National Data Period Three 2017

  The national hand hygiene benchmark is set by the Australian Health Ministers' Advisory Council (AHMAC). For 2017 onwards the benchmark has been set to 80%.

For information on the national hand hygiene benchmark please click here.

Audit Period 3 - 2017 (Oct)
(NHHI Audit Three 2017)

Data have been collected nationally from a total of 986 organisations (915 hospitals) from both the public and private sectors. The average compliance rate was 84.8% .

 

 Overall Compliance Rate

  Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Upper
95% CI

Overall
Rate


571,094

673,176

84.8%

84.7%

84.9%
 

Number of data submissions by state

State Public Private

ACT

2 9
NSW 234 109
NT 5 3
QLD 116 91
SA 23 25
TAS 17 11
VIC  136 78
WA  84  43
Total  617 369

 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 157,041 193,274 81.3% 81.1% 81.4%
2 - Before Procedure

61,372

69,434 88.4% 88.1% 88.6%
3 - After a Procedure or Body Fluid Exposure Risk 74,304 81,129 91.6% 91.4% 91.8%
4 - After Touching a Patient 169,996 192,835 88.2% 88.0% 88.3%
5 - After Touching A Patient's Surroundings 108,381 136,504 79.4% 79.2% 79.6%

Figure 1. National Hand Hygiene Compliance Rate By Moment
 

Compliance Rate by Health Care Worker

HCW Type Correct
Moments
Total
Moments
Compliance
Rate
Lower
95% CI
Lower
95% CI
Nurse/Midwife

392,924

446,496

88.0% 87.9% 88.1%
Medical Practitioner

62,066

84,943

73.1% 72.8% 73.4%
Personal Care Staff

21,995

27,819

79.1% 78.6% 79.5%
Allied Health Care Worker

27,320

32,825

83.2% 82.8% 83.6%
Administrative and Clerical Staff

2,628

3,281

80.1% 78.7% 81.4%
Invasive Technician

7,966

9,211

86.5% 85.8% 87.2%
Domestic

11,603

15,771

73.6% 72.9% 74.3%
Student Doctor

1,770

2,324

76.2% 74.4% 77.9%
Student Nurse/Midwife

25,362

30,027

84.5% 84.0% 84.9%
Student Allied Health

1,373

1,719

79.9% 77.9% 81.7%
Student Personal Care 132 174 75.9% 69.0% 81.6%
Other - Not Categorised Elsewhere

3,963

5,344

74.2% 73.0% 75.3%
Dentist, Specialist Dentists 3,240 3,504 92.5% 91.5% 93.3%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,569 1,663 94.3% 93.1% 95.4%
Dental Assistant/Dental Nurse 5,818 6,235 93.3% 92.7% 93.9%
Dental Technicians/Laboratory staff (no patient contact) 7 9 77.8% 45.3% 93.7%
Student Dentist 660 768 85.9% 83.3% 88.2%
Student Dental Therapists 132 159 83.0% 76.4% 88.1%
Student Dental Assistant/Dental Nurse 154 167 92.2% 87.1% 95.4%
Ambulance 412 737 55.9% 52.3% 59.4%

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 (91.6%) and before a procedure (88.4%). 
 
Figure 2 depicts the compliance rate by healthcare worker professional group. 
 

 Medical Staff hand hygiene compliance rate by Moment

Moment Correct Moments Total Moments Compliance Rate Lower 95% CI Upper 95% CI
1- Before Touching A Patient

16,771

24,762

67.7% 67.1% 68.3%
2 - Before Procedure

6,333

7,832

80.9% 80.0% 81.7%
3 - After a Procedure or Body Fluid Exposure Risk

6,791

8,266

82.2% 81.3% 83.0%
4 - After Touching a Patient

21,231

26,995

78.6% 78.2% 79.1%
5 - After Touching A Patient's Surroundings

10,940

17,088

64.0% 63.3% 64.7%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

Moment Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
1 - Before Touching A Patient

