Hand hygiene observation coding classification tool (NHHI)
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Observation coding classification tool for hand hygiene auditing
Healthcare facilities that promote and contribute to the National Hand Hygiene Initiative (NHHI) audit hand hygiene moments compliance based on the 5 moments of Hand Hygiene. All healthcare facilities aim to meet the National and State hand hygiene benchmark of greater than 80 %, to promote better patient outcomes by preventing or reducing healthcare associated infections. Consistent and standardised training as a validated auditor follows the principles of the NHHI and the 5 moments of Hand Hygiene which relies on a standardised approach to auditing to provide consistent and accurate compliance data.
The number of auditors required for an organisation depends on the healthcare facility size. Please refer to Section 7.3 in the NHHI Hand Hygiene Manual, 2019. Your hospital NHHI administrator or Infection Control Professional may request that you be trained as a general hand hygiene auditor that will submit data to the NHHI. If your facility would like to monitor Hand Hygiene compliance but do not meet the guidelines for acute hospital data submission, using the SA Health Hand Hygiene Observation Tool (PDF 196 KB) may be a more suitable option.
Key points for hospital administrators and ICP’s to consider that the prospective auditor will:
Other points to consider would be that the prospective auditor:
The resources required to train as NHHI Hand Hygiene General auditor (GA) can be achieved as an online self-learning package. The final validation will require a “shadowed” practical ward session, auditing with a Gold Standard auditor (GSA). A GSA can attend from another site if this is not practical.
To become a Hand Hygiene General Auditor (GA), participants are required to complete mandatory pre-requisite online training module, self-learning package and a practical component.
Note: All new learners need to complete a registration as a new user the first time they access the system only.
The NHHI Learning Management System (LMS) is not
compatible with Internet Explorer. The site works best using the following
browsers: Google Chrome, Microsoft Edge, Safari and Firefox.
Provide the pre-workshop completion certificates to the Gold Standard Auditor (GSA) in your facility.
Identified staff will need to complete the following seven-step components of the self-learning package:
Any queries related to the self-learning package, please contact your facility’s GSA or Hand Hygiene Program Coordinator.
Contact your GSA in your facility to complete a practical ward session to finalise the last stage of your hand hygiene training. Once all components of the training have been completed, the GSA can add the auditor to the NHHI database for access to enter hand hygiene audits.
Provide completion certificates for the annual Hand Hygiene Module for auditors to the GSA in your facility.
The hand hygiene gold standard auditor pathway provides formally sequences of learning that enabling a general auditor to become a GSA within their facility.
For further information on hand hygiene auditor education and training, contact the SA Health Infection Control Service or (08) 7425 7161.
NHHI resources have been used with the kind permission of Australian Commission on Safety and Quality in Healthcare (ACSQHC).