Journal article

Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative

M Lindsay Grayson, Philip L Russo, Marilyn Crulckshank, Jacqui L Bear, Christine A Gee, Clifford F Hughes, Paul DR Johnson, Rebecca McCann, Alison J McMillan, Brett G Mitchell, Christine E Selvey, Robin E Smith, Irene J Wilkinson

The Medical Journal of Australia | AUSTRALASIAN MED PUBL CO LTD | Published : 2011


OBJECTIVE: To report outcomes from the first 2 years of the National Hand Hygiene Initiative (NHHI), a hand hygiene (HH) culture-change program implemented in all Australian hospitals to improve health care workers' HH compliance, increase use of alcohol-based hand rub and reduce the risk of health care-associated infections. DESIGN AND SETTING: The HH program was based on the World Health Organization 5 Moments for Hand Hygiene program, and included standardised educational materials and a regular audit system of HH compliance. The NHHI was implemented in January 2009. MAIN OUTCOME MEASURES: HH compliance and Staphylococcus aureus bacteraemia (SAB) incidence rates 2 years after NHHI impleme..

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University of Melbourne Researchers


Funding Acknowledgements

We are grateful to the many infection control professionals, HCWs and other staff throughout Australia who participated in the NHHI and assisted with data collection and analysis. The NHHI is funded by the Australian Commission on Safety and Quality in Health Care. Members of the HHA team, the National Hand Hygiene Advisory Committee and state/territory contributors are listed at These data have been presented in part at the Australasian Society for Infectious Diseases Annual Scientific Meeting, Lorne, Victoria, April