National Data Period One, 2010

Audit Period 1 - 2010 (April)  

Data have been collected nationally from a total of 377 hospitals from both the public and private sectors. The average compliance rate was 64.0% .

 
Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

114,453 178,914

64.0%

63.7%

64.2%


Number of data submissions by state

State

n

ACT

2

NSW

158

NT

3

QLD

1

SA

19

TAS 18
VIC 81
WA 39
Private organisations*  56

* 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

27,802

48,879

56.9%

56.4%

57.3%

Moment 2

8,017

13,228

60.6%

59.8%

61.4%

Moment 3

14,190

18,836

75.3%

74.7%

75.9%

Moment 4

38,495

52,087

73.9%

73.5%

74.3%

Moment 5

25,949

45,884

56.6%

56.1%

57.0%


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 6,411 10,231 62.7% 61.7% 63.6%
Invasive Tech BL 2,334 4,194 55.7% 54.1% 57.1%
Medical Practitioner DR 13,104 26,574 49.3% 48.7% 49.9%
Nurse/Midwife N 72,097 103,090 69.9% 69.7% 70.2%
Other* O 2,572 5,600 45.9% 44.6% 47.2%
Personal Care Staff** PSA 13,725 22,464 61.1% 60.5% 61.7%
Student AH SAH 247 433 57.0% 52.3% 61.6%
Student Medical SDR 454 786 57.8% 54.3% 61.2%
Student Nurse SN 3,517 5,552 63.3% 62.1% 64.6%

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

 
 

National Data Period Two, 2010

Comparison of compliance rates by jurisdiction including national data and the private sector 2009 - 10 YTD

Comparison of compliance rates by jurisdiction shows an upward trend in most jurisdictions towards 70% compliance.  Queensland which had an 11 opportunities program, has completed the introduction and training for the 5 Moments and will submit data for publication from the September-December 2010 audit.

 Click to view larger image (pdf)

Source: Australian Commission on Safety and Quality in Healthcare - Windows into Safety and Quality in Health Care 2010, pp 24-26.http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/A7CBED6274ACBC29CA2577EC000E63A3/$File/Windows%202010%20Web%20version.PDF
 

Audit Period 2 - 2010 (August)  

Data have been collected nationally from a total of 449 hospitals from both the public and private sectors. The average compliance rate was 67.0% .

 
Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

164194 245123

67.0%

66.8%

67.2%


Number of data submissions by state

State

n

ACT

2

NSW

178

NT

5

QLD

22

SA

19

TAS 17
VIC 85
WA 44
Private organisations*  77

* 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

42046

68195

61.7%

61.3%

62.0%

Moment 2

11978

18370

65.2%

64.5%

65.9%

Moment 3

20336

26333

77.2%

76.7%

77.7%

Moment 4

55052

72690

75.7%

75.4%

76.0%

Moment 5

34782

59517

58.4%

58.0%

58.8%

Click to view larger image (pdf)
Figure 1. National Hand Hygiene Compliance Rate By Moment


Compliance Rate By Healthcare Worker Type

HCW Type Code Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Admin & Clerical AC 202 377 53.6% 48.4% 58.7%
Allied HCW AH 8404 13169 63.8% 63.0% 64.6%
Domestic* D 1444 2869 50.3% 48.5% 52.2%
Invasive Tech BL 3642 5744 63.4% 62.1% 64.7%
Medical Practitioner DR 16610 32816 50.6% 50.1% 51.2%
Nurse/Midwife N 114406 157428 72.7% 72.5% 72.9%
Other* O 1316 2124 62.0% 59.9% 64.0%
Personal Care Staff* PC 4248 6909 61.5% 60.3% 62.6%
Student AH SAH 519 816 63.6% 60.2% 66.9%
Student Medical SDR 1141 1957 58.3% 56.1% 60.5%
Student Nurse SN 5852 8509 68.8% 67.8% 69.8%
Student Personal Care SPC 36 76 47.4% 35.7% 59.1%
*Data Incomplete
Click to view larger image (pdf)

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 (77.2%) and after touching a patient (75.7%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses (72.7% for Registered Nurses and 68.8% for student nurse). 
 
 

National Data Period Three, 2010

Audit Period 3 - 2010 (November)  

Data have been collected nationally from a total of 521 hospitals from both the public and private sectors. The average compliance rate was 68.3% .

 
Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

168,641 246,931

68.3%

68.1%

68.5%


Number of data submissions by state

State

n

ACT

2

NSW

178

NT

5

QLD

81

SA

23

TAS 17
VIC 84
WA 38
Private organisations*  93

* 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

43,499

68,979

63.1%

62.7%

63.4%

Moment 2

13,620

19,901

68.4%

67.8%

69.1%

Moment 3

21,520

27,189

79.1%

78.7%

79.6%

Moment 4

54,531

71,732

76.0%

75.7%

76.3%

Moment 5

35,471

59,139

60.0%

59.6%

60.4%

Click to view larger image (pdf)
Figure 1. National Hand Hygiene Compliance Rate By Moment


Compliance Rate By Healthcare Worker Type

HCW Type Code Correct HH
Moments
Moments
Observed
Compliance
Rate
Lower
95% CI
Upper
95% CI
Admin & Clerical AC 318 577 55.1% 50.9% 59.2%
Allied HCW AH 8,187 12,595 65.0% 64.2% 65.8%
Domestic* D 3,289 5,924 55.5% 54.2% 56.8%
Invasive Tech BL 3,890 5,793 67.2% 65.9% 68.4%
Medical Practitioner DR 17,897 34,224 52.3% 51.8% 52.8%
Nurse/Midwife N 116,851 158,732 73.6% 73.4% 73.9%
Other* O 2,364 4,920 48.0% 46.6% 49.4%
Personal Care Staff* PC 5,700 9,107 62.6% 61.6% 63.6%
Student AH SAH 808 1,212 66.7% 63.9% 69.3%
Student Medical SDR 588 1,147 51.3% 48.3% 54.2%
Student Nurse SN 8,732 12,674 68.9% 68.1% 69.7%
Student Personal Care SPC 17 26 65.4% 44.3% 82.8%
*Data Incomplete
Click to view larger image (pdf)

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 (79.1%) and after touching a patient (76.0%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses (73.6% for Registered Nurses and 68.9% for student nurse).