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Enhanced Audit Tool-Hand Hygiene 1

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Auditing with the 5 Moments for Hand Hygiene tool HHC auditing is the established outcome measure for assessing the effectiveness of a hand hygiene program within the National Hand Hygiene Initiative. HHC is a valid and reliable measure within the acute care sector, in both public and private hospitals throughout Australia. | Generally, the 5 Moments for Hand Hygiene audit tool is ideally suited to facilities that have the greatest staff/patient activity and interaction. This results in higher numbers of ‘Moments’ being audited in shorter time periods. | Auditing facilities where there is little staff/patient activity and interaction will result in a small number of moments being observed (i.e. non-acute, primary care, mental health settings) and resources required to undertake auditing may be better utilised measuring other aspects of a hand hygiene program (e.g product placement and availability surveys, education etc). | Currently HHA do not recommend routine HHC auditing with the 5 Moments for Hand Hygiene audit tool as an outcome measure in the non-acute, primary care or mental health setting. | All facilities should be aware of their jurisdictional requirements when planning measurements of their hand hygiene program. A number of assessment tools are available below which can be used or modified as desired. | HHC audits should only be undertaken by HHA trained and validated HHC auditors. |
Annual Auditor Validation
The National Hand Hygiene Initiative (NHHI) is based on the World Health Organisation (WHO) - World Alliance for Patient Safety campaign – “Clean Care is Safer Care” launched in 2005. On the 5th May 2009 WHO relaunched their campaign as "Save Lives: Clean Your Hands" . Please click here to access the WHO hand hygiene webpage
WHO have released two key Hand Hygiene documents:
WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care is Safer Care. World Alliance for Patient Safety.
The definitive guide to Hand Hygiene with an extensive literature review.
Reference:
World Health Organisation (2009). WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care is Safer Care. World Alliance for Patient Safety. Geneva, World Health Organisation Press.
Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities
The latest release from WHO. Includes practical examples of practicing the 5 Moments for Hand Hygiene in community health care settings, including: public vaccination, GP care, Maternal and Child Health Nurse, Radiography, Dental care, Home nursing, and Long Term Care facility care examples.
Reference:
World Health Organization (2012). Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities: A Guide to the Application of the WHO Multimodal Hand Hygiene Improvement Strategy and the "My Five Moments for Hand Hygiene" Approach. Geneva, World Health Organization.

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