Auditor training and validation

For the NHHI, hand hygiene compliance is audited by direct observation of healthcare workers by specially trained auditors. There are two categories of hand hygiene auditors: Gold Standard Auditors and General Auditors.

Auditor validation requirements

Annual validation is a method of ensuring all auditors remain up-to-date with their knowledge of the 5 Moments definitions and audit practices. This ensures valid and reliable data for the NHHI.

General auditor training

General auditor training is only able to be conducted by a validated Gold Standard Auditor. General auditors are not able to train others.

Gold Standard Auditor Training

The Commission is consulting with states and territories and the private health sector regarding future options for GSA training from 2020. Prior to November 2019, GSAs were validated during specific workshops organised by Hand Hygiene Australia.

National hand hygiene audit data - Audit 2, 2020

Hand hygiene is an essential element of infection prevention and control practice.

Hand hygiene compliance is assessed against a national benchmark set by the Australian Health Ministers' Advisory Council; since 2017 the benchmark has been 80%.

Data on hand hygiene compliance are collected by states and territories for all public health organisations, and by many private health organisations, and reported nationally three times per year for the Commission's National Hand Hygiene Initiative. The data for Audit Two 2020 are now available.

National audits and HHCApp

Data on hand hygiene compliance are collected by states and territories for all public health organisations, and by many private health organisations, and reported nationally three times per year for the National Hand Hygiene Initiative. 

NHHI contact details

National Hand Hygiene Initiative Help Desk staff will endeavour to respond to your enquiry as quickly as possible, and within 7 business days. Please do not send multiple queries within this timeframe.

 

Online learning - hand hygiene

A suite of online learning modules is available to support healthcare workers' education on hand hygiene practices and hand hygiene auditor training. 

Promotional Materials

A range of promotional materials is available to support implementation of the National Hand Hygiene Initiative.

National Hand Hygiene Initiative Manual

The Manual includes information on all aspects of the NHHI and a practical step-by-step guide to implementing and sustaining hand hygiene programs in Australian healthcare facilities. 

 

Auditor register

All general auditors who successfully complete training must be entered on the Auditor Register by the Gold Standard Auditor who conducted their training.

Audit tools

There are a number of tools available to support hand hygiene auditing in acute and non-acute healthcare settings.

National Hand Hygiene Audit Requirements 2020

Hand hygiene compliance auditing is conducted to assess the effectiveness of hand hygiene programs, as part of the National Hand Hygiene Initiative (NHHI), and compliance with AHMAC agreed benchmarks. Hand hygiene compliance is a valid and reliable measure in the acute care sector, in both public and private Australian hospitals.

Historically, there have been three national audits conducted each year. However, following consideration of the outcomes of the Commission's consultation in regard to the NHHI, and in the context of COVID-19, data collection for the NHHI in 2020 was not mandatory for Audit period 2. 

5 Moments For Hand Hygiene

The 5 Moments for Hand Hygiene approach was designed by the World Health Organization to minimise the risk of transmission of microorganisms between a healthcare worker, the patient, and the environment.