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Auditing Information

A key component of the Hand Hygiene New Zealand (HHNZ) programme is the nationally standardised process for auditing hand hygiene performance according to the World Health Organization’s 5 moments for hand hygiene.

HHNZ coordinates national auditing three times per year, which is carried out by trained and certified gold auditors in each District Health Board (DHB).

The impact of your hand hygiene programme should be measured with both a performance measure and an outcome measure. Measurement is conducted by trained HHNZ gold auditors, who carry out auditing based on these two measures, within individual DHBs as highlighted below:

1) Performance measures

Hand hygiene performance rates are measured through:

  • The total number of hand hygiene moments observed during a specified monitoring period
  • The total number of appropriately performed hand hygiene moments
  • The corresponding rates of compliance.

2) Outcome measures

The outcome of hand hygiene performance is measured through the rate of healthcare associated Staphylococcus aureus bacteraemia.

Each participating DHB, through their gold auditor, is required to audit and then submit data to HHNZ according to the schedule below:

Hand hygiene compliance data submission

31 March

30 June

31 October

Data submission must include the rates of hand hygiene performance and the rate of healthcare associated Staphylococcus aureus bacteraemia. Rates of hand hygiene performance will be assessed and reported according to a number of specified criteria.

To ensure valid hand hygiene performance data is collected all hand hygiene auditors must participate in an auditor workshop. These workshops are designed to teach participants to audit hand hygiene performance using the 5 moments for hand hygiene model. Auditors are required to register with the HHA Learning Management System and complete the Hand Hygiene NZ Auditor Pre-Workshop Online Learning Module. The module may be accessed through logging into the website, selecting ‘Learner’, followed by ‘Browse Catalogue’ and then ‘HH Auditor Modules’. For further information on how to log in and access modules please click here. Auditors are also required to familiarise themselves with the Hand Hygiene New Zealand Auditing Manual.

In addition, all auditors who carry out hand hygiene audits must complete the Hand Hygiene NZ Auditor Annual Validation Online Learning Module to ensure consistent auditing is performed nationally. You can access the module through the HHA Learning Management System by selecting ‘Learner’, ‘Browse Catalogue’ and then ‘HH Auditor Modules’. If you do not collect over 100 moments a year please speak to your DHB’s hand hygiene coordinator about refreshing your training.