110,570

130,675

84.6% 84.4% 84.8%
2 - Before Procedure

44,961

50,135

89.7% 89.4% 89.9%
3 - After a Procedure or Body Fluid Exposure Risk

55,055

59,128

93.1% 92.9% 93.3%
4 - After Touching a Patient

116,358

128,248

90.7% 90.6% 90.9%
5 - After Touching A Patient's Surroundings

65,980

78,310

84.3% 84.0% 84.5%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 6,176 7,227 85.5% 84.6% 86.3%
Ambulatory Care 17,826 20,375 87.5% 87.0% 87.9%
Critical Care Unit 50,548 60,522 83.5% 83.2% 83.8%
Dental 12,937 14,069 92.0% 91.5% 92.4%
Emergency Department 24,545 33,158 74.0% 73.5% 74.5%
Long-term Care 2,303 2,770 83.1% 81.7% 84.5%
Maternity 21,707 25,224 86.1% 85.6% 86.5%
Medical 77,579 92,865 83.5% 83.3% 83.8%
Mental Health 12,083 13,814 87.5% 86.9% 88.0%
Mixed 45,558 53,101 85.8% 85.5% 86.1%
Neonatal Care 13,587 15,121 89.9% 89.4% 90.3%
Oncology/Haematology 34,175 39,134 87.3% 87.0% 87.7%
Other 11,432 13,190 86.7% 86.1% 87.2%
Paediatrics 12,527 14,485 86.5% 85.9% 87.0%
Palliative 3,827 4,347 88.0% 87.0% 89.0%
Peri-operative 43,982 53,145 82.8% 82.4% 83.1%
Radiology 9,163 10,651 86.0% 85.4% 86.7%
Renal 33,544 37,921 88.5% 88.1% 88.8%
Sub Acute 26,192 30,599 85.6% 85.2% 86.0%
Surgical 109,229 129,018 84.7% 84.5% 84.9%
Transplantation Unit 2,174 2,440 89.1% 87.8% 90.3%

*See Appendix 1 for full explanation

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=90) 289,857 347,451 83.4% 83.3% 83.5%
Large (n=43) 53,808 63,043 85.4% 85.1% 85.6%
Medium (n=84) 25,877 29,950 86.4% 86.0% 86.8%
Small (n=336) 39,922 45,575 87.6% 87.3% 87.9%

**See Appendix 2 for full explanation. These categories only apply to public hospitals. No Private Hospital data is included.
Principal = A1, A2
Large = B1, B2
Medium = C1, C2
Small = D1, D2, D3, E2, E3,E4, E9, F, G

Private hospitals only
Private Peer Group Correct
Moments
Total
Moments
Compliance
Rate
Lower
95%CI
Upper
95% CI
PPG 1 (n= 7) 19,954 23,525 84.8% 84.4% 85.3%
PPG 2 (n= 6) 13,802 15,864 87.0% 86.5% 87.5%
PPG 3 (n= 11) 21,082 24,477 86.1% 85.7% 86.6%
PPG 4 (n= 18) 18,189 20,945 86.8% 86.4% 87.3%
PPG 5 (n= 30) 18,925 22,133 85.5% 85.0% 86.0%
PPG 6 (n= 72) 20,946 24,566 85.3% 84.8% 85.7%
PPG 7 (n= 70) 10,262 11,793 87.0% 86.4% 87.6%
 
PPG 1 = >400 acute inpatient beds
PPG 2 = 301-400 acute inpatient beds
PPG 3 = 201-300 acute inpatient beds
PPG 4 = 151-200 acute inpatient beds
PPG 5 = 101-150 acute inpatient beds
PPG 6 = 51-100 acute inpatient beds

