Hand hygiene NBEDS 2023–
Data Set Specification Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Set Specification |
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METEOR identifier: | 789327 |
Registration status: | Health, Qualified 29/02/2024 |
DSS type: | Data Set Specification (DSS) |
Scope: | The Hand hygiene national best endeavours data set (HH NBEDS) aims to support national monitoring of hand hygiene moments in public hospitals. Hand hygiene assists in preventing the spread of infections acquired as a direct or indirect result of health care. The scope for this NBEDS is all public hospitals, including those defined as public psychiatric hospitals in the Local Hospital Networks/Public hospital establishments national minimum data set. All types of public hospitals are included, focusing on acute care and non-acute or subacute care, including psychiatric, rehabilitation and palliative care. |
Collection and usage attributes | |
Statistical unit: | |
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Guide for use: | The data elements in the HH NBEDS are used to report the results of hand hygiene compliance audits conducted in healthcare establishments as part of the National Hand Hygiene Initiative (NHHI). The Australian Commission on Safety and Quality in Health Care (ACSQHC) established the NHHI in 2008 as part of a suite of initiatives to prevent and reduce healthcare-associated infections in Australian healthcare settings. The National Safety and Quality Health Service (NSQHS) Standards (ACSQHC 2023c) require health service organisations to have a hand hygiene program consistent with the NHHI and jurisdictional requirements. The NHHI uses a multimodal approach to improving hand hygiene, which includes:
Implementation of the NHHI is led by states, territories and health service organisations (public and private). Compliance audits are undertaken to assess the number of compliant hand hygiene moments observed in relation to the total number of hand hygiene moments The 5 moments for hand hygiene to be audited are:
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Collection methods: | Audit data are provided by health service organisations to the ACSQHC. There are three national audit periods, with two being mandatory and one being voluntary:
National Audit period 2 became voluntary from 1 April 2023 to provide health service organisations with additional time for quality improvement activities. For further information, please refer to Advisory AS23/01 (ACSQHC 2023b.) After its analysis and reporting of the national dataset, the ACSQHC provides the data to the AIHW. Transfer of data from the ACSQHC to the AIHW normally occurs two months after the close of the audit period. |
Implementation start date: | 01/04/2023 |
Comments: | Glossary items relevant to this NBEDS include: |
Source and reference attributes | |
Submitting organisation: | Australian Institute of Health and Welfare |
Origin: | ACSQHC (Australian Commission on Safety and Quality in Health Care) 2023a. National Hand Hygiene Initiative Implementation Guide. ACSQHC: Sydney, viewed 27 February 2024. |
Reference documents: | ACSQHC 2021. National Safety and Quality Health Service Standards. 2nd ed. – version 2. ACSQHC: Sydney, viewed 15 February 2022. ACSQHC 2023b. Data definitions for auditing, ACSQHC: Sydney, viewed 15 February 2022. ACSQHC 2023c. The NSQHS Standards. ACSQHC: Sydney, viewed 27 February 2024. ACSQHC 2023d. Advisory AS23/01: Advice on national hand hygiene audit period 2. ACSQHC: Canberra, viewed 27 February 2024. AIHW (Australian Institute of Health and Welfare) 2015. Australian hospital peer groups. Health services series no. 66. Cat. no. HSE 170. AIHW: Canberra, viewed 27 February 2024. |
Relational attributes | |
Related metadata references: | Supersedes Hand hygiene NBEDS 2012– Health, Standard 06/09/2023 See also Local Hospital Networks/Public hospital establishments NMDS 2022–23 Health, Superseded 09/12/2022 See also Local Hospital Networks/Public hospital establishments NMDS 2023–24 Health, Superseded 06/12/2023 See also Local Hospital Networks/Public hospital establishments NMDS 2024–25 Health, Standard 06/12/2023 |