National Data Period One, 2012

Audit Period One - 2012 (March)
(NHHI Audit One 2012)

Data have been collected nationally from a total of 629 hospitals from both the public and private sectors. The average compliance rate was 73.8% .

 Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

287,220 389,077

73.8%

73.7%

74.0%

Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

76,925

111,029

69.3%

69.0

69.6%

Moment 2

24,115

32,395

74.4%

74.0%

74.9%

Moment 3

35,342

42,499

83.2%

82.8%

83.5%

Moment 4

90,931

112,644

80.7%

80.5%

81.0%

Moment 5

59,907

90,510

66.2%

65.9%

66.5%


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 1628 2198 74.1% 72.2% 75.9%
Allied HCW AH 14416
20173 71.5% 70.8% 72.1%
Domestic* D 6463
11022 58.6% 57.7% 59.6%
Invasive Tech BL 5070
7058 71.8% 70.8% 72.9%
Medical Practitioner DR 32034 53742 59.6% 59.2% 60.0%
Nurse/Midwife N 203632
260094 78.3% 78.1% 78.4%
Other* O 2686 4529 59.3% 57.9% 60.7%
Personal Care Staff* PC 11220 16503 68.0% 67.3% 68.7%
Student AH SAH 650 883 73.6% 70.6% 76.4%
Student Medical SDR 1384 2040 67.8% 65.8% 69.8%
Student Nurse/Midwife SN 7901 10677 74.0% 73.2% 74.8%
Student Personal Care
SPC 136 158 86.1% 79.8% 90.6%
*Data Incomplete

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 (83.2%) and after touching a patient (80.7%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (78.3% for nurses/midwives and 74.0% for student nurses/midwives). 
 

 Medical Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

54.3%

53.5%

55.1%

2 Before Procedure

63.4%

61.7%

65.1%

3 After a Procedure or Body Fluid Exposure Risk

71.1%

69.5%

72.5%

4 After Touching a Patient

69.6%

68.9%

70.3%

5 After Touching A Patient's Surroundings

50.5%

49.7%

51.3%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

73.4%

73.1%

73.7%

2 Before Procedure

76.5%

76.5%

77.0%

3 After a Procedure or Body Fluid Exposure Risk

85.2%

85.2%

85.6%

4 After Touching a Patient

83.8%

83.8%

84.1%

5 After Touching A Patient's Surroundings

73.5%

73.5%

73.9%

Compliance Rates by Peer Group - Public hospitals only

Peer Group*

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Principal (n= 83)

72.6%

72.4%

72.8%

Large (n=39)

74.7%

74.2%

75.1%

Medium (n=77)

77.1%

76.6%

77.7%

Small (n=283)

80.4%

79.9%

80.8%

*See Appendix 1 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, G

Appendix 1

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.

http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2

National Data Period Two, 2012

Audit Period Two - 2012 (June)
(NHHI AuditTwo 2012)

Data have been collected nationally from a total of 605 hospitals from both the public and private sectors. The average compliance rate was 75.7 % .

 Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

 261,298 345,195

75.7%

75.6%

75.8%

Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

72,408

100,570

72.0%

71.7%

72.3%

Moment 2

 21,406

28,226

75.8%

75.3%

76.3%

Moment 3

 31,287

36,993

84.6%

84.2%

84.9%

Moment 4

82,708

100,850

82.0%

81.8%

82.2%

Moment 5

53,489

78,556

68.1%

67.8%

68.4%

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  1,028 1,449 70.9% 68.6% 73.2%
Allied HCW AH 12,659
17,121 73.9% 73.3% 74.6%
Domestic* D 6,033
9,593 62.9% 61.9% 63.9%
Invasive Tech BL 4.404
6,118 72.0% 70.8% 73.1%
Medical Practitioner DR 29,543 47,489 62.2% 61.8% 62.6%
Nurse/Midwife N 182,083
227,254 80.1% 80.0% 80.3%
Other* O  2,195 3,514 62.5% 60.9% 64.1%
Personal Care Staff* PC  10,366 15,037 68.9% 68.2% 69.7%
Student AH SAH 821  1,131 72.6% 69.9% 75.1%
Student Medical SDR 1,187 1,768 67.1% 64.9% 69.3%
Student Nurse/Midwife SN  10,813 14,506 74.5% 73.8% 75.2%
Student Personal Care
SPC 166 215 77.2% 71.2% 82.3%
*Data Incomplete

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 (84.6%) and after touching a patient (82.0%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (80.1% for nurses/midwives and 74.5% for student nurses/midwives). 
 

