambulatory Care 16,317 20,338 80.2% 79.7% 80.8%
Critical Care Unit 48,140 61,666 78.1% 77.7% 78.4%
Dental 1,932 2,231 86.6% 85.1% 87.9%
Emergency Department 19,993 27,436 72.9% 72.3% 73.4%
Maternity 12,338 15,071 81.9% 81.2% 82.5%
Medical 60,434 75,972 79.5% 79.3% 79.8%
Mental Health 3,543 4,257 83.2% 82.1% 84.3%
Mixed 35,336 43,379 81.5% 81.1% 81.8%
Neonatal Intensive Care Unit 8,726 10,025 87.0% 86.4% 87.7%
Oncology/Haematology 22,759 28,457 80.0% 79.5% 80.4%
Other 59,017 72,553 81.3% 81.1% 81.6%
Paediatrics 9,967 11,852 84.1% 83.4% 84.7%
Renal 19,747 23,252 84.9% 84.5% 85.4%
Sub Acute 15,531 18,745 82.9% 82.3% 83.4%
Surgical 94,384 118,528 79.6% 79.4% 79.9%
Transplantation Unit 2,669 3,093 86.3% 85.0% 87.5%

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) 217,186 274,095 79.2% 79.1% 79.4%
Large (n=39) 44,347 53,612 82.7% 82.4% 83.0%
Medium (n=77) 19,518 23,811 82.0% 81.5% 82.5%
Small (n=300) 29,844 35,435 84.2% 83.8% 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) 20,491 25,969 78.9% 78.4% 79.4%
PPG 2 (n= 5) 11,910 14,699 81.0% 80.4% 81.7%
PPG 3 (n= 12) 25,059 31,670 79.1% 78.7% 79.6%
PPG 4 (n= 19) 15,400 19,480 79.1% 78.5% 79.6%
PPG 5 (n= 29) 16,487 20,197 81.6% 81.1% 82.2%
PPG 6 (n= 64) 11,749 14,531 80.9% 80.2% 81.5%
PPG 7 (n= 42) 3,945 5,001 78.9% 77.7% 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= 19) 4,710 5,972 78.9% 77.8% 79.9%
Medium (n= 24) 4,675 5,464 85.6% 84.6% 86.5%
Small (n= 28) 2,546 3,235 78.7% 77.3% 80.1%

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= 8) 601 751 80.0% 77.0% 82.7%
Small (n= 16) 17,786 2,274 78.5% 76.8% 80.2%

Click here for dialysis peer group definitions.

Period Two

National Data - National Hand Hygiene Initiative

Audit Period Two 2014 - 1st April - 30th June

Data have been collected nationally from a total of 782 hospitals from both the public and private sectors. The average compliance rate was 81% .

Overall Compliance Rate

 Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Overall Rate 378,812 467,880 81% 80.9% 81.1%

Number of data submissions by state

StatePublicPrivate
ACT 2 5
NSW 215 57
NT 5 2
QLD 89 53
SA 23 19
TAS 17 8
VIC 85 49
WA 69 34
State Deidentified *   50
Total 505 277

*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 103,273 133,442 77.4% 77.2% 77.6%
2 - Before Procedure 35,743 43,018 83.1% 82.7% 83.4%
3 - After a Procedure or Body Fluid Exposure Risk 46,855 53,055 88.3% 88% 88.6%
4 - After Touching a Patient 115,806 135,238 85.6% 85.4% 85.8%
5 - After Touching A Patient's Surroundings 77,135 103,127 74.8% 74.5% 75.1%

 

