National Data Period One, 2016

 

Audit Period 1 - 2016 (Mar)
(NHHI Audit One 2016)

Data have been collected nationally from a total of 906 hospitals from both the public and private sectors. The average compliance rate was 84% .
 

 Overall Compliance Rate

 

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

Overall
Rate


543,844

647,349

84%

83.9%

84.1%
 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 149,179 184,669 80.8% 80.6% 81.0%
2 - Before Procedure

56,375

64,514 87.4% 87.1% 87.6%
3 - After a Procedure or Body Fluid Exposure Risk 69,727 76,546 91.1% 90.9% 91.3%
4 - After Touching a Patient

162,748

185,231

87.9% 87.7% 88.0%
5 - After Touching A Patient's Surroundings

105,815

136,389

77.6% 77.4% 77.8%

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

380,155

435,045

87.4% 87.3% 87.5%
Medical Practitioner

64,250

88,816

72.3% 72.0% 72.6%
Personal Care Staff

21,303

27,539

77.4% 76.9% 77.8%
Allied Health Care Worker

26,954

32,796

82.2% 81.8% 82.6%
Administrative and Clerical Staff

2,397

3,098

77.4% 75.9% 78.8%
Invasive Technician

7,450

8,715

85.5% 84.7% 86.2%
Domestic

11,823

16,315

72.5% 71.8% 73.1%
Student Doctor

1,895

2,365

80.1% 78.5% 81.7%
Student Nurse/Midwife

14,573

17,387

83.8% 83.3% 84.4%
Student Allied Health

985

1,294

76.1% 73.7% 78.4%
Student Personal Care 197 220 89.5% 84.8% 92.9%
Other - Not Categorised Elsewhere

3,669

4,974

73.8% 72.5% 75.0%
Dentist, Specialist Dentists 2,225 2,445 91.0% 89.8% 92.1%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,170 1,229 95.2% 93.9% 96.3%
Dental Assistant/Dental Nurse 4,146 4,352 95.3% 94.6% 95.9%
Dental Technicians/Laboratory staff (no patient contact) 9 11 81.8% 52.3% 94.9%
Student Dentist 406 470 86.4% 83.0% 89.2%
Student Dental Therapists 81 96 84.4% 75.8% 90.3%
Student Dental Assistant/Dental Nurse 145 168 86.3% 80.3% 90.7%
Student Dental Technicians/Laboratory staff (no patient contact) 11 14 78.6% 52.4% 92.4%

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 (91.1%) and after touching a patient (87.9%). 
 
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

17,450

25,798

67.6% 67.1% 68.2%
2 - Before Procedure

6,201

7,754

80.0% 79.1% 80.8%
3 - After a Procedure or Body Fluid Exposure Risk

6,665

8,265

80.6% 79.8% 81.5%
4 - After Touching a Patient

22,293

28,258

78.9% 78.4% 79.4%
5 - After Touching A Patient's Surroundings

11,641

18,741

62.1% 61.4% 62.8%

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

106,574

126,375

84.3% 84.1% 84.5%
2 - Before Procedure

42,348

47,738

88.7% 88.4% 89.0%
3 - After a Procedure or Body Fluid Exposure Risk

52,957

57,073

92.8% 92.6% 93.0%
4 - After Touching a Patient

113,039

124,962

90.5% 90.3% 90.6%
5 - After Touching A Patient's Surroundings

65,237

78,897

82.7% 82.4% 82.9%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 2,953 3,540 83.4% 82.2% 84.6%
Ambulatory Care 19,836 23,118 85.8% 85.3% 86.2%
Critical Care Unit 54,235 65,865 82.3% 82.0% 82.6%
Dental 8,759 9,434 92.8% 92.3% 93.3%
Emergency Department 26,325 34,395 76.5% 76.1% 77.0%
Long-term Care 734 807 91.0% 88.8% 92.7%
Maternity 20,074 23,340 86.0% 85.6% 86.4%
Medical 79,524 96,403 82.5% 82.3% 82.7%
Mental Health 9,266 10,514 88.1% 87.5% 88.7%
Mixed 45,881 54,303 84.5% 84.2% 84.8%
Neonatal Care 13,433 15,194 88.4% 87.9% 88.9%
Oncology/Haematology 32,165 37,379 86.1% 85.7% 86.4%
Other 21,206 24,608 86.2% 85.7% 86.6%
Paediatrics 11,700 13,339 87.7% 87.1% 88.3%
Palliative 835 984 84.9% 82.5% 87.0%
Peri-operative 27,508 33,424 82.3% 81.9% 82.7%
Radiology 4,362 5,236 83.3% 82.3% 84.3%
Renal 27,632 31,817 86.8% 86.5% 87.2%
Sub Acute 24,063 28,315 85.0% 84.6% 85.4%
Surgical 110,840 132,461 83.7% 83.5% 83.9%
Transplantation Unit 2,513 2,873 87.5% 86.2% 88.6%

