Hand Hygiene in Health Care Facilities

Prevent preventable infections in patient care by using a hand hygiene monitoring system for optimal reporting.

Go paperless, conduct inspections easily and solve issues quicker with your teammates.

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Hand Hygiene Audit Checklist

Use this Hand Hygiene Audit Checklist to evaluate hand hygiene practices based on WHO's five moments.

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Hand Hygiene Compliance Checklist

Use this hand hygiene compliance checklist to internally evaluate the hand hygiene techniques of healthcare workers.

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Infection Control Audit

This audit will help you outline infection control hazards.

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General Infection Control Audit Checklist

Use this infection control audit template to ensure the completion of baseline control measures against healthcare-associated infections.

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Why a Hand Hygiene Audit is so Important

A hand hygiene audit is carried out in healthcare facilities to assess the hand hygiene compliance in healthcare workers. The hand hygiene audit tool aims to prevent the spread of infections between staff and patients as far as possible, utilizing observation controls.

Although easily preventable, infections transmitted in the course of standard patient care are still one of the leading causes of death and disability worldwide - with over 1.4 million cases a year that can occur at any time. The simplest and most effective countermeasure is for healthcare professionals to correctly apply hand hygiene techniques during the five moments of patient care.

Regular hand hygiene audits in hospitals and other healthcare facilities are an essential part of successful infection control.


This article discusses:

1. How to effectively conduct a hand hygiene audit

2. Hand hygiene monitoring tool that helps you streamline reporting

How to Conduct a Hand Hygiene Audit

The World Health Organization (WHO) recommends that the following points be observed during hand hygiene audits in the health care system:

1. Communicate with the institution

Contact the hospital administration before the audit begins. State the observation period, and the purpose for implementing hand hygiene monitoring systems in the hospital. Inform the health personnel about the type of data documentation (e.g. utilizing photo documentation).

2. Define the audit areas

All areas in which patient care is regularly provided are audited. Introduce yourself to the head nurse, the head physician of the department or the head of the department and explain your observational function. Try to gather a range of information across the different wards and departments.

3. Protect the privacy of the patient


The privacy of patients must not be compromised during the audit. Obtain the written consent of the patient if necessary. Audits must not be conducted during extreme situations (e.g. emergency medical treatment, signs of uncontrolled stress in a health care worker).


4. Observe individual HCPs

Perform the audit according to the WHO 5 moments of hand hygiene:

BEFORE  patient contact

BEFORE  aseptic activities

AFTER  contact with potentially infectious material

AFTER  patient contact

AFTER  contact with the direct patient environment

5. Document and share the main results

Communicate your feedback to the medical staff on the implementation of hand hygiene. Compliance scores are determined by the ratio of the number of actions (hand hygiene) performed to the number of opportunities (moments). Share your results with management, department heads, board members and staff who primarily have patient contact.

Audit App for Hand Hygiene in the Healthcare Sector

Lumiform's mobile app helps you comply with RKI hand hygiene guidelines with ease. Facilitate data collection and reporting as a healthcare auditor with a digital solution for your inspections. In summary, the key features of the app:

  • Perform simple hand hygiene audits on a mobile device.

  • Capture and store unlimited hand hygiene photos and observations.

  • Automatic tracking of compliance scores according to the 5 moments of hand hygiene.

  • Immediate analysis and feedback of critical results are available before leaving the facility.