Development of a standardised approach to observing hand hygiene compliance in Australia
Kathleen Ryan A B , Philip L. Russo A , Kelvin Heard A , Sally Havers A , Kaye Bellis A and M. Lindsay Grayson AA Hand Hygiene Australia, Austin Health, Infectious Diseases Department, PO Box 5555, Heidelberg, Vic. 3084, Australia.
B Corresponding author. Email: kate.ryan@austin.org.au
Healthcare Infection 17(4) 115-121 https://doi.org/10.1071/HI12022
Submitted: 13 June 2012 Accepted: 21 August 2012 Published: 16 October 2012
Abstract
Background: Evidence indicates that improved hand hygiene compliance can lead to reductions in healthcare associated infection. However, there are few papers that clearly document the observation method used to collect the hand hygiene compliance data. This article describes the Hand Hygiene Australia 5 Moments for Hand Hygiene observation method in detail.
Methods: The Australian Commission for Safety and Quality in Health Care funded Hand Hygiene Australia (HHA) to implement the National Hand Hygiene Initiative (NHHI) to improve hand hygiene compliance (HHC) and establish a national validated system of HHC auditing. Based on the World Health Organisation (WHO) World Alliance for Patient Safety campaign ‘Clean Care is Safer Care’, HHA adapted the WHO hand hygiene compliance data collection form to suit Australian healthcare facilities.
Results: Hand Hygiene Australia developed a standardised approach to direct observation of HHC of healthcare workers by developing a uniform suite of tools and a data management system for accurate data collection and report generation.
Conclusion: Implementation of the HHA 5 Moments HHC audit method has facilitated standardised, reliable and meaningful collection of hand hygiene compliance data that is driving HHC improvement across many different healthcare settings around Australia.
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