Hand Hygiene

How is the Hand Hygiene Compliance Rate calculated?

Ontario hospitals are posting their hand hygiene compliance rates as percentages for periods identified by the Ministry of Health and Long-Term Care, using the following formula:

# of times hand hygiene performed x 100
# of observed hand hygiene indications

These percentages also reflect:

(i) hand hygiene before initial patient/patient environment contact by combined health care provider type (e.g., nurses, allied health professionals, physicians, etc.)

(ii) hand hygiene after patient/patient environment contact by combined health care provider type (e.g., nurses, allied health professionals, physicians, etc.)

Hospitals are to collect at least 200 observations for every 100 in-patient beds. At Stevenson, we have less than 50 inpatient beds and collect over 800 observations which exceeds the number that are mandatory to submit.

2023/24	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec	Jan	Feb	Mar	Year
Before	77	78	73	78	76	78	77	69	86	85	82	86	78
After	87	87	88	87	82	93	89	95	94	95	97	100	90
Overall	82	83	81	83	79	86	83	82	90	90	90	93	84