Hand Hygiene Compliance

Identifying Attributes

Care Settings
Hospital Care
Country
Australia
Publishing Organisation
Australian Commission on Safety and Quality in Health Care (ACSQHC): National Hand Hygiene Initiative
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Infection and Sepsis

Defining Attributes

Definition

The number of compliant hand hygiene moments observed in relation to the total number of hand hygiene moments.

Numerator

Number of compliant hand hygiene actions observed during a specified audit period

Denominator

Total number of hand hygiene moments observed during an audit period

Exclusions

If a facility/hospital reports having less than 25 beds at the end of an audit period, observed moments and compliance rate will be suppressed and will not be compared to the national benchmark. If a facility/hospital reports having less than 100 observed moments at the end of an audit period, the number of observed moments will be suppressed, and the compliance rate will not be compared to the national benchmark.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

By hospital, hand-hygiene moment and healthcare worker group.

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

National Hand Hygiene Data Collection

Frequency of Data Collection
3-5 month intervals
Frequency of Data Collection in Days
91-152
Reporting Frequency
3-5 month intervals
Reporting Frequency in Days
91-152
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025