Figure 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 265,976 314,035 84.7% 84.6% 84.8%
Medical Practitioner 44,314 64,300 68.9% 68.6% 69.3%
Personal Care Staff 14,816 19,789 74.9% 74.3% 75.5%
Allied Health Care Worker 17,946 22,461 79.9% 79.4% 80.4%
Administrative and Clerical Staff 1,438 1,935 74.3% 72.3% 76.2%
Invasive Technician 5,708 7,266 78.6% 77.6% 79.5%
Domestic 8,265 11,970 69% 68.2% 69.9%
Student Doctor 1,640 2,195 74.7% 72.9% 76.5%
Student Nurse/Midwife 14,754 18,334 80.5% 79.9% 81%
Student Allied Health 799 1,080 74% 71.3% 76.5%
Student Personal Care 116 156 74.4% 67% 80.6%
Other - Not Categorised Elsewhere 3,040 4,359 69.7% 68.4% 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 (88.3%) and after touching a patient (85.6%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (84.7% for nurses/midwives and 80.5% 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 11,875 18,430 64.4 % 63.7% 65.1%
2 - Before Procedure 3,944 5,266 74.9% 73.7% 76%
3 - After a Procedure or Body Fluid Exposure Risk 4,496 5,762 78% 76.9% 79.1%
4 - After Touching a Patient 15,129 19,778 76.5% 75.9% 77.1%
5 - After Touching A Patient's Surroundings 8,870 15,064 58.9% 58.1% 59.4%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient 74,206 91,569 81% 80.8% 81.3%
2 - Before Procedure 27,513 32,290 85.2% 84.8% 85.6%
3 - After a Procedure or Body Fluid Exposure Risk 36,323 40,205 90.3% 90.1% 90.6%
4 - After Touching a Patient 80,788 91,468 88.3%  88.1% 88.5%
5 - After Touching A Patient's Surroundings 47,146 58,503 80.6% 80.3% 80.9%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Ambulatory Care 13,104 16,288 80.5% 79.8% 81.1%
Critical Care Unit 42,984 54,469 78.9% 78.+6% 79.3%
Dental 2,204 2,485 88.7% 87.4% 89.9%
Emergency Department 18,769 25,405 73.9% 73.3% 74.4%
Maternity 11,880 14,101 84.2% 83.6% 84.8%
Medical 53,943 66,975 80.5% 80.2% 80.8%
Mental Health 3,710 4,655 79.7% 78.5% 80.8%
Mixed 31,880 38,917 81.9% 81.5% 82.3%
Neonatal Intensive Care Unit 7,810 9,097 85.9% 85.1% 86.6%
Oncology/Haematology 20,120 24,719 81.4% 80.9% 81.9%
Other 39,775 48,360 82.2% 81.9% 82.6%
Paediatrics 10,613 12,450 85.2% 84.6% 85.9%
Renal 18,701 21,965 85.1% 84.7% 85.6%
Sub Acute 13,940 16,642 83.8% 83.2% 84.3%
Surgical 87,601 109,197 80.2% 80% 80.5%
Transplantation Unit 1,778 2,155 82.5% 80.8% 84.1%

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= 85) 190,994 238,671 80% 79.9% 80.2%
Large (n=38) 37,057 44,874 82.6% 82.2% 82.9%
Medium (n=77) 17,761 21,415 82.9% 82.4% 83.4%
Small (n=299) 26,820 31,389 85.4% 85.1% 85.8%

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= 6) 16,352 20,163 81.1% 80.6% 81.6%
PPG 2 (n= 5) 9,639 11,816 81.6% 80.9% 82.3%
PPG 3 (n= 12) 20,806 26,297 79.1% 78.6% 79.6%
PPG 4 (n= 18) 13,206 16,653 79.3% 78.7% 79.9%
PPG 5 (n= 27) 15,001 18,125 82.8% 82.2% 83.3%
PPG 6 (n= 64) 11,670 14,260 81.8% 81.2% 82.5%
PPG 7 (n= 47) 4,435 5,594 79.3% 78.2% 80.3%

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= 16) 3,826 4,652 82.2% 81.1% 83.3%
Medium (n= 22) 3,681 4,358 84.5% 83.4% 85.5%
Small (n= 29) 2,755 3,427 80.4% 79% 81.7%

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= 8) 623 748 83.3% 80.4% 85.8%
Small (n= 15) 2,039 2,545 80.1% 78.5% 81.6%

Click here for dialysis peer group definitions.

Period Three

National Data - National Hand Hygiene Initiative

Audit Period Three 2014 - 1st July - 31st October

Data have been collected nationally from a total of 828 hospitals from both the public and private sectors. The average compliance rate was 81.9% .

Overall Compliance Rate

 Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI
Overall
Rate
439,856 537,154 81.9% 81.8% 82%

Number of data submissions by state

StatePublicPrivate
ACT 2 5
NSW 223 84
NT 5 3
QLD 98 76
SA 23 20
TAS 17 8
VIC 86 63
WA 81 34
Total 535 293

Compliance Rate by Moment

MomentCorrect
Moments
Total
Moments
Compliance
Rate
Lower 95% CIUpper 95% CI
1 - Before Touching A Patient 119,708 153,277 78.1% 77.9% 78.3%
2 - Before Procedure 43,217 50,925 84.9% 84.6% 85.2%
3 - After a Procedure or Body Fluid Exposure Risk 54,940 61,513 89.3% 89.1% 89.6%
4 - After Touching a Patient 133,336 154,069 86.5% 86.4% 86.7%
5 - After Touching A Patient's Surroundings 88,655 117,370 75.5% 75.3% 75.8%