 Medical Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

57.5%

56.7%

58.3%

2 Before Procedure

64.6%

62.8%

66.3%

3 After a Procedure or Body Fluid Exposure Risk

73.3%

71.7%

74.7%

4 After Touching a Patient

72.0%

71.3%

72.7%

5 After Touching A Patient's Surroundings

52.4%

51.5%

53.3%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

76.2%

75.8%

76.5%

2 Before Procedure

78.4%

77.8%

78.9%

3 After a Procedure or Body Fluid Exposure Risk

86.7%

86.3%

87.1%

4 After Touching a Patient

85.2%

84.9%

85.4%

5 After Touching A Patient's Surroundings

75.0%

74.6%

75.4%

Compliance Rates by Peer Group - Public hospitals only

Peer Group*

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Principal (n= 83)

74.5%

74.3%

74.7%

Large (n=39)

76.5%

76.1%

77.0%

Medium (n=75)

78.5%

77.9%

79.1%

Small (n=274)

82.2%

81.7%

82.6%

*See Appendix 1 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, G

Appendix 1

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.

http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2

 

National Data Period Three, 2012

Audit Period Three - 2012 (October)
(NHHI Audit Three 2012)

Data have been collected nationally from a total of 656 hospitals from both the public and private sectors. The average compliance rate was 76.4%.

 Overall Compliance Rate

 

Correct HH Moments

Moments Observed

Compliance Rate

Lower 95% CI

Upper 95% CI

Overall Rate

319,147

417,490

76.4%

76.3%

76.6%

Compliance Rate By Moment

Moment

Correct HH
Moments

Moments
Observed

Compliance
Rate

Lower
95% CI

Upper
95% CI

Moment 1

87,499

120,702

72.5%

72.2%

72.7%

Moment 2

27,469

35,536

77.3%

76.9%

77.7%

Moment 3

39,082

45,893

85.2%

84.8%

85.5%

Moment 4

101,438

122,788

82.6%

82.4%

82.8%

Moment 5

63,659

92,571

68.8%

68.5%

69.1%

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 1,344 1,850 72.6% 70.6% 74.6%
Allied HCW AH 15,493 20,686 74.9% 74.3% 75.5%
Domestic* D 6,842 10,527 65% 64.1% 65.9%
Invasive Tech BL 5,298 7,151 74.1% 73.1% 75.1%
Medical Practitioner DR 34,639 55,164 62.8% 62.4% 63.2%
Nurse/Midwife N 222,518 276,016 80.6% 80.5% 80.8%
Other* O 2,814 4,546 61.9% 60.5% 63.3%
Personal Care Staff* PC 12,117 17,254 70.2% 69.5% 70.9%
Student AH SAH 792 1097 72.2% 69.5% 74.8%
Student Medical SDR 1,582 2,369 66.8% 64.9% 68.6%
Student Nurse/Midwife SN 15,630 20,706 75.5% 74.9% 76.1%
Student Personal Care
SPC 78 124 62.9% 54.1% 70.9%
*Data Incomplete

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 (85.2%) and after touching a patient (82.6%). 
Figure 2 depicts the compliance rate by healthcare worker professional group. The highest compliance rates were nurses/midwives (80.6% for nurses/midwives and 75.5% for student nurses/midwives). 
 

 Medical Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

57.3%

56.5%

58%

2 Before Procedure

66.8%

65.2%

68.3%

3 After a Procedure or Body Fluid Exposure Risk

73.1%

71.7%

74.5%

4 After Touching a Patient

72.6%

72%

73.3%

5 After Touching A Patient's Surroundings

53.0%

52.2%

53.8%

Nursing/Midwifery Staff hand hygiene compliance rate by Moment

MOMENT

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

1 Before Touching A Patient

76.9%

76.3%

76.9%

2 Before Procedure

79.6%

79.1%

80.1%

3 After a Procedure or Body Fluid Exposure Risk

87.2%

86.9%

87.6%

4 After Touching a Patient

85.6%

85.3%

85.8%

5 After Touching A Patient's Surroundings

75.1%

74.7%

75.5%

Compliance Rates by Peer Group - Public hospitals only

Peer Group*

COMPLIANCE RATE

LOWER 95%CI

UPPER 95%CI

Principal (n= 84)

75.4%

75.0%

75.9%

Large (n=39)

78.0%

77.2%

78.8%

Medium (n=79)

77.6%

76.6%

78.6%

Small (n=291)

80.6%

80.5%

80.8%

*See Appendix 1 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, G

Appendix 1

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.

http://www.aihw.gov.au/publication-detail/?id=10737418863&tab=2