National Data Period One 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 1 - 2017 (March)
(NHHI Audit One 2017)

Data have been collected nationally from a total of 951 organisations (899 hospitals) from both the public and private sectors. The average compliance rate was 84.6% .

 

 Overall Compliance Rate

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

Overall
Rate


578,599

684,327

84.6%

84.5%

84.6%
 

Number of data submissions by state

State Public Private

ACT

2 8
NSW 233 106
NT 5 3
QLD 104 83
SA 23 24
TAS 17 9
VIC  131 76
WA  86  41
Total  601 350 

 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 158,091 194,843 81.1% 81.0% 81.3%
2 - Before Procedure

60,859

68,859 88.4% 88.1% 88.6%
3 - After a Procedure or Body Fluid Exposure Risk 74,234 81,027 91.6% 91.4% 91.8%
4 - After Touching a Patient 171,281 194,302 88.2% 88.0% 88.3%
5 - After Touching A Patient's Surroundings 114,134 145,296 78.6% 78.3% 78.8%

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

406,789

463,824

87.7% 87.6% 87.8%
Medical Practitioner

67,184

91,786

73.2% 72.9% 73.5%
Personal Care Staff

22,685

28,846

78.6% 78.2% 79.1%
Allied Health Care Worker

27,612

33,393

82.7% 82.3% 83.1%
Administrative and Clerical Staff

2,817

3,406

82.7% 81.4% 83.9%
Invasive Technician

8,235

9,620

85.6% 84.9% 86.3%
Domestic

11,982

16,579

72.3% 71.6% 72.9%
Student Doctor

1,780

2,233

79.7% 78.0% 81.3%
Student Nurse/Midwife

15,995

18,930

84.5% 84.0% 85.0%
Student Allied Health

957

1,196

80.0% 77.7% 82.2%
Student Personal Care 117 145 80.7% 73.5% 86.3%
Other - Not Categorised Elsewhere

3,249

4,566

71.2% 69.8% 72.5%
Dentist, Specialist Dentists 2,833 3,047 93.0% 92.0% 93.8%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,214 1,286 94.4% 93.0% 95.5%
Dental Assistant/Dental Nurse 4,588 4,843 94.7% 94.1% 95.3%
Dental Technicians/Laboratory staff (no patient contact) 16 19 84.2% 62.4% 94.5%
Student Dentist 379 422 89.8% 86.6% 92.3%
Student Dental Therapists 110 118 93.2% 87.2% 96.5%
Student Dental Assistant/Dental Nurse 53 64 82.8% 71.8% 90.1%
Student Dental Technicians/Laboratory staff (no patient contact) 4 4 100.0% 51.0% 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 (91.6%) 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

17,764

26,035

68.2% 67.7% 68.8%
2 - Before Procedure

6,701

8,246

81.3% 80.4% 82.1%
3 - After a Procedure or Body Fluid Exposure Risk

7,163

8,744

81.9% 81.1% 82.7%
4 - After Touching a Patient

22,726

28,627

79.4% 78.9% 79.9%
5 - After Touching A Patient's Surroundings

12,830

20,134

63.7% 63.1% 64.4%

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

113,798

134,815

84.4% 84.2% 84.6%
2 - Before Procedure

45,830

51,120

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

56,408

60,648

93.0% 92.8% 93.2%
4 - After Touching a Patient

119,521

131,911

90.6% 90.4% 90.8%
5 - After Touching A Patient's Surroundings

71,232

85,330

83.5% 83.2% 83.7%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 4,630 5,604 82.6% 81.6% 83.6%
Ambulatory Care 19,080 21,948 86.9% 86.5% 87.4%
Critical Care Unit 54,772 66,231 82.7% 82.4% 83.0%
Dental 8,805 9,424 93.4% 92.9% 93.9%
Emergency Department 28,644 37,118 77.2% 76.7% 77.6%
Long-term Care 1,640 1,861 88.1% 86.6% 89.5%
Maternity 22,403 25,958 86.3% 85.9% 86.7%
Medical 78,438 94,793 82.7% 82.5% 83.0%
Mental Health 11,492 12,997 88.4% 87.9% 89.0%
Mixed 47,127 55,864 84.4% 84.1% 84.7%
Neonatal Care 14,753 16,475 89.5% 89.1% 90.0%
Oncology/Haematology 33,752 38,973 86.6% 86.3% 86.9%
Other 18,682 21,488 86.9% 86.5% 87.4%
Paediatrics 12,351 14,258 86.6% 86.1% 87.2%
Palliative 1,590 1,872 84.9% 83.2% 86.5%
Peri-operative 40,408 48,395 83.5% 83.2% 83.8%
Radiology 6,863 8,097 84.8% 84.0% 85.5%
Renal 31,265 35,707 87.6% 87.2% 87.9%
Sub Acute 27,002 31,182 86.6% 86.2% 87.0%
Surgical 112,358 133,182 84.4% 84.2% 84.6%
Transplantation Unit 2,544 2,900 87.7% 86.5% 88.9%

