Audit Tool
One of the key elements of the HAI Task Force Action plan is
that quarterly and now bi-monthly audit of compliance with hand
hygiene is undertaken across NHSScotland. One of the
responsibilities of the LHBC is to undertake and co-ordinate hand
hygiene audits within their local NHS Board area.
A Campaign Compliance and Evaluation Sub Group was formed, which
included an LHBC, to consider ways in which information on hand
hygiene compliance could be collated that would allow local areas
to have access to data and therefore feedback to clinical settings
to address any poor or non-compliance. It also aimed to present
overall compliance data for Scotland to the Scottish Government
Health Directorate. This Sub-Group prompted interesting discussion
on the effects of mandatory compliance, including that audit is not
an exact science and that it should not detract from the local
activities that had been on-going for many years by local infection
control teams but build on and complement these.
A complementary Protocol and Resource Pack was produced to
support a standardised approach to the use of the audit tool in
Scotland. This can be downloaded from:
A PDF version of the audit tool is available for download:
A guide to the 5 moments for hand hygiene, including practical
examples, has been developed and is available to download from:
The following documents also form part of the audit tool
information.
National
Audit Reports can be viewed on the Health Protection Scotland
website.