National Data Period Two, 2009

Audit Period 2 - 2009 (August)  

Data have been collected nationally from a total of 168 hospitals from both the public and private sectors. The average compliance rate was 63.5% (range across jurisdictions was 50.1% to 70.8%). Queensland has undertaken a successful hand hygiene initiative in state public hospitals for some years using a different compliance measurement process. Queensland will be using the 5 Moments measurements from 2010.

Number of data submissions by state

State

n

ACT

2

NSW

24

NT

5

QLD

0

SA

7

TAS 9
VIC 82
WA 25
Private organisations*  14

* Note: Private organisations were not separated by state of origin in this reporting period

 Click to enlarge image (pdf)
Figure 1. National Hand Hygiene Compliance Rates
 
  Click to enlarge image (pdf)
Figure 2. National Hand Hygiene Compliance Rates by Healthcare Profession
 
 Click to emlarge image (pdf)
Figure 3. National Hand Hygiene Compliance Rate By Moment
 

Figure 1 depicts the compliance rates and number of hospitals for each of the jurisdictions that submitted data for the second audit period in August 2009. The highest compliance rate and the largest number of hospitals  
submitting data was Victoria (70.5% from 86 hospitals). This demonstrates the benefit of using the program over several years, as Victoria began the process well before the start of the national program.  Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses (69% for student nurse and 68% for Registered Nurses).  Figure 3 depicts the compliance rates for each of the 5 Moments. The highest rates of compliance were after touching a patient (73%) and after completion of a procedure (71%). 
 
The National Hand Hygiene Initiative is continuing.  Measurement and reporting of compliance with the 5 Moments program will remain a key part of the initiative and the Commission will make the national results available through its website (www.safetyandquality.gov.au). The number of hospitals providing data in this second round of reporting has increased and it is anticipated to continue to increase for the subsequent data periods.  This ongoing initiative will remain a valuable step in the national efforts to reduce the risk of healthcare acquired infections in Australia.
 Source: Australian Commission on Safety and Quality in Healthcare - Windows into Safety and Quality in Health Care 2009, pp 11-12.  http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/E060D889E298D039CA2574EF00721BD8/$File/windows-2009-web-version.pdf

 

National Data Period Three 2009

Audit Period 3 - 2009 (November)  

Data have been collected nationally from a total of 290 hospitals from both the public and private sectors. The average compliance rate was 61.8% .

 
Overall Compliance Rate*

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

78,552 127,125

61.8%

61.5%

62.0%

*Not all health services provided data by Moment and Healthcare Worker to Jurisdictions.  Hence the total number of moments is not the sum of the moments listed in the compliance rate by Moment and compliance rate by Healthcare Worker tables.

Number of data submissions by state

 

State

n

ACT

2

NSW

115

NT

5

QLD

0

SA

14

TAS 14
VIC 83
WA 39
Private organisations*  18

* Note: Private organisations were not separated by state of origin in this reporting period

 
Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

20,175

35,900

56.2%

55.7%

56.7%

Moment 2

5,069

8,664

58.5%

57.5%

59.5%

Moment 3

9,085

12,478

72.8%

72.0%

73.6%

Moment 4

26,386

36,925

71.5%

71.0%

71.9%

Moment 5

17,270

32,586

53.0%

52.5%

53.5%


Compliance Rate By Healthcare Worker Type

HCW Type Code Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Allied HCW AH 3,713 6,412 57.9% 56.7% 59.1%
Invasive Tech BL 1,621 2,807 57.7% 55.9% 59.6%
Medical Practitioner DR 8,252 17,830 46.3% 45.6% 47.0%
Nurse/Midwife N 52,226 76,575 67.5% 67.2% 67.8%
Other* O 2,728 6,099 43.0% 41.5% 44.4%
Personal Care Staff** PSA 4,729 9,155 53.3% 52.2% 54.3%
Student AH SAH 183 375 48.8% 43.8% 53.8%
Student Medical SDR 197 414 47.6% 42.8% 52.4%
Student Nurse SN 4,340 6,973 62.2% 61.1% 63.4%

*includes administrative and clerical staff
**includes domestic and personal care staff