Auditing

FAQs - Auditing

Yes you can audit in single rooms, it may take a little longer than multi-bed rooms, but is certainly possible.  You must ensure you position yourself to be able to see all movement into and out of that room, the hand hygiene products and the care being given to the patient .

No.

If you require other people in your hospital / health service to be able to train other auditors then they should also attend a HHA GSA workshop.  This ensures that the data that is submitted to HHA is as standardised as possible.

See the Upcoming Workshop page for details of where the next GSA workshop will be held.

Please note: Public health sites in NSW and WA are required to contact your HHA representative for information on upcoming workshops.

No. HHA encourages facilities to rotate the wards completing the national audits so that every HCW in a healthcare facility learns about the importance of the program.

Hospital is expected to collect data on all 'eligible' departments a minimum of once per year.

Please see the Guidelines for data submission - Hospitals for further information.

Once you have attended a HHA gold standard auditor workshop and passed the required assesments you can train others to become General Auditors.  The tools required for your training program are available HERE.

The mandatory training requirements must be met for all new auditor training, in addition to registering the new auditors with HHA  (Auditor register)

If you do not know the login details to access this page, please Contact Us to request these details.

Please note: the login details will only be supplied to Gold Standard Auditors who are current and validated.

Each auditor has a requirement to collect 100 moments each year as a part of the auditor validation requirements.

Your hand hygiene lead should communicate clearly with each auditor the expected number of moments to audit, per person or per area.

 

Each organisation needs to submit data to HHA three times a year. The number of Moments for each audit depends on the type and size of your facility.

Please see the guidelines for data submission and navigate to your facility type for specific information.

Please note: Collecting and submitting additional moments is permitted, however HHA would strongly encourage review of existing data and targeted implementation of improvement strategies BEFORE collection of additional data.

No, there is no limit.  However, full training can take a significant amount of time so choose the most relevant people first. 

Each trained auditor is required to remain current and valid in order to submit data to HHA. Part of this requirement is to collect 100 moments per auditor each year. Thus you need to take this into consideration when planning the number of auditors to be trained.

See Auditor Validation Requirements for further information.

Please note: There is an expectation that all auditors will meet with the hand hygiene lead each audit period (minimum annually) to discuss the hand hygiene program.

 

The Australian Commission on Safety and Quality in Health Care fund HHA to implement the National Hand Hygiene Initiative.  Each jurisdiction is responsible for the sustainability of the program in their state.

Yes.  You can train other auditors, but we would advise that you practice with the 5 Moments, the audit tool, HHCApp (the database) and the clinical scenarios in your hospital before you attempt to train others. 

You need to be very familiar and confident with the 5 Moments program before you teach others.

In order to train general auditors you are required to follow the HHA mandatory sessions for training.

Please review the annual auditor validation document and follow the steps for the 'lapsed auditor pathway'.

If you are trained to assist in an emergency situation, put your auditing equipment away and assist.  If you are not trained to assist, step aside and leave your auditing for another time, or move to another area to audit.  Patient safety always comes first.

A Hospital is expected to collect data on all 'eligible' departments a minimum of once per year.

Please see the Guidelines for data submission - Hospitals for further information.

Non-hopsitals are expected to collect data on all distinct areas where staff provide care to patients a minimum of once per year.

The hand hygiene auditor role differs between organisations, depending on the experience and knowldege of the individual auditor. However, HHA strongly recommend that auditors do not just audit, but are an integral part of the hand hygiene team. Suggested roles for an "auditor" are:

  • Auditing
  • Education
  • Promotion
  • Assist with data review and planning of improvement strategies based on audit results

HHA recommend most healthcare organisations have one gold standard auditor.

No. Not every auditor needs to attend gold auditor training.

There should be at least one gold standard auditor at most healthcare organisations. This person would generally be the lead for the hand hygiene program, and has the capacity to provide general auditor training to others.