*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 ) 303,208 363,516 83.4% 83.3% 83.5%
Large (n=41) 50,886 59,183 86.0% 85.7% 86.3%
Medium (n=82) 26,609 31,115 85.5% 85.1% 85.9%
Small (n=340) 39,962 45,839 87.2% 86.9% 87.5%

**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= 7) 22,639 27,965 84.0% 83.5% 84.4%
PPG 2 (n= 5) 14,531 16,820 86.4% 85.9% 86.9%
PPG 3 (n= 11) 22,179 26,210 84.6% 84.2% 85.1%
PPG 4 (n= 18) 18,844 22,076 85.4% 84.9% 85.8%
PPG 5 (n= 30) 17,723 20,593 86.1% 85.6% 86.5%
PPG 6 (n= 69) 18,372 21,590 85.1% 84.6% 85.6%
PPG 7 (n= 65) 8,354 9,740 85.8% 85.1% 86.4%


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= 16) 5,801 6,437 90.1% 89.4% 90.8%
Medium (n= 36) 7,101 8,121 87.4% 86.7% 88.1%
Small (n= 51) 6,234 7,147 87.2% 86.4% 88.0%


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) 4,580 5,721 80.1% 79.0% 81.1%
Small (n= 5) 536 619 86.6% 83.7% 89.1%

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 Period Two 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 2 - 2017 (June)
(NHHI Audit Two 2017)

Data have been collected nationally from a total of 937 organisations (881 hospitals) from both the public and private sectors. The average compliance rate was 84.3% .

 

 Overall Compliance Rate

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

Overall
Rate


494,673

586,559

84.3%

84.2%

84.4%
 

Number of data submissions by state

State Public Private

ACT

2 9
NSW 234 96
NT 5 3
QLD 98 80
SA 23 22
TAS 17 10
VIC  132 81
WA  87  38
Total  598 339

 

Compliance Rate by Moment

Moment Correct
Moments
Total
Moments
Compliance
Rate
Lower 95% CI Upper 95% CI
1 - Before Touching A Patient 136,344 168,930 80.7% 80.5% 80.9%
2 - Before Procedure

51,621

58,782 87.8% 87.6% 88.1%
3 - After a Procedure or Body Fluid Exposure Risk 63,741 69,954 91.1% 90.9% 91.3%
4 - After Touching a Patient 147,019 167,266 87.9% 87.7% 88.1%
5 - After Touching A Patient's Surroundings 95,948 121,627 78.9% 78.7% 79.1%

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

344,258

392,607

87.7% 87.6% 87.8%
Medical Practitioner

53,620

74,788

71.7% 71.4% 72.0%
Personal Care Staff

18,298

23,461

78.0% 77.5% 78.5%
Allied Health Care Worker

23,236

28,291

82.1% 81.7% 82.6%
Administrative and Clerical Staff

1,974

2,534

77.9% 76.2% 79.5%
Invasive Technician

7,269

8,540

85.1% 84.3% 85.9%
Domestic

10,051

13,628

73.8% 73.0% 74.5%
Student Doctor

1,462

1,885

77.6% 75.6% 79.4%
Student Nurse/Midwife

21,229

25,301

83.9% 83.4% 84.4%
Student Allied Health

1,309

1,614

81.1% 79.1% 82.9%
Student Personal Care 182 212 85.8% 80.5% 89.9%
Other - Not Categorised Elsewhere