*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=106 )
278,098 335,465 82.9% 82.8% 83.0%
Large (n=41)
49,672 58,197 85.4% 85.1% 85.6%
Medium (n=82)
20,486 24,373 84.1% 83.6% 84.5%
Small (n=320)
40,506 47,022 86.1% 85.8% 86.5%

**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= 6) 21,175 24,559 86.2% 85.8% 86.6%
PPG 2 (n= 5) 9,125 10,771 84.7% 84.0% 85.4%
PPG 3 (n= 12) 27,688 32,780 84.5% 84.1% 84.9%
PPG 4 (n= 19) 18,761 22,050 85.1% 84.6% 85.5%
PPG 5 (n= 29) 18,800 21,870 86.0% 85.5% 86.4%
PPG 6 (n= 67) 14,489 16,983 85.3% 84.8% 85.8%
PPG 7 (n= 54) 7,639 9,291 82.2% 81.4% 83.0%


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= 15) 4,884 5,503 88.8% 87.9% 89.6%
Medium (n= 29) 5,576 6,585 84.7% 83.8% 85.5%
Small (n= 42) 4,457 5,053 88.2% 87.3% 89.1%


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= 21) 2,981 3,805 78.3% 77.0% 79.6%
Small (n= 8) 817 939 87.0% 84.7% 89.0%

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

Principal referral 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
 
Large hospitals
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
 
Medium hospitals
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 acute hospitals
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 acute hospitals
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.

 

National Data Period Two 2016

 

Audit Period 2 - 2016 (Jun)
(NHHI Audit Two 2016)

Data have been collected nationally from a total of 902 hospitals from both the public and private sectors. The average compliance rate was 83.9% .
 

 Overall Compliance Rate

 

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

Overall
Rate


459,619

547,575

83.9%

83.8%

84%
 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 126,965 157,430 80.6% 80.5% 80.8%
2 - Before Procedure

47,519

54,584 87.1% 86.8% 87.3%
3 - After a Procedure or Body Fluid Exposure Risk 58,852 64,996 90.5% 90.3% 90.8%
4 - After Touching a Patient 136,970 155,951 87.8% 87.7% 88.0%
5 - After Touching A Patient's Surroundings 89,313 114,614 77.9% 77.7% 78.2%

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

317,105

363,813

87.2% 87.1% 87.3%
Medical Practitioner

52,631

72,595

72.5% 72.2% 72.8%
Personal Care Staff

17,549

22,622

77.6% 77.0% 78.1%
Allied Health Care Worker

22,691

27,567

82.3% 81.9% 82.8%
Administrative and Clerical Staff

1,982

2,482

79.9% 78.2% 81.4%
Invasive Technician

6,377

7,430

85.8% 85.0% 86.6%
Domestic

9,900

13,551

73.1% 72.3% 73.8%
Student Doctor

1,547

1,998

77.4% 75.5% 79.2%
Student Nurse/Midwife

17,218

20,831

82.7% 82.1% 83.2%
Student Allied Health

1,225

1,537

79.7% 77.6% 81.6%
Student Personal Care 192 218 88.1% 83.1% 91.7%
Other - Not Categorised Elsewhere

3,154

4,321

73.0% 71.6% 74.3%
Dentist, Specialist Dentists 2,479 2,639 93.9% 93.0% 94.8%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,040 1,106 94.0% 92.5% 95.3%
Dental Assistant/Dental Nurse 4,042 4,284 94.4% 93.6% 95.0%
Dental Technicians/Laboratory staff (no patient contact) 16 16 100.0% 80.6% 100.0%
Student Dentist 275 335 82.1% 77.6% 85.8%
Student Dental Therapists 105 130 80.8% 73.2% 86.6%
Student Dental Assistant/Dental Nurse 86 95 90.5% 83.0% 94.9%
Student Dental Technicians/Laboratory staff (no patient contact) 5 5 100.0% 56.6% 100.0%

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 (90.5%) and after touching a patient (87.8%). 
 