Figure 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 303,576 355,059 85.5% 85.4% 85.6%
Medical Practitioner 52,187 74,338 70.2% 69.9% 70.5%
Personal Care Staff 18,055 23,725 76.1% 75.6% 76.6%
Allied Health Care Worker 21,594 26,976 80.0% 79.6% 80.5%
Administrative and Clerical Staff 1,800 2,378 75.7% 73.9% 77.4%
Invasive Technician 7,239 8,771 82.5% 81.7% 83.3%
Domestic 9,565 13,381 71.5% 70.7% 72.2%
Student Doctor 1,820 2,420 75.2% 73.4% 76.9%
Student Nurse/Midwife 18,838 22,998 81.9% 81.4% 82.4%
Student Allied Health 1,216 1,592 76.4% 74.2% 78.4%
Student Personal Care 210 256 82.0% 76.9% 86.2%
Other - Not Categorised Elsewhere 3,756 5,260 71.4% 70.2% 72.6%

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 (89.3%) and after touching a patient (86.5%).  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (85.5% for nurses/midwives and 82.5% for Invasive Technicians). 

Medical Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95% CIUpper 95% CI
1- Before Touching A Patient 13,793 21,188 65.1% 64.5% 65.7%
2 - Before Procedure 4,747 6,152 77.2% 76.1% 78.2%
3 - After a Procedure or Body Fluid Exposure Risk 5,285 6,735 78.5% 77.5% 79.4%
4 - After Touching a Patient 17,792 22,890 77.7% 77.2% 78.3%
5 - After Touching A Patient's Surroundings 10,570 17,373 60.8% 60.1% 61.6%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MomentCorrect MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient 84,563 103,349 81.8% 81.6% 82.1%
2 - Before Procedure 32,574 37,620 86.6% 86.2% 86.9%
3 - After a Procedure or Body Fluid Exposure Risk 41,523 45,490 91.3% 91.0% 91.5%
4 - After Touching a Patient 91,532 102,624 89.2%  89.0% 89.4%
5 - After Touching A Patient's Surroundings 53,384 65,976 80.9% 80.6% 81.2%

Compliance Rates By Ward Type

Ward Type*Correct MomentsTotal MomentsCompliance RateLower 95%
CI
Upper 95%
CI
Ambulatory Care 16,414 19,906 82.5% 81.9% 83.0%
Critical Care Unit 49,074 61,462 79.8% 79.5% 80.2%
Dental 3,879 4,275 90.7% 89.8% 91.6%
Emergency Department 19,759 26,689 74.0% 73.5% 74.6%
Maternity 14,978 18,063 82.9% 82.4% 83.5%
Medical 63,341 78,326 80.9% 80.6% 81.1%
Mental Health 5,682 6,889 82.5% 81.6% 83.4%
Mixed 35,719 43,462 82.2% 81.8% 82.5%
Neonatal Intensive Care Unit 10,123 11,497 88.0% 87.4% 88.6%
Oncology/Haematology 23,771 28,533 83.3% 82.9% 83.7%
Other 39,163 46,900 83.5% 83.2% 83.8%
Paediatrics 12,293 14,441 85.1% 84.5% 85.7%
Renal 22,541 25,757 87.5% 87.1% 87.9%
Sub Acute 18,438 22,048 83.6% 83.1% 84.1%
Surgical 102,872 126,682 81.2% 81.0% 81.4%
Transplantation Unit 1,809 2,224 81.3% 79.7% 82.9%

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= 87) 222,452 275,967 80.6% 80.5% 80.8%
Large (n=38) 44,439 53,132 83.6% 83.3% 84.0%
Medium (n=77) 20,403 24,542 83.1% 82.7% 83.6%
Small (n=309) 30,751 35,603 86.4% 86.0% 86.7%

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= 6) 19,162 23,474 81.6% 81.1% 82.1%
PPG 2 (n= 5) 9,712 11,690 83.1% 82.4% 83.7%
PPG 3 (n= 12) 24,483 30,424 80.5% 80.0% 80.9%
PPG 4 (n= 18) 15,396 19,012 81.0% 80.4% 81.5%
PPG 5 (n= 27) 15,735 18,509 85.0% 84.5% 85.5%
PPG 6 (n= 66) 12,898 15,597 82.7% 82.1% 83.3%
PPG 7 (n= 50) 5,230 6,334 82.6% 81.6% 83.5%

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= 15) 4,301 4,956 86.8% 85.8% 87.7%
Medium (n= 28) 4,962 5,926 83.7% 82.8% 84.7%
Small (n= 32) 2,713 3,207 84.6% 83.3% 85.8%

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= 20) 2,860 3,409 83.9% 82.6% 85.1%
Small (n= 6) 541 648 83.5% 80.4% 86.1%

Click here for dialysis peer group definitions.