3,063

4,123

74.3% 72.9% 75.6%
Dentist, Specialist Dentists 2,603 2,837 91.8% 90.7% 92.7%
Dental Therapists, Dental Hygienist, Dental Prosthetist and Oral Health Therapists 1,166 1,250 93.3% 91.8% 94.5%
Dental Assistant/Dental Nurse 4,070 4,318 94.3% 93.5% 94.9%
Dental Technicians/Laboratory staff (no patient contact) 9 11 81.8% 52.3% 94.9%
Student Dentist 340 413 82.3% 78.4% 85.7%
Student Dental Therapists 160 189 84.7% 78.8% 89.1%
Student Dental Assistant/Dental Nurse 136 145 93.8% 88.6% 96.7%
Ambulance 238 412 57.8% 52.9% 62.4%

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

14,696

22,046

66.7% 66.0% 67.3%
2 - Before Procedure

5,248

6,630

79.2% 78.2% 80.1%
3 - After a Procedure or Body Fluid Exposure Risk

5,816

7,237

80.4% 79.4% 81.3%
4 - After Touching a Patient

18,484

23,682

78.1% 77.5% 78.6%
5 - After Touching A Patient's Surroundings

9,376

15,193

61.7% 60.9% 62.5%

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

97,005

115,020

84.3% 84.1% 84.5%
2 - Before Procedure

38,543

43,105

89.4% 89.1% 89.7%
3 - After a Procedure or Body Fluid Exposure Risk

47,777

51,456

92.9% 92.6% 93.1%
4 - After Touching a Patient

101,462

112,084

90.5% 90.4% 90.7%
5 - After Touching A Patient's Surroundings

59,471

70,942

83.8% 83.6% 84.1%
Compliance Rates By Ward Type
Ward Type* Correct Moments Total Moments Compliance Rate Lower 95%
CI
Upper 95%
CI
Acute Aged Care 4,416 5,326 82.9% 81.9% 83.9%
Ambulatory Care 17,100 19,554 87.5% 87.0% 87.9%
Critical Care Unit 46,001 55,671 82.6% 82.3% 82.9%
Dental 9,414 10,244 91.9% 91.4% 92.4%
Emergency Department 21,648 28,172 76.8% 76.3% 77.3%
Long-term Care 1,412 1,666 84.8% 82.9% 86.4%
Maternity 18,172 21,429 84.8% 84.3% 85.3%
Medical 69,279 84,320 82.2% 81.9% 82.4%
Mental Health 10,827 12,126 89.3% 88.7% 89.8%
Mixed 38,661 45,688 84.6% 84.3% 84.9%
Neonatal Care 11,883 13,181 89.8% 89.2% 90.3%
Oncology/Haematology 29,838 34,682 86.0% 85.7% 86.4%
Other 13,886 16,179 85.8% 85.3% 86.4%
Paediatrics 10,371 12,030 86.2% 85.6% 86.8%
Palliative 1,198 1,379 86.9% 85.0% 88.6%
Peri-operative 36,347 43,517 83.5% 83.2% 83.9%
Radiology 6,475 7,656 84.6% 83.7% 85.4%
Renal 26,994 30,548 88.4% 88.0% 88.7%
Sub Acute 22,113 25,366 87.2% 86.8% 87.6%
Surgical 96,377 115,229 83.6% 83.4% 83.9%
Transplantation Unit 2,311 2,596 89.0% 87.8% 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=90 ) 250,409 303,259 82.6% 82.4% 82.7%
Large (n=42) 43,816 51,563 85.0% 84.7% 85.3%
Medium (n=83) 23,090 26,825 86.1% 85.7% 86.5%
Small (n=333) 35,050 39,712 88.3% 87.9% 88.6%

**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) 19,418 23,150 83.9% 83.4% 84.3%
PPG 2 (n= 6) 13,162 15,415 85.4% 84.8% 85.9%
PPG 3 (n= 11) 18,639 21,767 85.6% 85.2% 86.1%
PPG 4 (n= 17) 17,039 19,728 86.4% 85.9% 86.8%
PPG 5 (n= 30) 17,425 19,991 87.2% 86.7% 87.6%
PPG 6 (n= 69) 16,496 19,280 85.6% 85.1% 86.0%
PPG 7 (n= 60) 7,922 9,092 87.1% 86.4% 87.8%


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= 14) 5,291 5,787 91.4% 90.7% 92.1%
Medium (n= 36) 6,429 7,313 87.9% 87.1% 88.6%
Small (n= 49) 5,703 6,698 85.1% 84.3% 86.0%


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) 4,269 4,915 86.9% 85.9% 87.8%
Small (n= 6) 490 566 86.6% 83.5% 89.1%

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.