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

14,273

21,061

67.8% 67.1% 68.4%
2 - Before Procedure

5,314

6,652

79.9% 78.9% 80.8%
3 - After a Procedure or Body Fluid Exposure Risk

5,540

6,999

79.2% 78.2% 80.1%
4 - After Touching a Patient

17,760

22,474

79.0% 78.5% 79.6%
5 - After Touching A Patient's Surroundings

9,744

15,409

63.2% 62.5% 64.0%

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

89,616

106,653

84.0% 83.8% 84.2%
2 - Before Procedure

35,020

39,624

88.4% 88.1% 88.7%
3 - After a Procedure or Body Fluid Exposure Risk

43,953

47,632

92.3% 92.0% 92.5%
4 - After Touching a Patient

94,232

104,306

90.3% 90.2% 90.5%
5 - After Touching A Patient's Surroundings

54,284

65,598

82.8% 82.5% 83.0%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 2,464 3,060 80.5% 79.1% 81.9%
Ambulatory Care 16,245 18,638 87.2% 86.7% 87.6%
Critical Care Unit 47,461 57,366 82.7% 82.4% 83.0%
Dental 8,179 8,822 92.7% 92.2% 93.2%
Emergency Department 21,678 28,472 76.1% 75.6% 76.6%
Long-term Care 638 674 94.7% 92.7% 96.1%
Maternity 18,519 21,479 86.2% 85.8% 86.7%
Medical 63,115 77,042 81.9% 81.6% 82.2%
Mental Health 7,784 9,081 85.7% 85.0% 86.4%
Mixed 37,440 44,369 84.4% 84.0% 84.7%
Neonatal Care 10,093 11,296 89.4% 88.8% 89.9%
Oncology/Haematology 28,845 33,941 85.0% 84.6% 85.4%
Other 15,929 18,519 86.0% 85.5% 86.5%
Paediatrics 19,569 10,819 84.4% 87.8% 89.0%
Palliative 788 911 86.5% 84.1% 88.6%
Peri-operative 26,802 32,398 82.7% 82.3% 83.1%
Radiology 4,619 5,328 86.7% 85.8% 87.6%
Renal 23,400 26,978 86.7% 86.3% 87.1%
Sub Acute 20,946 24,695 84.8% 84.4% 85.3%
Surgical 93,265 111,617 83.6% 83.3% 83.8%
Transplantation Unit 1,840 2,070 88.9% 87.5% 90.2%

*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=91 ) 228,545 275,969 82.8% 82.7% 83.0%
Large (n=41) 39,452 46,348 85.1% 84.8% 85.4%
Medium (n=81) 20,329 24,207 84.0% 83.5% 84.4%
Small (n=328) 35,034 40,354 86.8% 86.5% 87.1%

**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) 20,751 24,475 84.8% 84.3% 85.2%
PPG 2 (n= 5) 7,700 9,638 79.9% 79.1% 80.7%
PPG 3 (n= 12) 22,449 26,378 85.1% 84.7% 85.5%
PPG 4 (n= 19) 18,227 21,620 84.3% 83.8% 84.8%
PPG 5 (n= 29) 17,196 20,153 85.3% 84.8% 85.8%
PPG 6 (n= 67) 15,363 18,141 84.7% 84.2% 85.2%
PPG 7 (n= 56) 6,627 7,800 85.0% 84.2% 85.7%


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= 12) 4,470 5,027 88.9% 88.0% 89.8%
Medium (n= 34) 5,883 6,859 85.8% 84.9% 86.6%
Small (n= 43) 4,581 5,311 86.3% 85.3% 87.2%


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= 20) 3,006 3,950 76.1% 74.7% 77.4%
Small (n= 7) 825 931 88.6% 86.4% 90.5%

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.

National Data Audit Three 2016

 

Audit Period 3 - 2016 (Oct)
(NHHI Audit Three 2016)

Data have been collected nationally from a total of 940 hospitals from both the public and private sectors. The average compliance rate was 84.1% .
 

 Overall Compliance Rate

 

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

Overall
Rate


541,629

643,938

84.1%

84.0%

84.2%
 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 151,465 187,109 81.0% 80.8% 81.1%
2 - Before Procedure

55,783

63,613 87.7% 87.4% 87.9%
3 - After a Procedure or Body Fluid Exposure Risk 68,276 75,052 91.0% 90.8% 91.2%
4 - After Touching a Patient 162,151 184,438 87.9% 87.8% 88.1%
5 - After Touching A Patient's Surroundings 103,954 133,726 77.7% 77.5% 78.0%

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

373,463

427,618

87.3% 87.2% 87.4%
Medical Practitioner

60,696

83,577

72.6% 72.3% 72.9%
Personal Care Staff

21,748

27,770

78.3% 77.8% 78.8%
Allied Health Care Worker

26,586

32,012

83.1% 82.6% 83.5%
Administrative and Clerical Staff

2,464

3,041

81.0% 79.6% 82.4%
Invasive Technician

7,166

8,511

84.2% 83.4% 85.0%
Domestic

11,037

15,432

71.5% 70.8% 72.2%
Student Doctor

1,993

2,618

76.1% 74.5% 77.7%
Student Nurse/Midwife

22,708

27,314

83.1% 82.7% 83.6%
Student Allied Health

1,358

1,700

79.9% 77.9% 81.7%
Student Personal Care 156 189 82.5% 76.5% 87.3%
Other - Not Categorised Elsewhere