PPG 7 = <51 acute inpatient beds
 

Private day hospitals only

Day Hospital Peer Group Correct Moments Total Moments Compliance Rate Lower 95% CI Upper 95% CI
Large (n= 13) 5,367 5,944 90.3% 89.5% 91.0%
Medium (n= 38) 7,154 8,278 86.4% 85.7% 87.1%
Small (n= 59) 6,699 7,686 87.2% 86.4% 87.9%


Large = Stand alone facility performing >5,000 procedures per annum

Medium = Stand alone facility performing 2,000 -5,000 procedures per annum
Small = Stand alone facility performing <2,000 procedures per annum

 

Standalone and Satellite Dialysis Centres only

Dialysis Centres Peer Group Correct Moments Total Moments Compliance Rate Lower 95% CI Upper 95% CI
Large (n= 23) 5,037 5,789 87.0% 86.1% 87.9%
Small (n= 8) 914 1,146 79.8% 77.3% 82.0%

Large = Stand alone facility performing >5,000 procedures per annum

Small = Stand alone facility performing <5,000 procedures per annum

Appendix 1

Ward Type Categories

Ward Type
Further Definitions
Acute Aged Care

Unit providing predominantly acute geriatric medical care

Ambulatory Care

Out-patient clinic/treatment

Critical Care Unit

Including Coronary Care, Adult and Paediatric Intensive Care Units, High Dependency Unit

Dental  
Emergency Department  
Long-term Care Includes residential care for adults and children, and transition wards for  patients awaiting long-term care placement
Maternity

Delivery suite, maternity ward

Medical

Including dermatology, neurology, respiratory etc

Mental Health  
Mixed  
Neonatal Care  Includes Neonatal Intensive Care Unit and Special Care Nursery
Oncology/Haematology Unit

Including Day Oncology

Other

If not defined within the other categories

Paediatrics

Children’s Wards of Non-paediatric hospitals

Palliative  
Peri-operative Includes pre-operative units, theatre and recovery/post-anaesthesia care unit
Radiology Medical imaging, including nuclear medicine and interventional radiology units
Renal Including dialysis
Sub Acute

Including rehab, geriatric evaluation and management

Surgical

General and specialty surgical wards, including orthopaedics, neurosurgery, urology, ENT, opthalmology etc

Transplantation Unit  

 

Appendix 2

Public Peer Group Categories

Principalreferral and specialist women's and children's
A1
Major city hospitals with >20,000 acute casemix adjusted separations and Regional hospitals with >16,000 acute casemix-adjusted separations per annum
A2
Specialised acute women’s and children’s hospitals with >10,000 acute casemix-adjusted separations per annum
 
Largehospitals
B1
Major city acute hospitals treating more than 10,000 acute casemix-adjusted separations per annum
B2
Regional acute hospitals treating >8,000 acute casemix adjusted separations per annum, and remote hospitals with >5,000 casemix-adjusted separations
 
Mediumhospitals
C1
Medium acute hospitals in Regional and Major city areas treating between 5,000 and 10,000acute casemix-adjusted separations per annum
C2
Medium acute hospitals in Regional and Major city areas treating between 2,000 and 5,000 acute casemix adjusted separations per annum, and acute hospitals treating <2,000 casemix-adjusted separations per annum but with >2,000 separations per annum
Small acutehospitals
D1
Small Regional acute hospitals (mainly small country town hospitals), acute hospitals treating <2,000 separations per annum, and with less than 40% nonacute and outlier patient days of total patient days
     
Small acutehospitals
D3
Small remote hospitals (<5,000 acute casemix-adjusted separations but not 'Multipurpose services' and not 'Small non-acute'. Most are <2,000 separations
Small sub-acute and non-acute hospitals
D2
E2
G
Small non-acute hospitals, treating <2,000 separations per annum, and with more than 40% non-acute and outlier patient days of total patient days (D2) plus Multipurpose service (E2) – Small sub-acute and non-acute hospitals (G)
Australian Institute of Health and Welfare 2011. Australian hospital statistics 2009–10.
Health services series no. 40. Cat. no. HSE 107. Canberra: AIHW.