3,884

5,264

73.8% 72.6% 75.0%
Dentist, Specialist Dentists 2,319 2,485 93.3% 92.3% 94.2%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,188 1,260 94.3% 92.9% 95.4%
Dental Assistant/Dental Nurse 4,145 4,332 95.7% 95.0% 96.2%
Dental Technicians/Laboratory staff (no patient contact) 16 20 80.0% 58.4% 91.9%
Student Dentist 422 472 89.4% 86.3% 91.9%
Student Dental Therapists 233 270 86.3% 81.7% 89.9%
Student Dental Assistant/Dental Nurse 46 52 88.5% 77.0% 94.6%
Student Dental Technicians/Laboratory staff (no patient contact) 1 1 100.0% 20.7% 100.0%

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 (91.0%) and after touching a patient (87.9%). 
 
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

16,682

24,477

68.2% 67.6% 68.7%
2 - Before Procedure

6,154

7,576

81.2% 80.3% 82.1%
3 - After a Procedure or Body Fluid Exposure Risk

6,349

7,913

80.2% 79.3% 81.1%
4 - After Touching a Patient

20,394

25,864

78.9% 78.3% 79.3%
5 - After Touching A Patient's Surroundings

11,117

17,747

62.6% 61.9% 63.4%

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

106,539

126,544

84.2% 84.0% 84.4%
2 - Before Procedure

41,281

46,313

89.1% 88.8% 89.4%
3 - After a Procedure or Body Fluid Exposure Risk

51,221

55,294

92.6% 92.4% 92.8%
4 - After Touching a Patient

111,312

123,066

90.4% 90.3% 90.6%
5 - After Touching A Patient's Surroundings

63,110

76,401

82.6% 82.3% 82.9%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 3,392 4,025 84.3% 83.1% 85.4%
Ambulatory Care 18,024 20,663 87.2% 86.8% 87.7%
Critical Care Unit 50,793 61,463 82.6% 82.3% 82.9%
Dental 8,518 9,233 92.3% 91.7% 92.8%
Emergency Department 24,800 32,379 76.6% 76.1% 77.1%
Long-term Care 1,071 1,191 89.9% 88.1% 91.5%
Maternity 22,557 26,262 85.9% 85.5% 86.3%
Medical 77,589 94,731 81.9% 81.7% 82.1%
Mental Health 9,860 11,323 87.1% 86.4% 87.7%
Mixed 42,646 50,791 84.0% 83.6% 84.3%
Neonatal Care 11,512 12,893 89.3% 88.7% 89.8%
Oncology/Haematology 33,787 39,117 86.4% 86.0% 86.7%
Other 18,005 20,962 85.9% 85.4% 86.4%
Paediatrics 13,343 15,400 86.6% 86.1% 87.2%
Palliative 1,402 1,626 86.2% 84.5% 87.8%
Peri-operative 35,453 42,263 83.9% 83.5% 84.2%
Radiology 6,528 7,710 84.7% 83.8% 85.5%
Renal 28,646 32,605 87.9% 87.5% 88.2%
Sub Acute 22,735 26,385 86.2% 85.7% 86.6%
Surgical 108,882 130,485 83.4% 83.2% 83.6%
Transplantation Unit 2,086 2,431 85.8% 84.4% 87.1%

*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=92 ) 277,285 334,354 82.9% 82.8% 83.1%
Large (n=42) 45,739 53,808 85.0% 84.7% 85.3%
Medium (n=83) 24,479 28,819 84.9% 84.5% 85.3%
Small (n=334) 36,946 42,609 86.7% 86.4% 87.0%

**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) 22,913 27,328 83.8% 83.4% 84.3%
PPG 2 (n= 5) 9,706 11,900 81.6% 80.9% 82.2%
PPG 3 (n= 12) 26,413 31,100 84.9% 84.5% 85.3%
PPG 4 (n= 18) 18,119 21,408 84.6% 84.1% 85.1%
PPG 5 (n= 30) 19,123 22,077 86.6% 86.2% 87.1%
PPG 6 (n= 66) 16,560 19,324 85.7% 85.2% 86.2%
PPG 7 (n= 65) 10,211 11,863 86.1% 85.4% 86.7%


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= 15) 5,484 6,067 90.4% 89.6% 91.1%
Medium (n= 39) 7,254 8,461 85.7% 85.0% 86.5%
Small (n= 49) 5,462 6,488 84.2% 83.3% 85.1%


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) 4,339 5,085 85.3% 84.3% 86.3%
Small (n= 6) 825 972 84.9% 82.5% 87.0%

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.